Director of Quality and Compliance

Partners in Home Care; Missoula (MT); Vor Ort; USD 120.000 - 160.000; Vollzeit

Benefits dieser Stelle

Flexible scheduling

Medical, Dental, Vision insurance

401(k) with company match

Tuition reimbursement

Employee Assistance Program

Zusammenfassung

Partners in Home Care seeks a Director of Quality and Compliance to lead the organization’s QAPI, regulatory readiness, and infection control programs. This role ensures safe, high-quality home care, and oversees licensure, accreditation, and payer credentialing.

The director collaborates across departments to align with regulatory standards and participate in disaster planning. The position requires advanced healthcare education and substantial experience in home care quality improvement, with

Qualifikationen

• Must demonstrate strong organizational and budgeting skills.
• Ability to collect, organize, and analyze data and present findings clearly.
• Excellent written and verbal communication; supervises staff and coordinates across departments.
• Proficient in Microsoft Office and able to learn new software quickly.
• Experience with EMR systems such as HCHB, Elation or CareTend.

Aufgaben

• Develops and implements the quality assurance/performance improvement program.
• Leads clinical and regulatory compliance activities and prepares survey plans.
• Oversees infection control and risk management programs.
• Coordinates regulatory and accreditation surveys and corrective action plans.
• Monitors CMS quality reporting and payer audits; ensures HIPAA/privacy compliance.
• Collaborates with leadership to integrate QAPI into operations.

Kenntnisse

Organizational skills

Data analysis

Confidentiality

Communication skills

Microsoft Office

Ausbildung

Advanced degree in health care

Tools

EMR systems

Jobbeschreibung

Job Summary

The Director of Quality and Compliance directs the internal administrative initiatives necessary for the Agency to accomplish the delivery of safe, cost-effective, high-quality patient care in the home environment. The Director leads and integrates the Quality Management functions (Performance Improvement, Risk Management, Patient Safety, Infection Control, Data Chart Abstraction, and Survey Readiness and Preparation), coordinates regulatory surveys for the organization, and provides general oversight of agency licensure, accreditation, and payor/provider credentialing. The Director serves as the subject matter expert for clinical and regulatory compliance, acts as the compliance escalation point for the agency, and serves as risk manager, providing oversight into best practices for the mitigation of disaster risk. This position directly oversees the Quality and Compliance functions and maintains a collaborative partnership with all company departments to ensure alignment with regulatory, accreditation, and QAPI requirements.

Location: On-Site - Missoula, MT

Schedule: Typically Monday - Friday 8:00am-5:00pm

FTE: 1.0 - Full-Time

Essential Duties and Responsibilities

• Develops and implements the organizational quality assurance/performance improvement (QAPI) program and identifies Key Performance Indicators (KPIs) through analysis of data, observation of operations, and consultation with leadership, staff, and other stakeholders.
• Leads and integrates Performance Improvement, Risk Management, Patient Safety, and Data Chart Abstraction; plans, organizes, and implements new programs and processes in these areas.
• Maintains direct oversight of, and deep involvement in, the infection control program, which is led by the Administrative Compliance Supervisor.
• Provides heavy insight and assistance to the Supervisor of Quality & Compliance, who performs utilization review, clinical chart audits, and routine completion of survey plans of correction (POCs).
• Coordinates with Directors and Managers to ensure QAPI efforts are integrated into all operations and departments, including staff responsibilities.
• Leads performance improvement projects (PIPs) and provides education and coaching to build needed skills in others to lead PIPs. Encourages staff member involvement in QAPI.
• Provides oversight, planning and coordination of Quality management activities, including patient care reviews, compliance audits, and concurrent and retrospective clinical record reviews. Analyzes trending on utilization, outcome and quality data.
• Analyzes and reports key quality indicators to include trend analysis; organizes and facilitates the agency's QAPI/Compliance Committee and prepares regular reports to document progress of QAPI/compliance activities and for review by the agency's governing body, CEO, and agency leadership.
• Leads survey readiness and preparation and coordinates all regulatory and accreditation surveys for the organization, including oversight of corrective action plans.
• Oversees and monitors implementation of the agency compliance program including HIPAA and medical records compliance. Serves as the organization's Compliance Officer and HIPAA Privacy Officer. Serves as the subject matter expert for Medicare, Medicaid, private insurance coverage requirements, accreditation standards, and conditions of participation.
• Provides general oversight of agency licensure, accreditation, PECOS management, Medicaid revalidation, and payor/provider credentialing.
• Monitors performance on CMS quality reporting and value-based programs (e.g., HHVBP, CAHPS, PEPPER) and leads the organization's response to payer and regulatory audits (e.g., ADR, RAC, TPE).
• Uploads OASIS & HOPE data per CMS requirements and downloads applicable iQIES reports for use in QAPI initiatives for home health and hospice.
• Acts as the subject matter expert for OASIS and HOPE integration and its impact on patient care and agency function. Possesses expert knowledge of the clinical information system and oversees maintenance of the system tables related to clinical documentation, care planning, and standards of care.
• Oversees the organization's policy and procedure framework with program directors, including development and revision, and evaluates operations for compliance with accreditation and regulatory standards.
• Collaborates with physician groups to evolve continuum-based care protocols for commonly serviced diseases, which may integrate advanced technology such as telehealth. Facilitates process flow design to increase efficiency using Lean practices.
• Directs annual disaster drill activities and coordinates risk related educational offerings, participates in community disaster planning and coordination through the LEPC committee.
• Partners with Education leadership, operations Directors, and Program and Clinical Managers on competency assessment and professional development so that staff education reflects QAPI findings, evidence-based practice, and regulatory requirements.
• Directly supervises the Administrative Compliance Supervisor and the Supervisor for Quality & Compliance, including feedback, assessment, and disciplinary action when necessary.
• Performs other duties as assigned by CEO.

Required Skills and Abilities

• High degree of skill in organization and time management and in operating efficiently within budgetary constraints; ability to plan, organize, and implement new programs and processes.
• Ability to collect, organize, and evaluate statistical data and to format information for presentation to others. Competency in data collection, data analysis methodology, and performance improvement methods.
• Maintains a high degree of confidentiality in all matters and manages sensitive situations with tact, professionalism, and diplomacy.
• Demonstrated skills in written and oral communication, supervision of staff, documentation requirements, service coordination, and case management. Excellent interpersonal, teaching, and group facilitation skills.
• Computer proficiency and working knowledge of Microsoft programs required; ability to learn new computer software applications.

Preferred Qualifications

• Advanced degree in a related health care field.
• Five or more years of experience in home care and quality improvement, including at least 2 years of managerial/executive level experience, preferably in home health/hospice.
• Experience with medical EMRs, preferably HCHB, Elation, and/or CareTend.
• Professional certification in quality, compliance, or clinical documentation (e.g., CPHQ, CHC, HCS-D, COS-C).

Why You'll Love Working With Us

• Flexible scheduling and generous paid time off to support work-life balance!
• Comprehensive benefits including Medical, Dental, Vision, and Supplemental Insurance - Beginning the first of the month following your start date. No months of waiting!
• 401(k) with company match up to 5%
• Company-paid life insurance
• Tuition reimbursement and annual training budget
• Employee Assistance Program (EAP)
• Additional perks including legal services, ID protection, pet insurance, and financial wellness programs
• Deliver care where it matters most - at home
• Enjoy professional autonomy with the support of a collaborative interdisciplinary team