This is a full time professional position. This position’s role is to be responsible for the overall management of corporate compliance and performance improvement. This position serves as the Chief Compliance Officer and supervises the Director of Education and Volunteer Services, the Performance Improvement Coordinator, the Incident and Infection Control Nurse, and the Regulatory Affairs Specialist. The VP of Quality and Compliance ensures the agency continues to meet standards and maintain Medicare, Medicaid, State, and Federal requirements. This position is responsible for ensuring organizational excellence and integrating PI principles into all areas of the agency. In addition, this position identifies opportunities and concerns, and proposes changes to improve patient care and other services as well as recommends additional programs and education to address staff and volunteer needs.
Responsibilities what you do
Collaborate with the CEO in the overall management of organizational excellence and quality and in oversight of corporate compliance.
Serve on the Executive Team and collaborate with leadership to prioritize operational opportunities for improvement and ensure necessary staff education. Work with leadership to anticipate changes from OIG, MedPAC, CMS, the MAC’s, and other regulatory bodies.
Supervise the Director of Education and Volunteer Services, the Performance Improvement Coordinator, the Incident and Infection Control Nurse, and the Regulatory Affairs Specialist.
Responsible for the review, revision, implementation and operation of the Corporate Compliance Plan. Oversee that systems are in place for tracking critical compliance data.
Coordinate and facilitate activities to initiate or renew State licensure, Medicare Hospice and Home Health certification and accreditation. Ensure that program Directors know understand the COP’s and regulations that govern their programs.
In collaboration with leadership continually develop, review, update, and implement policies, procedures, processes and guidelines that address Federal and State Regulations, Conditions of Participation and accreditation standards. Assign annual review of all policies and procedures to appropriate organizational leaders.
Facilitate compliance reviews and annual evaluation of the compliance plan to ensure consistency with compliance issues and high-risk areas that may require problem solving and resolution by leadership.
Collaborate with the Director of Education and Volunteer Services to provide professional education on corporate compliance, ethical principles and service recovery through the Education department for all employees, and provides volunteer training, as needed. Works in coordination with the Director of Education to ensure that the education program meets all necessary requirements for staff education, including new employee orientation, in-service training and clinical competency training.
Develop and oversee the patient and family member advisory committee.
In collaboration with the Performance Improvement Coordinator, responsible for the overall management of the performance improvement program, including the feedback process, service recovery and handling of complaints, and the organization’s formal audit functions.
In collaboration with the Incident and Infection Control Nurse, responsible for the overall management of infection control and risk management.
Serve as liaison for the Board Clinical Quality Committee, which reviews and develops organizational recommendations to ensure quality of care and compliance with regulatory requirements.
Work with the CEO, Board of Directors and leadership council in preparation of the annual budget.
Responsible for participation in the development of the strategic plan and completing strategic goals.
Perform other duties as assigned by supervisor.
Requirements what you need
Master’s degree in related health care field such as Administration or Clinical Specialty required, or equivalent combination of education and experience; supervisory/management experience required.
Experience in developing, implementing and evaluating performance improvement programs in health care setting.
Experience with Lean and rapid cycle improvement processes preferred.
Excellent verbal and written communication skills; computer literate. Ability to analyze and interpret data.
Excellent administrative, organizational, and leadership skills. 5 years management and supervisory experience preferred.
Minimum 5 years clinical experience required.
Working knowledge of NC Hospice and Home Health Licensure Laws, Medicare Conditions of Participation and accreditation standards.
Helping families navigate the changes made necessary by a serious or terminal illness – with dignity and an unquenchable celebration of life – is what Transitions LifeCare is all about.
Our philosophy is that every individual deserves the quality of life he or she wants when facing a serious illness or near life’s end. Our mission is empowering individuals, families and communities to embrace m...eaning throughout a chronic serious illness and at the end of life.
Originally founded as Hospice of Wake County in 1979, Transitions LifeCare provides a comprehensive circle of expert care and support. What’s more, Transitions LifeCare offers education as well as emotional and spiritual support for the patient’s entire family. Our services are tailored to meet the exact needs, wishes and goals of each patient and family member.
Transitions LifeCare is a nonprofit, 501(c)(3) organization. Our reimbursement and funding are fully applied to further develop our professional staff, facilities and other resources. Our Tax ID number is 56-1228779.
Mission: To care for individuals and families with compassion, support, and expertise as they navigate the end of life or life-changing illness.
Vision: The right care at the right time, providing the best possible experience for patients and families in our community facing the end of life or life-changing illness.