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Good Shepherd Hospice · 1 month ago

Corporate Compliance Office

Columbia, MO

Full-time

Hybrid

Mid, Senior Level

2+ years exp

Good Shepherd Hospice is seeking a Corporate Compliance Officer to join their executive team. This role is responsible for managing the agency’s compliance program, overseeing quality assurance, and ensuring regulatory excellence across all regions.

Health Care

Responsibilities

Updates Policy and Procedure Manual with new and/or revised policies as changes in programs, services, and regulations occur

Facilitates Agency policy approval for new and revised polices through Senior Leadership

Plans, prepares and leads the Compliance Program

Facilitates quarterly comprehensive chart audits for all locations, developing criteria to monitor compliance with regulations and past survey deficiencies

Facilitates prebilling monthly chart audits for new admissions and patient stays greater than 180 days

Facilitates Utilization Management audits of all stays greater than 180 days and all new admissions

Tracks ongoing Agency Performance Improvement Project and Plans of correction monitored and reviewed quarterly for improvement

Reports Compliance including audit reports, Performance Improvement and plans of correction to the Board quarterly

Monitors the Compliance Hot line and updates the disclosure log and facilitates the corrective action plan with the Governing Board

Conduct investigations as needed

Insure timely follow up and resolution of complaints or concerns

Attends quality reviews and surveys for assigned locations

Assists in writing plans of correction for statements of deficiencies

Demonstrated knowledge of Federal Hospice Condition of Participations, State regulations and Standards

Follow up on annual fees and application process for re-survey in a timely manner to assure that there is no lapse in Agency’s accreditation status

Design/annually update clinical orientation program for current and new employees

Oversee the administration and reporting to Deyta Consumer Assessment of Health Care Provider and Systems beginning 2015

Report agency status of other CMS report, including PEPPER and NCLOS reports

Demonstrated ability to communicate with of all levels of hospice staff, including the Board of Directors

Strong planning, analysis, problem solving, and project management skills

Ability to design and implement effective staff education and training programs

Qualification

Registered Nurse licenseHospice Compliance experienceRegulationsUtilization Review experienceQuality Improvement experienceManagement experienceProject management skillsCommunication skillsActive listening skills

Required

Registered Nurse currently licensed in the Oklahoma, Missouri, Texas, and Kansas

A minimum of two years' experience in hospice Compliance and previous clinical experience in home health, long-term care, oncology, or geriatric nursing

Demonstrated knowledge of Federal Hospice Condition of Participations, State regulations and Standards

Demonstrated ability to communicate with all levels of hospice staff, including the Board of Directors

Strong planning, analysis, problem solving, and project management skills

Ability to design and implement effective staff education and training programs