Director of Quality and Compliance
The Director of Quality & Compliance provides administrative oversight for Quality, Compliance, Medical Records, and Risk Management functions, while also serving as the organization's designated Compliance Officer.
This role delivers strategic and operational leadership for the Lightways Quality Assessment & Performance Improvement (QAPI) program, regulatory compliance, accreditation readiness, clinical education, and risk management. The Director is responsible for developing, implementing, and evaluating robust systems that promote safety, regulatory adherence, and high-quality care across all organizational operations.
Key Responsibilities:
- Reference, research, report, track, and monitor compliance and quality-related data.
- Develop, implement, and evaluate strategies for quality assurance, performance improvement, risk management, and regulatory compliance.
- Create and maintain the organization's annual Quality and Compliance Plans and Reports.
- Lead quarterly Quality Assessment and Performance Improvement (QAPI) meetings.
- Review Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data, complaints, and incident reports to inform improvement strategies.
- Develop and deliver education, policies, and process improvements to promote accurate, timely, and compliant clinical documentation across the organization.
Education/Experience:
- Master's degree in healthcare or related field (required)
- Management experience with hospice and/or palliative care experience preferred.
- Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics)
Benefits:
- 401(k) matching
- Health Insurance
- Dental Insurance
- Vision Insurance
- Personal Time Off
- Holiday Paid
