Director of Quality and Compliance

Covenant Care

$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a healthcare discipline required, advanced degree preferred.
  • Current healthcare license preferred; RN, PT, or OT strongly favored.
  • Minimum 5 years' experience in home health, quality, compliance, or regulatory affairs.
  • Strong knowledge of Medicare home health operations, CMS requirements, and OASIS.
  • Experience with regulatory surveys, audits, and plans of correction.
  • Ability to analyze quality data and implement improvement strategies.
  • Experience developing corrective action plans for performance improvement.

Responsibilities

  • Provide leadership in quality, compliance, and performance improvement across all locations.
  • Strengthen the QAPI program while ensuring compliance with regulations and accreditation.
  • Establish standardized quality practices across multiple home health entities.
  • Maintain readiness for external surveys and audits.
  • Develop and oversee an auditing and monitoring program for clinical compliance.
  • Monitor key quality indicators such as patient outcomes and hospitalizations.
  • Partner with operational leaders to develop improvement plans based on identified trends.

Benefits

  • Paid time off
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401(k)
  • Disability insurance
  • Referral program
  • Mileage reimbursement
Full Job Description
Director of Quality & Compliance

Elevate Home Health | Focus Home Health | Choice Home Health | San Diego Home Health

What You'll Do
  • Provide enterprise-wide leadership and oversight of quality, compliance, and performance improvement across all Elevate Home Health locations.
  • Lead and continuously strengthen the organization's Quality Assessment and Performance Improvement (QAPI) program.
  • Ensure ongoing compliance with CMS Conditions of Participation, Medicare requirements, OASIS requirements, applicable state and federal regulations, accreditation standards, and organizational policies.
  • Establish standardized quality and compliance practices across Focus Home Health, Choice Home Health, and San Diego Home Health locations.
  • Maintain organizational readiness for regulatory, accreditation, payer, and other external surveys and audits.
  • Partner with branch leadership before, during, and following surveys, including development and oversight of plans of correction when necessary.
  • Develop and oversee an enterprise-wide auditing and monitoring program focused on clinical documentation, regulatory compliance, patient care, and identified areas of risk.
  • Monitor and analyze clinical quality measures, OASIS-related performance, patient outcomes, hospitalizations, patient experience, and other key quality indicators.
  • Identify trends and areas of risk and partner with operational and clinical leaders to develop meaningful and sustainable improvement plans.
  • Lead or facilitate root cause analyses, corrective action plans, and performance improvement initiatives related to quality, compliance, patient safety, and adverse events.
  • Monitor complaints, grievances, incidents, adverse events, and other quality concerns to identify trends and opportunities for systemic improvement.
  • Support the organization's compliance program, including compliance monitoring, internal reviews, investigations, risk identification, and corrective action.
  • Lead or participate in the development and ongoing review of clinical, quality, and compliance policies and procedures.
  • Monitor regulatory changes and ensure new requirements are effectively communicated and incorporated into organizational practices.
  • Provide education, coaching, and regulatory guidance to clinical and operational leaders throughout the organization.
  • Develop meaningful quality and compliance reporting for executive leadership, identifying trends, risks, progress, and opportunities for improvement.
  • Partner cross-functionally with Operations, Clinical Leadership, Human Resources, Revenue Cycle, and other departments to strengthen organizational performance and compliance.
  • Travel to company locations as needed to support surveys, audits, education, performance improvement initiatives, and branch leadership.

What We're Looking For

You are an experienced home health quality or clinical leader who sees quality as more than checking boxes. You understand how regulatory compliance, clinical operations, documentation, patient outcomes, and leadership accountability all work together.

You are comfortable moving between the details of a clinical record and the bigger picture of organizational performance. You can identify risk, communicate expectations clearly, build relationships with operational leaders, and turn findings into sustainable improvements.

Most importantly, you are passionate about creating an environment where high-quality, compliant patient care is consistently delivered across every location.

Qualifications
  • Bachelor's degree in Nursing, Physical Therapy, Occupational Therapy, Healthcare Administration, Healthcare Quality, or a related healthcare discipline required; advanced degree preferred.
  • Current professional healthcare license preferred, with RN, PT, or OT licensure strongly preferred.
  • Minimum of 5 years of progressive home health experience, including experience in quality, compliance, clinical leadership, regulatory affairs, or performance improvement.
  • Strong knowledge of Medicare-certified home health operations, CMS Conditions of Participation, OASIS, QAPI, and Home Health Quality Reporting requirements.
  • Experience with regulatory and accreditation surveys, audits, plans of correction, and ongoing survey readiness.
  • Demonstrated ability to analyze quality and performance data and translate findings into actionable improvement strategies.
  • Experience developing and implementing corrective action and performance improvement plans.
  • Multi-site, regional, or enterprise-level quality/compliance experience strongly preferred.
  • Strong leadership, communication, analytical, and organizational skills.
  • Ability to effectively partner with clinical, operational, and executive leadership across multiple locations.
  • Quality, compliance, or home health certifications such as CPHQ, CHC, COS-C, HCS-O, or similar credentials are a plus.
  • Ability to travel to company locations as needed.

Work schedule
  • Day shift
Benefits
  • Paid time off
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401(k)
  • Disability insurance
  • Referral program
  • Mileage reimbursement

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