Director of Regulatory & Quality Responsibilities:

• Responsible to monitor and plan for improvement for including patient satisfaction, rehospitalization, and clinical outcomes as outlined by CMS, joint-venture, or payor source requirements for contracting
• Responsible for survey-readiness and plans of correction to meet regulatory requirements that uphold accreditation and licensure
• Directs and manages team members for survey prep and quality initiative activities
• Responds to exceptions in performance metrics – clinical outcomes, audit results, compliance directives, and state survey results
• Serves as a member of the Professional Advisory Committee and/or Governing body.
• Participates as a member of compliance and policy review committees.
• Respond to escalations from CMS or state inquiries about patient care.
• This job description outlines the core priorities of the role and is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Duties may be modified or assigned as needed to meet business needs.

Director of Regulatory & Quality Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Licensed healthcare professional required (e.g., Registered Nurse or Licensed Practical Nurse,) with current, active licensure in good standing.
• Bachelor’s degree required (or equivalent professional credential/experience); Master’s degree preferred.
• Minimum of three (3) years of experience in hospice or a comparable healthcare setting.
• Minimum of 3 years of leadership experience.
• Demonstrated success in coaching, mentoring, collaborates effectively within a team and performance management, with the ability to develop and support high-performing teams.
• Strong ability to delegate effectively and empower team members, promoting accountability and a culture of ownership.
• Proven leadership with the ability to supervise staff and interact tactfully with teams and the community.
• Strong business and operational management knowledge.
• Demonstrates strong leadership, critical thinking, and sound decision-making skills.
• Communicates effectively both verbally and in writing.
• Applies sound clinical judgment and problem-solving abilities.
• Maintains a sense of urgency, responsiveness, and attention to detail.
• Drives operational efficiency and supports business growth.
• Accurately documents information and maintains confidentiality.
• Exhibits professionalism, empathy, tact, organization, and accountability.
• Proficient in Microsoft Office Suite.

Certificates, Licenses, Registrations

Must have and maintain in good standing professional license, certificate, or registration, as applicable.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.

Comments

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.