Job Description Summary
Reporting to the Director of Nursing. Manages the Compliance, Quality Assessment, and Updates Trainings. Maintains Administrative Policies and Procedures. Leads preparation of Agency CHAP accreditation and is available during Medicare and State Surveys as needed. Ensures staff trainings to maintain Compliance to all regulations.
Essential Job Functions/Responsibilities
- Updates Policies 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 policies through Senior Leadership.
- Plans, Prepares, and leads the Compliance Program.
- Facilitates quarterly compliance 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 over 180 days.
- Facilitates Utilization management audits.
- Prepare and submit ADRs or any other documentation requested for review.
- Tracks ongoing Agency Performance Improvement Project and plans of correction monitored and reviewed quarterly for improvement.
- Reports Compliance to the Board quarterly.
- Monitors the compliance hot line and updates the disclosure report as needed and facilitates the corrective action plan with the governing board.
- Conduct investigations as needed.
- Writes plans of correction for statements of deficiencies.
- Follow up on annual fees and application process as requested.
- Design/annually update clinical orientation program for current and new employees.
- Oversee the CAHPS program and follow up on negative family surveys.
- Report CMS reports Pepper, HIS, QA CASPER reports and NCLOS reports.
- Demonstrate ability to communicate with all levels of hospice staff including the board of director.
- Other function requested to perform job-related tasks other than those stated in this description.
Qualifications
Position Qualifications
- Registered nurse currently multistate license.
- A minimum of 2-years experience in hospice compliance.
- Demonstrated commitment to the hospice philosophy of care
- Certified Professional Compliance Officer certification
- Working Knowledge of Hospice COP
- Knowledge and ability to deal with a variety of personalities and situations
- Strong planning, analysis, problem solving, and project management skills.
- Ability to design and implement effective staff education and training programs.
- Ability to Maintain confidentiality of patient information.
Job Type: Part-time
Pay: $80.00 - $100.00 per hour
Expected hours: 40 per week
Experience level:
Schedule:
- Monday to Friday
- On call
- Weekends as needed
Work setting:
Experience:
- Sales: 1 year (Preferred)
License/Certification:
- Driver's License (Preferred)
Ability to Commute:
- Los Angeles, CA (Required)
Work Location: In person