Quality Assurance & Compliance Coordinator

MBK Senior Living•Klamath Falls, OR

4d•Onsite

About The Position

The Quality Assurance & Compliance Coordinator operates under the direct guidance of the Executive Director to support and lead the implementation and oversight of the quality assurance program. This role is vital for ensuring rigorous compliance with Local, State, and Federal regulations, upholding MBK’s adherence to all regulatory and accreditation standards, and enhancing resident outcomes through data-driven performance monitoring and cross-functional collaboration, while fostering a culture of continuous quality improvement across all operations.

Requirements

High school diploma or equivalent (GED), required.
Must hold current State administrator’s license and maintain with required CEUs.
3+ years of prior related work experience in quality assurance, regulatory compliance, or risk management in the senior living or healthcare industry.
Stay up to date and knowledgeable about state-mandated acuity model (i.e., ABST) and state regulations.
Proven experience managing audits, regulatory compliance, and accreditation processes.
Strong technical and computer skills, including proficiency in Microsoft Office Suite (e.g., Word, Excel, Outlook, etc.), and experience operating standard office equipment.
Must complete required Background clearances, health screening and provide negative TB test results within 7 days of employment (must be within the last 6 months).
Valid state-issued driver’s license and valid insurance or reliable method of transportation.
Must have excellent written and verbal communication skills, including the ability to speak, write and read English and must be comfortable with speaking in public settings, presenting to small groups and interacting with regulatory representatives.
Must possess the ability to deal tactfully and professionally at all times with personnel, residents, family members, auditors, and guests.
Must possess strong organizational, problem solving, and time management skills.
Must possess the ability to make sound, independent decisions when circumstances warrant, remain calm and effectively manage conflicts, stressful or emergency situations.
Ability and willingness to work independently without direct oversight and supervision.
Must present a positive and professional image.
All Team Members prior to commencing employment and once employed must not be considered an “Excluded Party” as defined by the Medicare and state Medicaid Programs as well as other federal and state government contract programs.
If as an associate you learn you are an Excluded Party, you must present your Excluded Party notice letter to your supervisor immediately.
In addition, at all times, during your employment, all associates must be in compliance with certain laws and regulations that affect the company, including but not limited to Resident Rights, HIPAA, State licensing regulations, and those laws relating you an associates’ professional license.

Nice To Haves

College degree in Healthcare Administration, Nursing, Gerontology, or related field, a plus.

Responsibilities

Lead the execution of the quality assurance program, verifying adherence to all regulatory mandates (federal, state, local), and protecting resident confidentiality per HIPAA.
Oversee and verify daily and future staffing plans and schedules to ensure actual and projected staffing levels continuously comply with the state-mandated acuity model (i.e., ABST) and minimum staffing ratios for resident care needs.
Maintain official accreditation status by continuously monitoring compliance with all established standards and coordinating necessary internal associated activity.
Serve as a liaison for regulatory agencies and accreditation bodies, and prepare for, manage and coordinate all third-party audits, surveys, and inspections.
Collaborate with the Executive Director and others to develop action plans to address deficiencies and ensure timely resolution.
Maintain centralized records for all compliance and survey documentation, ensuring accurate and timely reporting of corrective actions.
Maintain a safe and secure environment for staff, residents, and guests following established safety standards, policies, and procedures.
Conduct regular facility inspections, operational site reviews and audits to assess performance and identify areas for improvement.
Implement and oversee data collection to establish, track, and report on KPIs and trends related to quality, compliance, and resident satisfaction.
Develop and monitor Quality Improvement Plans (QIPs) and action plans to address deficiencies and drive resolutions.
Promote a culture of continuous improvement and quality focused care by developing and presenting outcomes and providing actionable recommendations to leadership.
Implement comprehensive risk-management procedures, including maintaining accurate incident logs, addressing concerns proactively, and overseeing Critical Incident Reporting and Mortality Review processes.
Proactively investigate and resolve quality assurance concerns, complaints, and incidents to uphold a safe and supportive environment.
Ensure accurate documentation and record-keeping to support compliance and operational effectiveness.
Assess ongoing training needs and collaborate with home office to create new training, as needed.
Conduct training programs for staff on regulatory compliance, risk management, and quality assurance, and educate employees in company policies and procedures.
Ensure required and assigned training is completed.
Stay current and comply with industry trends and changes in federal, state, and local regulations affecting senior living communities (assisted, independent, memory care).
Maintain knowledge and understanding of operation’s regulatory, accreditation, and company regulations, policies, and/or procedures.
Provide detailed reports and recommendations for executive leadership on operational review findings, quality performance, and compliance status.
Collaborate with Executive Directors, department heads, and other leadership team members to align quality initiatives with operational goals, and drive quality improvements.
Ensure effective communication with residents, families, and staff regarding quality assurance initiatives and compliance updates.
Act as a collaborative partner and cross-functional team member, providing temporary support and coverage across various departments (e.g., Sales, Operations) during critical periods, staff vacancies, or as requested.
Promote a spirit of teamwork and open communication in alignment with MBK principles and core values.
Perform other job duties or special projects as assigned or requested by Supervisor.

Benefits

Impacting lives and building lasting relationships
Executing exceptional signature programs in dining, fitness, wellness, and care
A supportive community team that encourages personal and professional growth and celebrates your success
A fun-filled, energetic environment that's centered in hospitality and high-quality service
Competitive salaries
Professional development, training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs
Education loan assistance & scholarships
Financial and legal services
Team Member discounts
Health and Wellness resources
Rich benefits package including Medical, Dental, Vision and 401k matching up to 4%
Childcare and eldercare assistance
Flexible spending accounts