Quality & Compliance Manager

Are you searching for a Purpose? PurposeCare is Bringing Healthcare Home, and we want you to join our family!

PurposeCare is a leading provider of home care and home health services in the Midwest and provides home-based care services to more than 3,000 clients a month carefully coordinated to keep clients healthy and safe at home. With excellent caregivers and innovative technology, PurposeCare ensures that our most vulnerable are provided with the support necessary to live full lives in their community. Your Care is Our Purpose.

As a Growing Company We Provide

• A rewarding career making a difference, changing lives & communities
• Ongoing growth, training & professional development
• Mentor & referral programs
• Opportunity to apply for positions at our other PurposeCare locations
  
  
  

Our PurposeCare Family Is Eligible For The Following

• Medical & Prescription Drug Plan
• Telehealth
• Dental
• Vision
• 401K
• Life Insurance
• Short- & Long-Term Disability Insurance
  
  
  

Position Overview

We are seeking an experienced and detail-oriented Quality & Compliance Manager to join our team. This role will be instrumental in ensuring that our Home Health and Home Care services meet all regulatory requirements and exceed industry standards. The Quality & Compliance Manager will lead internal audits, identify areas for improvement, and develop strategies to enhance compliance with state and federal regulations. The role will also be responsible for monitoring quality assurance programs, educating staff, maintaining compliance documentation, and supporting ongoing process improvements.

The ideal candidate will have a deep understanding of regulatory requirements in home health, experience with auditing, and a passion for driving quality improvements across the organization.

Key Responsibilities

• Regulatory Auditing & Compliance: Conduct regular audits of clinical and operational processes to ensure compliance with CMS, state, and federal regulations (e.g., Medicare, Medicaid). Review clinical documentation, patient care records, billing, and operational procedures for accuracy and compliance.
• Quality Assurance & Improvement: Develop and implement quality assurance programs that monitor and improve the delivery of home health services. Utilize data to identify trends and areas for improvement, and collaborate with leadership to implement corrective actions.
• Audit Reporting & Analysis: Prepare detailed audit reports highlighting findings, risks, and recommendations for improvement. Present audit results to leadership and help drive action plans for resolution. Track and follow up on the status of corrective actions.
• Staff Training & Education: Provide training to clinical and operational teams on compliance-related topics, such as regulatory changes, audit procedures, documentation standards, and quality improvement practices. Customize educational sessions to meet the needs of diverse learner types.
• Process Improvement & Monitoring: Collaborate with cross-functional teams to assess, redesign, and improve operational processes. Lead efforts to standardize practices that improve patient care quality while maintaining compliance. Continuously monitor quality indicators and compliance metrics.
• CMS Filings & Documentation Maintenance: Ensure all required CMS filings, reports, and documentation are accurate, complete, and submitted on time. Maintain up-to-date records of audits, corrective actions, and compliance activities.
• Collaboration & Cross-Functional Support: Work closely with other departments, including clinical teams, operations, and executive leadership, to ensure compliance objectives are met and that quality is consistently monitored and improved.
  
  
  

Qualifications

• Education & Licensure:
• Current RN or LPN license with active standing with the State Board of Nursing.
• Experience:
• Minimum of 1 years of experience in Home Health or Home Care, with a focus on quality assurance, compliance, or auditing.
• Proven experience conducting audits, identifying compliance gaps, and leading quality improvement initiatives.
• Familiarity with CMS guidelines, Medicaid, and Medicare regulations for home health services.
• Experience with OASIS assessments and care planning documentation is highly preferred.
• Skills & Abilities:
• Strong analytical skills and attention to detail with the ability to review and assess complex data.
• Ability to lead and manage audits, provide feedback, and implement corrective actions.
• Effective communicator with the ability to educate, train, and influence diverse groups of stakeholders.
• Highly organized with the ability to manage multiple tasks and priorities in a fast-paced environment.
• Proficient with electronic health record (EHR) systems, audit software, and Microsoft Office Suite.
• Other Requirements:
• Ability to travel up to 25% for onsite audits, training, and meetings as needed.