Demo

Compliance and PI Administrator

Recovery Solutions
Pembroke, FL Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 5/5/2025
You Matter:
It’s more than a career. It’s a calling.

Everything we do is about taking care of people.
  • Taking Care of Our Patients.
  • Taking Care of Our People.
  • Taking Care of Our Partners.

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing, including:
  • DailyPay, get no-fee, instant access to your earned pay!
  • Tuition Assistance and dependent Scholarships
  • Employee Assistance Program (EAP) including free counseling and health coaching
  • Company paid life insurance
  • Tax free Health Spending Accounts (HSA)
  • Wellness program featuring fitness memberships and product discounts
  • Preferred banking partnership and discounted rates for home and auto loans

  • Eligibility for perks and benefits varies based on employee type and length of service.


Why Us:
From top to bottom, we are a company of caregivers.
If there is one unifying characteristic of everyone at Recovery Solutions, it is the deep desire to make a difference by helping society’s most vulnerable and often overlooked individuals. Every day our team has the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most.

For those of you whose calling it is to serve others, this is your moment. Your chance to join our family and be a part of our mission to care for those desperately in need, and to do your part to heal the world, one patient at a time.


How you make a difference:
The Performance Improvement and Compliance Administrator drives excellence across the facility by leading performance improvement initiatives and ensuring compliance with all regulatory, accreditation, and contractual standards. This key role involves designing and implementing programs, policies, and practices that align with The Joint Commission (TJC), CARF, HIPAA, and other relevant state, federal, and local regulations. Collaborating closely with facility leadership, the Administrator ensures that all departments are thoroughly trained, adhere to best practices, and meet the highest standards of care and operational efficiency. This position plays a vital role in maintaining regulatory compliance, upholding contractual obligations, and fostering a culture of continuous improvement.


Key Responsibilities:
  • Compliance and Accreditation Oversight: Designs and implements programs, policies, and practices to ensure compliance with TJC, CARF, HIPAA regulations, and applicable federal, state, and local statutes for facility licensing and accreditation standards.

  • Regulatory Coordination: Coordinates the preparation and submission of responses, corrective action plans, and follow-ups with state licensing agencies, CMS, Disability Rights agencies, and other accrediting or regulatory bodies.

  • Performance Improvement Leadership: Chairs and oversees the facility's Performance Improvement Program, providing training, technical assistance, and support for effective team-based performance improvement efforts.

  • Staff Training and Data Analysis: Provides training on accreditation, HIPAA, compliance, performance improvement methodologies, data analysis, KPIs, audit tools, and root cause analysis to enhance organizational performance.

  • Monitoring and Reporting: Monitors performance indicators and trends, ensuring significant findings are reported to executive management in a concise dashboard/scorecard format and addressed in a timely manner.



Qualifications & Requirements:

Education:

  • Required: Bachelor’s degree in human services, health care field or related discipline.
  • Preferred: Master’s degree.

Experience:

  • Required: Three (3) years of demonstrated management experience in compliance or performance improvement administration.
  • Required: Proficient in Microsoft Office Suite.
  • Preferred: Previous experience in a hospital environment.

Certifications:

  • Preferred: Certified Professional in Healthcare Quality (CPHQ) or other Quality professional certification.



We are an Equal Employment Opportunity Employer:
We are committed to fostering, cultivating, and preserving a culture of uniqueness.

We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.

We encourage you to apply!
If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.

Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

We are an Affirmative Action Employer in accordance with applicable state and local laws.

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