Director of Compliance

🕒 vor 20 Tagen

🐊 Florida, Kansas, +7 weitere Bundesländer – Remote

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⏰ Vollzeit

🔴 Experte

🚔 Compliance

👻 Geisterscore 20%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Ennoble Care

201 - 500 Mitarbeiter

🏥 Gesundheitswesen

⚕️ Krankenversicherung

🤝 Non-Profit

Healthcare • Healthcare Insurance • Non-profit

Ennoble Care, wo unsere Mission "Pflegen ist eine Ehre" lautet, ist ein gemeindebasierter Dienst für Primär-, Palliativ- und Hospizpflege, der Patienten und Familien betreut. Wir haben Fachkräfte in ganz New York, New Jersey, Maryland, DC, Virginia und Georgia, die lizenziert sind und sich der Bereitstellung von herausragender Pflege für Sie verschrieben haben.

Beschreibung

• Partner with the VP of Compliance and Quality to develop and execute the organization's hospice compliance strategy. • Monitor federal and state regulatory changes across all operating markets and assess organizational impact. • Ensure compliance with Medicare Conditions of Participation, state licensing requirements, and accreditation standards. • Serve as a subject matter resource on hospice regulatory requirements. • Oversee the Clinical Compliance and Audit sub-team, including clinical and technical audit functions. • Design and maintain the internal audit plan based on regulatory risk and external audit trends. • Analyze audit findings and identify systemic issues requiring corrective action or clinical education. • Own the corrective action lifecycle from root cause analysis through resolution and re-monitoring. • Develop, track, and close corrective action plans from audits, surveys, and incident investigations. • Own policy management, including development, review cycles, regulatory alignment, and approval workflows. • Conduct internal compliance investigations and maintain investigation documentation. • Oversee incident, complaint, and grievance processes and report trends to the VP of Compliance and Quality. • Coordinate responses to external TPE, CERT, and UPIC audits, including documentation, timelines, and appeals.

🎯 Anforderungen

• Bachelor's degree in Nursing, Healthcare Administration, or related field. • Active RN license required. • Clinical background in hospice or home health required. • Minimum 5 years of experience in healthcare compliance, quality, or regulatory affairs, with at least 2 years in a leadership role. • Demonstrated knowledge of Medicare hospice Conditions of Participation, state licensing requirements, and CMS audit processes (TPE, CERT, UPIC). • Experience developing and managing corrective action plans and policy governance programs. • Strong analytical skills with the ability to identify patterns in audit data and translate findings into actionable recommendations. • Candidates must disclose any current or future need for employment-based immigration sponsorship, including OPT, STEM OPT, or visa sponsorship, before an offer of employment is extended.

🏖️ Vorteile

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. • Paid Time Off • Paid Office Holidays • Paid Sick Time • 401(k) with up to 3% company match • Referral Program • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

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