Oversees the quality, compliance and education programs, as well as the Health Information Management (HIM) Department and related contract management services.
KEY REPORTING RELATIONSHIPS:
Reports to affiliate President.
Oversees, and is accountable for, directional leadership to the HIM Department and the Quality and Education Department; ensures current skill training, development, daily operations, budget adherence, assignment of duties and performance improvement meet the organization’s mission and strategic goals.
Ensures a continuum of compliance measures and education to employees (and volunteers) in the clinical and administrative settings, enabling them to provide quality agency services in accordance with current federal, state and local regulations.
Participates in the organization’s QAPI initiatives to ensure that the development of quality, compliance, education and HIM policies and procedures are current and meet federal, state and local regulations.
Responsible for successful implementation of Hospice Item Set, CAHPS and other publicly-reported industry and/or accreditation quality benchmark programs.
Leads the Corporate Compliance program and the Risk Management activities, which include compliance with Medicare’s Conditions of Participation and all other applicable federal, state and local regulations, as well as accreditation standards.
Collaborates with Directors of Clinical Services and Business Development, among others, in preparation for, during and in response to, regulatory site visits and surveys. Supports all departments to ensure organizational preparedness for licensure and certification surveys.
Evaluates quality and effectiveness of professional development/education activities through identification and monitoring of quality indicators, data collection, analysis and evaluation of learning activities. Oversees the orientation process, making recommendations to improve professional development practice and outcomes.
Provides direction, support and collaboration to the HIM team; ensures confidential clinical records meet regulatory standards for accuracy and completeness of hospice documentation and supports the technical audit process.
Other duties and responsibilities as assigned.
Demonstrates the ability to translate organizational goals into effective programs.
Possesses knowledge of health care law, fraud, and abuse and Medicare/Medicaid reimbursement.
Supervises and leads various programs and teams to meet patient/family care and organizational goals.
Possesses strong interpersonal skills, communication skills and public speaking experience.
Provides expertise in the theories and principles of quality improvement, process and improvement and adult learning.
Demonstrates above average proficiency in using Windows platform and Microsoft applications.
Participates in appropriate continuing education as requested or required by immediate supervisor in order to enhance job-related skills and abilities.
Minimum Education: Bachelor’s degree in Healthcare, Nursing, Business Administration, Complementary Therapies or related field required. Master’s degree in related field preferred. In-depth knowledge in area of specialty related to hospice and palliative care.
Minimum Experience: Five (5) years progressively responsible experience in leadership, management and supervision in the health care industry. Experience in QAPI programs, medical records, and related functions preferred.
Required License: Colorado State Driver’s license. CHPN Certification preferred.
Internal Number: 1657
About Pikes Peak Hospice & Palliative Care
Pikes Peak Hospice & Palliative Care has been the community leader in hospice and palliative care for 39 years, founding the hospice movement in the Pikes Peak region in 1980. We are the only nonprofit, community-based hospice in El Paso County.
Every year, we help more than 2,000 patients and families navigate the challenges of a life-limiting illness with comfort, dignity and fulfillment. In a business like this, you don’t thrive for this long, nor serve as many patients as we have, without holding to a particular standard.
Ours is simple: We believe that hospice care is about living, and that every patient and family deserves consistent expert care and compassionate personal attention. Here are just a few things that set Pikes Peak Hospice & Palliative Care apart:
•Comprehensive team of hospice and palliative experts including our physicians, nurse practitioners, nurses and certified nursing assistants, counselors, chaplains, pharmacists and administrative professionals
•More than 300 trained volunteers supporting professional care teams
•Fast response and 24/7 access to care
•The only dedicated hospice inpatient care unit in El Paso County
•A comprehensive grief counseling program, including specialized care for children and teens