Compliance Specialist (In-house)

POSITION SUMMARY

The Hospice Quality Improvement Coordinator is a resource for all service lines, including palliative care and hospice services. The role is responsible for the clinical staff education program including learning needs assessment, long range planning for program, curriculum development, presentation and coordination of education program and new hire orientation of clinical staff. The Hospice Clinical Educator is responsible for internally identified quality initiatives and Hospice Quality Reporting Program (HQRP) oversight. This role will execute identified compliance initiatives and help ensure regulatory compliance in all service lines. Responsible for assisting with ensuring compliance with the Exposure and Emergency Plans, to ensure the infection control practices of Community Healthcare of Texas utilize the national standards/guidelines of the Centers for Disease Control (CDC) and the Texas Department of Health and Human Services (TDHHS). 

ESSENTIAL FUNCTIONS 

• Conducts needs assessment of clinical staff, adjusting training curriculum to meet staff needs
• Monitor current regulatory requirements and best practices and incorporate into clinical training curriculum
• Ensures Development of curriculum, presentations and conducts training
• Coordinate clinical staff orientation and follow up with new staff to reinforce or offer further training
• Coordinate execution of the QAPI plan including the collection of data according to the QAPI plan, compile, track, trend and analyze all data collected (chart audits, DEYTA reports, infection control, complaints, utilization review etc.), prepare reports and make recommendations based on studies and reports.
• Conduct educational activities related to quality management and performance improvement; participate in orientation and staff development activities; participate in new leader orientation related to PI and QA, and coordinate, provide guidance, and develop new goals for all PIP projects
•  Assist with compliance related activities as requested and other related duties including:  Maintaining knowledge base of Home Care Home Base software in order to produce reports and assist with survey preparation; ADR responses, routine chart audits, etc
• Serve as primary resource for infection control issues with ongoing collaboration with the VP Quality & Compliance, and executive leadership, to include development and revision of policies and procedures
• Other duties as assigned

POSITION QUALIFICATIONS

• Requires degree in Nursing, with licensure to practice in the State of Texas as LVN or RN.
• Demonstrated skill in education program planning/implementation and evaluation required. 
• Must have experience in hospice quality and educating staff on hospice quality measures, 
• Improvement, and compliance initiatives.
• 5 years of experience in nursing as a nurse required. 
• Knowledgeable of hospice regulations and standards. 
• Knowledgeable of infection control practices and standards.
• Prefer 3+ years hospice leadership experience.

BENEFITS

• Competitive Pay
• Generous Paid Time Off Programs
• Company provided Life Insurance, Short- and Long-Term Disability 
• Medical, Dental, Vision 
• Flexible Spending Account and Health Savings Account 
• Employee Assistance Program
• Retirement Savings Plan 
• Mileage reimbursement for work-related travel

Reasonable Accommodations Statement 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform essential functions.