Company Description:
We are a well known company in healthcare turnaround services to assisted living, skilled nursing, long term care and other healthcare facilities. Our clients and referral sources are often lenders, healthcare facilities, private equity groups, banks and attorneys. We provide consulting expertise as well as third-party management of the facilities. In addition, we often serve as the Receiver for such facilities and also as the Patient Care Ombudsman when appropriate.
Job Description:
We are currently searching for a Regional Director of Clinical Compliance. The Regional Director of Clinical Compliance is responsible to coordinate clinical care and services for a variety of clients including, but not limited to, assisted living communities, skilled nursing facilities and continuing care retirement communities. The Regional Director of Clinical Compliance will assist with development of and will be responsible to implement the policies and procedures of the organization. The Regional Director of Clinical Compliance will ensure quality resident care is provided and that all applicable state and federal regulations are followed. This is a role that requires extensive travel to client facilities to provide oversight, analysis, education, training, and support related to all aspects of clinical care.
Tasks may include:
1. Assure that each facility maintains substantial compliance with all local state and federal regulations.
2. Conduct program evaluations to identify areas for improvement and ensure compliance with regulatory requirements.
3. Conducts regular reviews of electronic health record (EHR) and paper records to ensure accurate, comprehensive documentation and compliance with facility policy and regulatory requirements.
4. Plan, develop, organize, implement, coordinate, and direct the implementation of programs designed to ensure the quality of resident care in accordance with current rules, regulations, and guidelines that govern the facility.
5. Evaluate and monitor clinical programs to assure quality services are provided to meet resident nursing needs.
- Evaluate and monitor risk management processes to ensure compliance with local, state, and federal regulations. Immediately report risk management concerns to management personnel.
- Assist with analyzing, monitoring, and resolving identified problems to enhance the quality of resident care or to improve processes within the facility.
- Participates in required meetings; collaborates with facility care teams and management personnel to ensure organization goals and objectives are met.
- Conduct administrative duties and audits, including the completion of forms, reports, and other related tasks, and submit them to the management personnel.
10. Develops and implements Quality Assurance Performance Improvement (QAPI) programs within assigned communities.
11. Maintain current knowledge of clinical care and service topics to lead high quality innovative programs and promote excellence in care delivery.
12. Assist with maintaining a high level of resident, family, and staff satisfaction.
13. Promote collaboration between clinical, operations and sales teams to support community occupancy growth.
- Monitor and provide input into setting clinical budgets. Provide oversight to ensure that care is delivered in a fiscally responsible manner.
- Assist to ensure reimbursement is maximized for care and services provided.
Education:
1. Must possess, as a minimum, a nursing degree from an accredited college or university. A bachelor’s degree in nursing is preferred.
Qualifications:
1. Must possess a current, unencumbered, active license to practice as an RN.
2. 3 years of management experience, including experience in long-term care. Applicants should possess a strong background in experience, education, or training that equips them with the necessary skills, knowledge, and abilities needed to efficiently carry out the responsibilities of the regional nurse position.
3. Must be able to demonstrate leadership and supervisory abilities, as well as the ability to collaborate effectively with various members of the organization.
4. The ability to read and comprehend written materials, as well as write reports and electronic communication.
5. Must have a valid driver’s license.
6. Experience in the areas of Medicare, Medicaid, and contract reimbursement systems is required, including a working knowledge of case mix in Illinois.
Primary Location:
This position is a remote position as this person requires significant travel to various client facilities.
Job Type: Full-time
Pay: From $110,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: On the road
