Director of Quality and Compliance

Company: Lifesong Hospice
Location: Harrisburg
Posted on: January 16, 2023

Job Description:

The Quality Improvement Manager / Staff Educator RN / Employee Health Nurse leads, develops, establishes and maintains a continuous quality improvement (CQI) culture through initiatives, training and evaluation to attain the vision, mission, values, principles and goals of the organization. Ensures the planning, organization, development, coordination and direction of the Quality Improvement Committee for the respective program. Serves as the coordinator for any survey, working in conjunction with The Hospice Administrator. Manages the plan of correction following a survey. Manages the quality assessment and process improvement (QAPI) process to ensure appropriate tracking, trending and analysis of clinical indicators.

We're Proud to Offer our Coworkers:

Above standard industry wages, with the opportunity to earn more based on experience
PayActiv On-Demand Pay - Work today, get paid tomorrow
Generous paid time off with PTO rollover - unused days carry over to the next year
Highmark Blue Shield Healthcare Benefits, Highmark Vision and United Concordia Dental
401 (k) with company match
Employee Assistance Program (EAP)
Wellness reimbursement incentives
Mileage Reimbursement Between Facilities

Ask your Employment Specialist during your interview for details on any of our coworker centered benefits and incentives.

Director of Quality and Compliance Responsibilities:

Manage the QAPI program for The Hospice.
Serves as chair for the Quality Assurance/Quality Improvement committee
Develops and implements the QAPI program with annual review/revision as needed.
Collects and analyzes performance improvement data and leads/monitors the development, implementation and evaluation of action plans for improvement.
Participates with senior leadership to track organizational performance that measures and analyzes clinical, operational, administrative, financial, compliance, regulatory accreditation, and customer satisfaction results.
Maintains awareness of new quality trends, practice tools, techniques to determine usefulness and applicability to this organization.
Builds and strengthens the relationships between quality, safety and risk management.
Prepares, analyzes and summarizes data from the Quality Assurance/Quality Improvement Committee to present when requested. Is able to make innovative, constructive recommendations for action based on the data and resources available.
Serves as the resource for leadership on regulatory standards, survey compliance.
Serves as the lead team member to maintain survey readiness:
Supports the administrative and clinical team during surveys.
Assists with the preparation, implementation and reevaluation of plans of correction.
Develops, coordinates, presents, and evaluates educational programs for staff education in regulatory and quality areas.
Identifies trends and opportunities for clinical, professional and administrative improvement.

Director of Quality and Compliance Requirements:

Graduate of an accredited school of nursing. Bachelor's degree.
Minimum of 5 years relevant clinical experience.
Clinically competent, as evidence by annual performance evaluation.
Demonstrates effective communication and strong organizational skills.
Excellent observation, problem-solving skills, presentation skills including verbal and written communication.
Demonstrates excellent teaching skills.
Demonstrates the ability to develop educational programs.
Requires autonomy, organization and exceptional time management skills.
Required experience with clinical information technology and/or electronic medical record in a health care setting.

LICENSURE/CERTIFICATION/EDUCATION
BSN or B.S. in health related field required, Master's preferred.
Current Registered Nurse licensure in PA.

About Lifesong Hospice:
Working only in Country Meadows, Ecumenical, and Providence Place Retirement Communities, Lifesong co-workers personalize hospice care plans to help our resident's transition to be as comfortable as possible and tailored to their needs. We seek to celebrate the meaning of their lives and ensure that their unique legacy is honored. We want to inspire our caregivers to create harmony for each unique life story.

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Keywords: Lifesong Hospice, Harrisburg , Director of Quality and Compliance, Executive , Harrisburg, Pennsylvania