Quality and Compliance Manager

Compass Regional Hospice • Centreville, MD

10d

About The Position

At Compass, we believe that working in this industry is more than just a job—it is a calling. We understand that it is not a path chosen by everyone, but for those who feel drawn to this work, we warmly invite you to explore this and other opportunities available within our organization. Accepting a position with Compass means stepping into a role that extends far beyond the responsibilities of any single individual. Our team structure is intentionally designed to foster support and collaboration among all members. This approach allows us to dedicate our energies to what truly matters: delivering outstanding care to our patients and their families during one of life's most significant moments. Quality and Compliance Manager Position Summary: The Quality & Compliance Manager coordinates the Compass Regional Hospice (Compass) QAPI program and serves as the Privacy Official and Security Official.

Requirements

• Must be a Registered Nurse from an accredited college or university.
• Currently licensed as a Register Nurse in the State of Maryland or possess a compact license transferable to the State of Maryland.
• Must have 3-5 years clinical nursing experience, preferably in hospice
• Experience in QA, CQI, or PI required
• Knowledge of requirements and regulations for the provision of Hospice care
• Complies with accepted professional standards and practice
• Self-directed with the ability to work with little supervision
• Flexible and cooperative in fulfilling role obligation
• Complete hospice orientation.
• Support the hospice concept of care.
• Be flexible and able to work on several projects simultaneously.
• Be able to work harmoniously with many diverse types of individuals and groups.
• Advances knowledge and skills; attends in-services and workshops as appropriate.
• An ability to cope with the stress of continual loss.
• Possesses physical ability to perform job-related duties which may require lifting, standing, bending, transferring, stooping, stretching, walking, pushing, partial or complete assistance with activities of daily living without assistance from another health care worker or significant other.
• Must be able to hear to process directions and requests from doctors, employees, patients, and other individuals.
• Must complete Hospice and Palliative Care Certification (HPCC) within 24 months of hire date.

Nice To Haves

• Experience in management and supervision is preferred
• Good oral and written communication skills

Responsibilities

• Evaluates organization’s performance via performance improvement program, productivity, quarterly and annual review assures for the quality and safe delivery of hospice services provided through the organization.
• Maintains compliance with Medicare Regulations and accrediting bodies as appropriate.
• Monitors patient clinical records concurrently and retrospectively, utilizing established outcome criteria, i.e., measures within software system and care plan.
• Maintains compliance with CMS Quality Reporting Requirements.
• Leads the Quality & Compliance Committee.
• Facilitates Performance Improvement teams.
• Coordinates data collection for benchmarking purposes.
• Functions as a clinical resource to all staff.
• Assesses, plans, implements and evaluates the performance improvement programs of the organization.
• Develops, assists and/or coordinates the development of performance improvement studies as requested by the Leadership.
• Assists in the analysis of needs and resources of Compass and in the formulation and development of goals and plans for Compass.
• Serves as the Compliance Officer, Privacy Officer and Risk Manager for Compass and Civil Rights Officer for patients.
• Reviews, revises, and implements policies and procedures to maintain compliance with State and Federal Regulations and other accrediting bodies.
• Maintains the confidentiality of employees, patient/client, and agency information at all times.
• Performs other related duties and responsibilities as required.
• Serves as Emergency Planner.
• Monitors all ADRs and collaborates with the Director of Clinical Services to submit appropriate documentation in a timely manner.

Benefits

• Medical Insurance (CareFirst) - Compass pays 85% of employee’s coverage and 50% dependent coverage
• Dental and Vision Insurance (CareFirst)
• Life/AD&D Insurance
• Voluntary Short-Term Disability
• Voluntary Long-Term Disability
• Accident Insurance
• WillPrep Services
• Employee Assistance Program
• Health Savings Account (HSA)
• 5 weeks of Paid Time Off (PTO) beginning the first year (Available to full-time staff working 32 hours or more per week)
• 401k with Compass fully matching up to 3%, then matching .5% with employee contribution of 4% (match=3.5%), or 5% (total match = 4%) (Available to FT & PT staff)
• Discounted gym membership (YMCA) (Available to FT & PT staff)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed