Vice President of Quality and Compliance

PurposeCare•Clementon, NJ

20d

About The Position

Lead the Strategy That Protects Quality, Compliance, and Patient Care Across a Growing Healthcare Organization. At PurposeCare, we believe exceptional patient care starts with exceptional clinical quality, unwavering compliance, and leaders who never compromise on doing what's right. As one of the Midwest's fastest-growing Home Health and Home Care organizations, we're seeking an experienced Vice President of Quality & Compliance to serve as the enterprise leader responsible for clinical quality, regulatory compliance, and organizational risk across multiple states. This is far more than a traditional compliance role. You'll serve as the organization's compliance authority, partnering directly with our CEO, executive leadership team, and Board of Directors while helping shape the systems, processes, and quality infrastructure that support our continued growth. If you're a collaborative executive who enjoys solving complex operational challenges, preparing organizations for survey success, building high-performing teams, and translating regulatory requirements into actionable strategies, we'd love to talk with you.

Requirements

Active, unrestricted Registered Nurse (RN) license.
Minimum of 5 years of Home Health leadership experience with significant responsibility for Quality Assurance, OASIS, and regulatory compliance.
Comprehensive knowledge of: CMS Conditions of Participation, PDGM, Medicare & Medicaid regulations, Joint Commission and accreditation standards, Home Health Quality & Compliance.
Experience leading enterprise compliance programs within a multi-site healthcare organization.
Demonstrated success managing regulatory surveys, corrective action plans, payer audits, and compliance investigations.
Experience with: OASIS, Quality Assurance, Clinical Auditing, EMR systems, Compliance reporting tools, Healthcare analytics.

Nice To Haves

Previous leadership experience within a high-growth and/or private equity-backed healthcare organization is strongly preferred.
Ability to travel regularly throughout Indiana, Illinois, Michigan, and Ohio.

Responsibilities

Serve as the executive leader responsible for enterprise-wide compliance across Home Health and Home Care operations.
Partner directly with the CEO and maintain direct communication with the Board of Directors regarding compliance initiatives, risk, and organizational performance.
Chair the quarterly Compliance Committee and present enterprise quality and compliance reporting.
Establish strategic compliance priorities while remaining actively engaged in operational execution.
Oversee internal clinical compliance audits across multiple agencies and states.
Lead corrective action planning and ensure timely resolution of identified opportunities.
Manage responses to Medicare, Medicaid, commercial payer, and regulatory audits, including ADRs, UPIC, and TPE requests.
Monitor CMS regulations, accreditation standards, and payer requirements while proactively implementing organizational changes.
Provide executive oversight for enterprise QAPI initiatives.
Monitor key quality metrics including: OASIS accuracy, STAR Ratings, Value-Based Purchasing, PEPPER Reports, Potentially Avoidable Events, CMS quality indicators.
Conduct mock surveys and support agencies through state surveys, accreditation visits, and corrective action plans.
Partner with operational and clinical leaders to improve patient outcomes and ensure consistent compliance.
Oversee: Clinical Quality Assurance, OASIS coding operations, Policy & Procedure management, Medical record requests, Payer credentialing, State & Federal filings, Compliance-related vendor relationships.
Ensure compliance programs scale alongside organizational growth.
Lead and mentor a team of clinical and administrative compliance professionals.
Partner with Branch leadership to build accountability and strengthen quality performance.
Develop enterprise education programs surrounding regulatory updates, OASIS changes, compliance expectations, and survey readiness.
Foster a culture centered on continuous improvement, collaboration, and accountability.