Compliance Nurse

Treasure Coast Hospice; Town of Florida (NY); On-site; USD 70,000 - 85,000; Full time

Job summary

A community-focused hospice organization in New York is seeking a Compliance Nurse to ensure nursing compliance and auditing standards. Key responsibilities include conducting audits, providing educational training, and developing compliance programs. The ideal candidate must hold a current Florida RN license and have hospice experience. The role requires excellent communication, organizational skills, and attention to detail. This full-time role offers the opportunity to play a vital role in clinical compliance initiatives.

Qualifications

• A minimum of one year of hospice experience with knowledge of CMS Conditions of Participation.
• Attendance is a condition of employment.

Responsibilities

• Conduct chart audits and provide feedback to staff.
• Analyze reports to identify trends in documentation.
• Participate in training and compliance education.

Skills

Excellent communication skills

Organizational ability

Attention to detail

Ability to provide nonjudgmental instruction

Education

Current Florida RN license

Valid Florida Driver’s license with insurance

Job description

This position is on-site at Titusville Florida.

The Compliance Nurse will serve as a consultant and educator in the area of nursing compliance and auditing. Participates in chart audits and subsequent one-on-one training with employees in the field. Responsible for developing assigned compliance program initiatives. Position will conduct general and focused audits of clinical documentation to determine completeness, consistency and appropriateness of documentation in the clinical record and compliance with applicable laws, regulations, CMS Conditions of Participation (COPs), documentation in meeting Local Coverage Determinations (LCD) and Treasure Coast Hospice (TCH) policies and standards. Key expectations are identification of areas of clinical risk, development of recommendations for mitigation of those risks, participation in development and implementation of education and training of clinical staff related to the identified risks and full participation in the TCHCompliance Program.

Qualifications

• Must have current Florida RN license.
• Must have valid Florida Driver’s license with current auto insurance.
• A minimum of one year of hospice experience with an in depth knowledge of COPs.
• Excellent communication skills with the ability to interact with the staff in an instructional but nonjudgmental manner.
• Exceptional organizational ability and attention to detail.
• Attendance is a condition of employment.

Key Result Areas

• Complete observational visits with staff and assess their documentation of the visit and provide feedback to the staff member.
• Participates in chart audits and subsequent one-on-one training with employees in the field to ensure ongoing compliance in all aspects of agency operations.
• Assist with special compliance/quality educational trainings as requested.
• Analyze reports to spot trends.
• Maintain and apply current knowledge of standards of care in clinical documentation.
• Audit clinical charts for “longitudinal” documentation of decline due to terminal diagnosis and provide summary of findings on quality of documentation in “documenting to the terminal diagnosis”.
• Responding to requests for clinical records from governmental bodies as the responsible party to respond.
• Monitoring external audit review processes, maintains awareness of compliance issues.
• In conjunction with senior management, responds to administrative inquiries related to compliance issues or audits.
• Must provide initially and update as appropriate all required information for credentialing at area healthcare facilities and hospitals, and maintain good standing with each.
• Maintain a high level of urgency, customer consciousness and service excellence.
• Fulfill all responsibilities related to the success of the strategic plan of the organization, as requested and assigned.
• Participate as an active supporter of the Treasure Coast Hospice compliance program including the emphasis to report, as well as complying with all Federal, State, and Local laws as well as the organization’s compliance program. Serve on the organization’s Compliance Committee quarterly.

OSHA Category

Position will be categorized as category I (involves routine exposure to blood and body fluids/tissues).

Working Conditions

• Lifting (raising or lower without mechanical aids) 50 lbs.
• Pushing or pulling.
• Climbing (ascending or descending stairs or ladders).
• Crouching (bending at the knees).
• Crawling (moving about on hands and knees).
• Stooping (bending at the waist).
• Reaching (extending hands and arms in any direction).
• Handling (seizing, holding, grasping or turning objects).
• Typing, picking, pinching or otherwise working with fingertips.
• Using arm muscles frequently.
• Using leg muscles frequently or for extended periods.
• Transferring patient: transfer from bed to chair, transfer from chair to bed and transfer from chair to toilet.

Additional Information

Incumbent may be required to perform emergency duty before, during and/or beyond normal work hours or days in the event of an emergency, crisis situation or disaster (man-made or natural) including evacuation sites. The person in the position will work in a smoke-free location, and is expected to adhere to all smoking restrictions.