Compliance Specialist (In-house)

Community Healthcare of Texas; Fort Worth (TX); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive Pay

Generous Paid Time Off

Life Insurance

Short- and Long-Term Disability

Flexible Spending Account and Health-S

Employee Assistance Program

Retirement Savings Plan

Mileage reimbursement for work travel

Job summary

Community Healthcare of Texas is seeking a Hospice Quality Improvement Coordinator (In-house) to lead clinical staff education, ensure HQRP compliance, and coordinate quality initiatives across palliative care and hospice services. The role emphasizes data-driven improvement, infection control alignment, and collaboration with executive leadership.

The ideal candidate holds a nursing degree and Texas licensure (RN/LVN), with 5+ years of nursing experience and hospice leadership experience

Qualifications

• Requires nursing degree and Texas RN or LVN licensure.
• Experience in hospice quality improvement and staff education.
• Minimum 5 years of nursing experience.
• Knowledge of hospice regulations and infection control practices.
• 3+ years hospice leadership preferred.

Responsibilities

• Conduct needs assessment and tailor training curricula.
• Monitor regulatory requirements and integrate into education.
• Develop curriculum, presentations and conduct training.
• Coordinate staff orientation and follow-up.
• Lead HQRP data collection, analysis and reporting.
• Support compliance initiatives and QA activities.
• Maintain knowledge base of Home Care Home Base software to produce reports.
• Collaborate with VP Quality & Compliance and execs on policy updates.
• Other duties as assigned.

Skills

Education program planning

Regulatory compliance

HQRP oversight

Infection control

Staff training

Quality improvement

Education

Nursing degree

Tools

Home Care Home Base software

Job description

Community Healthcare of Texas has provided hospice and palliative care services since 1996. Our mission is to provide compassionate care for individuals living with serious illnesses while supporting their loved ones who care for them.

Community Healthcare of Texas is currently recruiting for a Hospice Quality Improvement Coordinator (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
• 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.