Regional Director of Clinical Quality

Brickyard Healthcare•Indianapolis, IN

About The Position

We rely on and trust our Regional Director of Clinical Quality to focus on documentation compliance related to Centers for Medicare & Medicaid Services (CMS) regulations. This role ensures that clinical documentation meets regulatory standards, supporting facility staff and interdisciplinary teams in maintaining compliance and enhancing

Requirements

Licensure: Active and unrestricted LPN license that allows practice in Indiana.
Experience: Minimum of 2 years of nursing experience, with a focus on long-term care.
Regulatory Knowledge: Strong understanding of CMS and state guidelines, including MDS assessments and long-term care documentation standards.
Technical Skills: Proficient in EHR and documentation systems and Microsoft tools.
Communication Skills: Excellent written and verbal communication skills to effectively provide feedback and training.

Nice To Haves

Prior experience in clinical documentation, compliance, or quality assurance preferred.
Familiarity with data analysis and reporting tools is a plus.

Responsibilities

Regulatory Compliance: Stay updated on current CMS guidelines and ensure all documentation aligns with regulatory changes.
Participate in remote duties for Critical Element Pathways compliance completion, mock survey process, ad hoc QAPI,
Documentation Review and Auditing: Evaluate clinical documentation for accuracy, completeness, and compliance with CMS regulations and organizational policies.
Identify gaps or discrepancies in records and provide actionable feedback to staff.
Plan of Corrections Assist in implementing policies and procedures to meet compliance requirements.
Support for Long-Term Care Facilities: Collaborate with center focused team members (RDCO, RDCQ, DCE, etc.) to provide guidance and training to nursing staff on proper documentation techniques and compliance best practices.
Collaborate with interdisciplinary teams to address documentation issues impacting compliance.
Electronic Health Records (EHR) Management: Maintain and monitor EHR systems for EHR utilization, consistent, compliant record-keeping.
Work with clinical informatics and administrative teams to optimize EHR templates and workflows for compliance.
Lead Additional Documentation Request process and audit for opportunities per process workflows, collaborate with RDCQ team to provide in center education when needed.
Quality Assurance and Reporting: Participate in quality assurance activities, including data collection and reporting to meet performance benchmarks.
Understand and educate the facility and regional teams on both state and federal quality programs.
Prepare and submit compliance reports to leadership and regulatory bodies as required.