What are the responsibilities and job description for the Compliance Specialist position at Community Healthcare of Texas?
POSITION SUMMARY
The Compliance Specialist is a resource for all service lines, including palliative care and hospice services. The role is responsible for the clinical staff education program including learning needs assessment, long range planning for program, curriculum development, presentation and coordination of education program and new hire orientation of clinical staff. The Compliance Specialist is responsible for internally identified quality initiatives and Hospice Quality Reporting Program (HQRP) oversight. This role will execute identified compliance initiatives and help ensure regulatory compliance in all service lines. Responsible for assisting with ensuring compliance with the Exposure and Emergency Plans, to ensure the infection control practices of Community Healthcare of Texas utilize the national standards / guidelines of the Centers for Disease Control (CDC) and the Texas Department of Health and Human Services (TDHHS).
ESSENTIAL FUNCTIONS
- Conducts needs assessment of clinical staff, adjusting training curriculum to meet staff needs
- Monitor current regulatory requirements and best practices and incorporate into clinical training curriculum
- Ensures Development of curriculum, presentations and conducts training
- Coordinate clinical staff orientation and follow up with new staff to reinforce or offer further training
- Coordinate execution of the QAPI plan including the collection of data according to the QAPI plan, compile, track, trend and analyze all data collected (chart audits, DEYTA reports, infection control, complaints, utilization review etc.), prepare reports and make recommendations based on studies and reports.
- Conduct educational activities related to quality management and performance improvement; participate in orientation and staff development activities; participate in new leader orientation related to PI and QA, and coordinate, provide guidance, and develop new goals for all PIP projects
- Assist with compliance related activities as requested and other related duties including : Maintaining knowledge base of Home Care Home Base software in order to produce reports and assist with survey preparation; ADR responses, routine chart audits, etc
- Serve as primary resource for infection control issues with ongoing collaboration with the VP Quality & Compliance, and executive leadership, to include development and revision of policies and procedures
- Other duties as assigned
POSITION QUALIFICATIONS
Benefits
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform essential functions.