Palliative/Compliance Director FT - Edmond, OK!
Accentra Home Health
Corporate Headquarters, Edmond, OK, US
6d ago

Qualifications

  • Registered Nurse.
  • 2+ years of experience in health care, preferably in home health and hospice.
  • One year of experience in regulatory compliance preferred.
  • Knowledge of state and federal statutes, rules, and regulations and accreditation requirements as applicable to home health and hospice, including applicable fraud and abuse laws.
  • Experience with state, CMS, and accrediting body surveys, including writing and implementing plans of correction for survey citations.
  • Strong analytical skills, including an understanding of how to use data metrics.
  • Familiarity with Home Care Home Base, Well Sky or other electronic health record and its reporting and analytics features preferred.
  • Understanding of the seven elements of an effective compliance program.
  • Demonstrates good verbal and written communication and public relations skills.
  • Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.
  • Must be able to travel overnight to different work-related locations.
  • Responsibilities

  • Identifies and mediates compliance risk areas in relation to local, state, and federal regulations. Monitors implementation of the Compliance Program and make regular reports, also communicating trends, concerns, and areas of risk to local Administrators.
  • Assists with the development, evaluation, and implementation of policies, protocols, and initiatives, based upon identified and / or potential areas of risk and governmental focus on compliance issues.
  • Assists with review, revision, and evaluation of the company‚Äôs compliance program as necessary to meet the changing needs of the organization in its business and regulatory environment.
  • Conducts mock surveys and assist agencies in survey preparation and response.
  • Coordinates with billing, human resources, and other departments on matters of regulatory compliance including credentialing and CMS information changes.
  • Provides compliance education and support to local clinical leadership to ensure compliance functions are understood and implemented within the agency, promoting an understanding and culture of compliance.
  • Evaluates requests for documents and records from government agencies, payors and other third parties. Gather, submit, and track requested documentation.
  • Communicate regarding requests with agency leadership and billing counterparts.

  • Stays abreast of laws and regulations relevant to Company operations.
  • Flexibility to assist in ad hoc projects and available to travel; available to provide job duties for multiple states / agencies.
  • Organizational Relationship

  • Reports to the General Counsel or other manager as assigned.
  • Functional Abilities

  • Must be flexible to adjust to changing tasks frequently.
  • Must be able to maintain concentration during frequent interruptions.
  • Excellent verbal and written communication skills.
  • Able to travel as needed.
  • Physical Requirements

  • Prolonged periods sitting at a desk and working on a computer.
  • Light to moderate physical activity required.
  • Good color vision essential.
  • Requires good hearing to assess situations quickly and respond appropriately
  • Must be able to lift up to 15 pounds at a time.
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