This is a newly created position at Gentiva Hospice designed to support regional operations. The Director of Clinical Quality will provide leadership for the East Region.
The Director of Clinical Quality reports to the Vice President of Clinical Quality. The Director of Clinical Quality is responsible for direct involvement, chart reviews, IDG attendance and oversight of corrections needed. This role evaluates needs in the individual branch and establishes a plan to implement changes and overall improvement of documentation. This role helps develop a process of accountability to ensure improvement of overall quality. The Director of Clinical Quality will develop, when applicable, and direct the implementation of corrective action plans in branches as a result of unfavorable internal survey or external conditional survey outcomes.
Essential Functions of Position
Upon initiation of a CMS audit which may include Targeted Probe and Educate, UPIC,SMRC and/or any other audit activity, the Director of Clinical Quality along with the VP of Clinical Quality will analyze the office risk level and develop an action plan. This will include but not limited to education, audit initiation, interdisciplinary group review, calls to assist virtually and/or possible on-site visits.On-going assessment of the branch will be provided on a regular basis and weekly reports to the VP of Clinical Quality will be provided to analyze outcomes and possible changes in plan. Aids with claim denials and in the resolution of claims.Collaboration with the Director of Clinical Operations and Vice President of Clinical Operations would be maintained to ensure coordination is maintained and delineate roles and responsibilities related to support and education actions.Ensures compliance with local, state and federal regulations and accreditation standards. Provides support, direction and feedback to staff during the clinical compliance process. May delegate responsibilities to ensure follow-up to resolution of each action item identified.Proactively assesses office performance and implements changes to prevent noncompliance. Communicates with up line manager, Chief Clinical Officer, Chief Compliance Officer, legal department, Utilization Management and other corporate resources as appropriate to address/resolve issues.May work as support or back up to a Director of Clinical Operations at times when increased survey response is needed. This role would be a resource to help manage and contribute when appropriate.Direct and monitor resolution of identified deficiencies in conditional surveys.Support offices with quality measures in all areas which may include but not limited to claim denials, quality metrics, quality reviews and quality care. About You
Specialized Knowledge/Skills:
Extensive knowledge in the areas of documentation, and the interpretation and application of regulations and performance improvement standards required.Must be knowledgeable of federal, state, and local regulations, as well as federal guidelines for hospice services. Knowledgeable in OSHA regulations.Experience building and leading high-performing teams; mentoring team membersConfident presenter and persuasive speaker. Ability to communicate effectively; excellent interpersonal skills.Ability to manage multiple projects and meet deadlines. Strong follow up skillsExercises professional judgement and demonstrates excellent problem resolution skillsExperience with Lean Six Sigma (LSS) tools and methodologies preferred. Strong attention to details.Extensive travel and frequent overnight travelEducation/Experience:
Bachelor’s or advanced degree in Nursing Minimum of 5-years experience in nursing, 3 in hospice and 2 of which have been in a management role for a certified agency preferredLicense/Certification:Valid driver’s license and auto liability insurance coverageUnencumbered and active RN license in state of residence required if RN.Training/Equipment:
Computer skills to include solid knowledge of Microsoft Office Suite including Excel.Experience using reporting tools and databases to review data in electronic systems.Experience working with Homecare-Homebase preferred We Offer Benefits for All Associates (Full-Time, Part-Time, and Per Diem)Competitive Pay401(k) with Company MatchCareer Advancement OpportunitiesNational & Local Recognition ProgramsTeammate Assistance FundAdditional Full-Time BenefitsMedical, Dental, Vision InsuranceMileage Reimbursement or Fleet Vehicle ProgramGenerous Paid Time Off + 7 Paid HolidaysWellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)Free Continuing Education Units (CEUs)Company-paid Life & Long-Term Disability InsuranceVoluntary Benefits (Pet, Critical Illness, Accident, LTC) Legalese This is a safety-sensitive positionEmployee must meet minimum requirements to be eligible for benefitsWhere applicable, employee must meet stage specific requirementsWe are proud to be an EEO employerWe maintain a drug-free workplace Location Gentiva Hospice Our Company
At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include:
Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New BeaconPalliative care: Empatia Palliative Care, Emerald Coast Palliative CareHome health care: Heartland Home HealthAdvanced illness management: Illumia Health
With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.
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