Quality Assurance Director – QAPI & Compliance

Hope Hospice; New Braunfels (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Hope Hospice in Texas seeks a qualified quality leader to oversee the agency's Quality Assessment and Performance Improvement (QAPI) program. The role reports to clinical management, guides data collection, analysis, reporting, and benchmarking, and serves as the agency Compliance Officer.

You will lead CHAP accreditation activities and ensure regulatory compliance across clinical and supporting processes. Responsibilities include educating staff, leading policy development, coordinating audits

Qualifications

• Graduate of an accredited school of nursing; Texas RN license required.
• BSN or master's preferred; compliance certification preferred.
• Minimum two years nursing experience with four years in home health care or hospice preferred.

Responsibilities

• Coordinates all aspects of the QAPI program and other review processes to ensure quality patient care.
• Participates in monitoring and data collection of QAPI activities and reports.
• Chairs and coordinates the QAPI committee; maintains files and activity reports.
• Oversees CHAP accreditation preparation, self-study, and survey experiences.
• Develops, reviews, educates, and maintains policies and procedures.
• Implements programs to promote compliance and excellence.
• Educates clinical leadership and staff on quality assessment and PI.
• Identifies educational opportunities from audits and data; delivers staff education quarterly.
• Facilitates debriefs with clinical leadership and tracks corrective actions.
• Acts as the agency Compliance and Privacy Officer; ensures regulatory compliance.
• Oversees emergency preparedness and agency response planning.

Skills

RN license

Data analysis

Education needs assessment

Communication

Problem solving

Teamwork

Flexibility

Computer skills

Education

BSN preferred

Tools

FireNote

Job description

Hope Hospice in Texas seeks a qualified quality leader to oversee the agency's Quality Assessment and Performance Improvement (QAPI) program. The role reports to clinical management, guides data collection, analysis, reporting, and benchmarking, and serves as the agency Compliance Officer.

You will lead CHAP accreditation activities and ensure regulatory compliance across clinical and supporting processes. Responsibilities include educating staff, leading policy development, coordinating audits