RN Manager, Compliance Program(on site)

Chapters Health; Fort Myers (FL); On-site; USD 85,000 - 133,000; Full time

Job summary

Chapters Health seeks an experienced Compliance Leader to oversee hospice and home health regulatory programs in Florida. You will guide auditors and work with clinical and administrative teams to ensure adherence to state, federal, and Joint Commission standards.

The role requires strong analytical, fiscal, and leadership skills to navigate complex regulatory environments while upholding patient-centered care and ethical practices.

Qualifications

• Bachelor's degree in nursing/health care or related field; Master’s preferred.
• Florida RN license or multi-state license.
• Minimum five years' experience with compliance and risk.
• Minimum one year of management/supervisory experience.
• Strong business, analytical and problem-solving skills.
• Knowledge of Joint Commission Hospice Standards and NP safety goals.

Responsibilities

• Serve as SME for federal, Joint Commission, state and local hospice and home health laws.
• Manage compliance activities and implement organizational practices.
• Collaborate with department leaders to integrate compliance and performance improvement.
• Oversee Auditors and prepare monitoring/auditing reports for Senior Director of Compliance.
• Ensure findings are addressed and policies updated accordingly.
• Coordinate audits and investigations of potential violations.
• Respond to regulatory requests from agencies and payors.
• Provide information on risk management and regulatory issues.

Skills

Communication

Leadership

Analytical skills

Problem solving

Regulatory knowledge

Data analysis

Stress management

Discretion

Education

Bachelor’s degree in nursing/health care

Master’s degree in healthcare field

Tools

Statistical tools

Graphics software

Job description

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Qualifications

• Bachelor’s degree in nursing/health care or related field, or an equivalent combination of work experience and education; Master’s Degree in healthcare field preferred
• Current Florida license as RN, current active single-state out-of-state nurse license, or current active multistate/compact nurse license
• HCCA Certification preferred or within one year of taking position
• Minimum of five (5) years’ experience utilizing knowledge of compliance and risk
• Minimum of one (1) year of management/supervisory experience
• Strong business foundation with proven analytical and problem-solving skills
• Demonstrated skills in fiscal management, utilization of analytical and statistical tools, data analysis, and outcomes management
• Working knowledge of State and Federal regulations
• Knowledgeable in Joint Commission Hospice Standards and the National Patient Safety Goals
• Excellent verbal and written communication skills (in English)
• Skilled in management of group dynamics and conflict resolution
• Knowledge of and ability to apply process improvement theory and process mapping
• Computer knowledgeable and competent with statistical applications and graphics
• Able to prioritize multiple job responsibilities, exercise critical thinking skills, and effectively handle stress
• Able to work with minimal supervision and exercise a high degree of discretion and independent judgment

Responsibilities of all employees

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment Performance Improvement activities as appropriate for the position.

Leadership Success Factors

• Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.
• Initiative. Originate action to achieve goals.
• Management Identification. Identify with and accept the problems and responsibilities of management.
• Judgment. Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources.
• Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitor results.
• Leadership. Use appropriate interpersonal styles and methods in guiding others.
• Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
• Regulatory Compliance: Provide direction for appropriate education and monitoring of and by the compliance staff regarding their own and the organization's responsibilities for regulatory compliance.

Job Responsibilities

• Serves as a subject matter expert (SME) for all current Federal, Joint Commission, state and local laws pertaining to hospice and home health, as well as other lines of business. Provides consultation and acts as a resource to staff regarding regulations.
• Manages compliance activities to meet requirements and implements approved organizational practices as appropriate.
• Works with other department leaders and staff to integrate compliance, performance improvement, and pertinent Joint Commission activities for the Organization.
• Manages the Clinical, Technical and Admission Auditors in their day-to-day responsibilities and prepares compliance monitoring/auditing reports for the Senior Director of Compliance.
• Ensures compliance findings are addressed and works with internal directors/managers to coordinate the development/revision and implementation of Company policies and guidelines.
• Manages the Corporate Compliance Hotline and reporting system for occurrence reports; reviews reports resulting from such information; and makes recommendations for improvement based on information.
• Coordinates audits and investigations of potential violations of law or Company policy under the direction of Senior Director of Compliance.
• Coordinates timely response to requests from MAC, SMRC, Medicaid, Third Party payors, and other regulatory agencies.
• Provides information to the Senior Director of Compliance on the implementation and management of risk management/legal issues.
• Performs other duties as assigned.

Compensation Pay Range: $85,270.05 - $133,234.45This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.