Corporate Compliance Nurse

Corporate Compliance Nurse

Job Description Summary

The Corporate Compliance Nurse is a professional, registered nurse responsible for all of the quality activities of the organization. The Performance Improvement Coordinator has accountabilities for the monitoring, implementation and evaluation of process and programs to meet regulatory, accreditation and standards of practice. The Corporate Compliance Nurse will work with area Directors, review charts of multiple sites, develop education and training tools as well as maintain the Program integrity.

Essential Job Functions/Responsibilities

1. Responsible for the implementation and monitoring of the organization’s quality

assessment performance improvement (QAPI) program.

A. Ensures that there are processes in place to monitor and measure all activities related

to QAPI.

B. Provides direction and coordination of quality improvement activities utilizing

continuous quality improvement principles and methodologies.

C. Coordinates activities related to clinical record review for data collection.

D. Compiles, trends and reports quality data in the following areas: patient care, safety,

risk management, infection control, outcomes, and customer satisfaction.

E. Works collaboratively with nursing supervisors to assure documentation is complete

and consistent with care and reflects legal requirements.

F. Member of the Patient Grievance Committee collaborates with management staff in

follow-up of concerns expressed by patients, families, and physicians.

G. Establishes a process model for improvement and provides education and training to

organization personnel on the QAPI plan, and team development.

2. Responsible for ensuring processes to monitor and evaluate safety, risk management and infection control programs.

A. Coordinates, educates and implements monitoring activities for safety, risk

management, and infection control.

B. Coordinates mandatory in-service programs on OSHA regulations for safety and

infection control.

C. Acts as resource to staff in identifying safety and risk management issues for patients

and staff.

D. Reviews all incident reports for completeness, risk, standard of care determination and

appropriate follow-up. Maintains a log for trending and makes recommendations

related to trends identified.

E. Maintains current knowledge related to home care safety and infection control

standards.

3. Collaborates with nursing supervisors to provide a process to promote and ensure

employee orientation, competency and in-service education programs.

A. Assists in the identification of skills for annual competence and provides in-service

training support.

B. Maintains aggregate records of employee orientation and annual competency

requirements as part of the QAPI plan.

4. Monitor organization compliance with regulatory and accreditation standards.

A. Maintains current knowledge related to Medicare Conditions of Participation and the

Accreditation Commission for Health Care’s (ACHC) standards to ensure that the

organization is compliant with state, federal and accreditation guidelines.

B. Responsible for ensuring policies and procedures reflect all related local, state, federal

and ACHC standards and makes recommendation for policy changes to the governing

board.

C. Acts as a resource to Clinical Supervisors regarding standards, policies, regulations

and provides in-service training to leadership and staff as needed in these areas.

5. Acts as a clinical resource to staff.

A. Maintains updated nursing knowledge and skills.

B. Assists with patient visits as needed.

C. Assists with administrative call on a rotational basis and clinical call as needed.

6. Provides assistance to community education team in meeting community education needs.

A. Makes public speaking engagements as scheduled by the community education team.

B. Maintain positive relationships with referral sources.

C. Maintain positive image in the community.

D. Acts as representative of the organization at community meetings, civic and professional organizations as needed.

7. Promote self-growth and collegial relationships with others in the home care industry.

A. Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal and professional networks and participates in professional organizations or societies.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

POSITION QUALIFICATIONS

1. Hospice experience is mandatory.

2. Experience in Wellsky (Kinnser) and Home Care Home Base preferable.

3. Registered nurse with current licensure to practice professional nursing in the State.

4. Bachelor’s degree in Nursing from an accredited program by the National League for Nursing.

5. Three (3) to five (5) year's clinical nursing experience. (An emphasis in home care/hospice nursing is preferred).

6. Excellent understanding of performance improvement, quality assessment, and utilization management.

7. Is self-directed and able to work with minimal supervision.

8. Has excellent coordination and communication skills.

9. Work from home.

Job Type: Full-time

Medical specialties:

• Hospice & Palliative Medicine

Work Location: Remote