What are the responsibilities and job description for the Compliance Director position at CareRing Health, LLC?
Overview
The Director, Compliance is responsible for developing and establishing compliance policies, procedures and strategies to ensure the Company complies with all applicable contractual and legal requirements. Oversees the development, implementation, and maintenance of a comprehensive, data-driven QAPI program in a healthcare facility to improve quality of care and outcomes.
About Us
CareRing Health is the healthcare-at-home leader, dedicated to bringing a comprehensive and coordinated ring of care – including home health, home-based primary care, homecare, and hospice care – to the chronically-ill, Medicaid/Medicare-eligible population. Our innovative healthcare delivery model will result in better patient outcomes and bring health equity to this underserved population.
We are seeking talented, passionate individuals to join our mission and help our patients live happier and healthier lives where they want to be…in their homes.
What We Offer:*
We know that, to be the best place for our patients, we must be the best place to work for our employees. We offer the following to our employees:
- Be part of a unique healthcare company where we can help those who need our help the most
- Competitive pay
- Paid on a weekly basis
- Medical/dental/vision/life insurance
- Paid holidays/PTO/401(k) match
- Career growth opportunities
- Great and collaborative work environment
Responsibilities
- Identify, assess, and address areas of significant organizational risk
- Develop, implement, and maintain internal audit policies and procedures in accordance with applicable law and best practices
- Ensure that ongoing learning for employees meets all credentialing, contractual and/or licensing requirements
- Ensure that onboarding for new employees meets all credentialing, contractual and/or licensing requirements
- Collaborate with the Operations teams to create appropriate training, orientation and in-service programs
- Monitor all regulatory agencies to maintain compliance with all current rules and regulations
- On-site survey readiness assessments as necessary
- Hands on participation with external survey agencies to assist provider locations in completing the survey process
- Develop, train, and monitor any corrective action plans needed as a result of the internal/external survey process
- Assist with identifying general and specific educational and training needs
- Ensure employee qualifications/certifications are compliant with applicable law
- Coordinates QAPI activities, develops and implements Performance Improvement Projects
- Review and monitor data for compliance and performance improvement
- Monitor insurance and licensing contract credentialing and renewal process
- Perform risk management activities for program complaints and incidents
- Assist with managing aspects of the Quality & Compliance programs
- Communicate and implement all activities to maintain full compliance with legal and accreditation initiatives
- Review patient and referral source satisfaction with trend identifications for improvement as necessary
- Review and monitor organizations Emergency Management & Infection Control program
- Monitors progress and reports to senior leadership and regulatory bodies
- May perform other duties as needed and/or assigned
Qualifications
- RN with minimum two (2) years’ of home health/home care management/compliance experience
- RN with minimum one (1) year of experience in compliance coordination and/or audit preparedness in multi-state and multi-service lines
- Maintain current knowledge of local, state and federal regulations as they relate to home care and home health while staying proficient in researching and interpreting Conditions of Participations (COPs) in Medicaid, Medicare, Waiver, HMO, MCO licensure & Accreditation
- Valid driver’s license required
- Ability to exercise sound judgment and good problem-solving skills at all times
- Strong written and verbal communication skills
- Ability to work independently
- Ability to work flexible hours
*Eligibility for certain benefits may depend on employment status
CareRing Health is an equal opportunity employer committed to providing equal employment opportunities without regard to race, color, religion, sex (including pregnancy), sexual orientation, age, national origin, disability, genetic information, veteran status, or any other classification protected by applicable law.
