Director Quality Compliance and Support Services

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Spartanburg Regional Medical Center
Published
February 23, 2021
Location
Spartanburg, South Carolina
Job Type

Description

Director Quality Compliance and Support Services - Hospice

  • Spartanburg, SC
  • Post-Acute Services
  • Hospice
  • Full-Time - Days (weekends as needed) - 8:30 - 5:00
  • Executive/Managerial
  • Job Grade E11
  • Req #: 38273

Summary

Spartanburg Regional Hospice Home Care provides services in the home for patients under hospice care. Hospice Home Care provides a team approach for expert medical care, pain management, and emotional and spiritual support tailored each patient.  Our RNs work together within a multidisciplinary team to provide our patients with the best care.  Our teams include:  Attending physician, RN/Case Manager, Personal Care Technician/Hospice Aide, Medical Social Worker, Chaplain, etc.   

The Director Quality and Compliance assumes responsibility for planning, directing, managing, and facilitating the Quality and Compliance Programs for the Hospice Program.  The Director ensures that the policies and procedures, and QAPI plans comply with federal, state and local laws, regulations, codes, and current practice standards, is responsible for overseeing the identification and assessment of compliance vulnerability and risk.  The Director is responsible for the compliance training and education for all levels of personnel, conducts and oversees audits of defined areas/functions to assess compliance, oversees implementation action/resolution to problems or misconduct.  The Director acts as an internal quality consultant and subject matter expert in process improvement, clinical risk management, physician peer review, and project management.  The Director is responsible for discovering opportunities for improvement through data mining/analysis and observation of processes of care.  The Director collaborates across internal and external resources and disciplines to identify opportunities to improve efficiencies utilizing Lean/Six Sigma principles and other quality improvement tools to positively impact and achieve sustainable results that support strategic goals. The Director acts as a resource and is responsible for summarizing findings of quality initiatives for outcomes reporting in addition to synthesizing current evidence-based research to apply to quality programs and process improvement teams. The Director also mentors and orients managers and staff to aspects of quality, project management, and process improvement. The Director supports the programs to maintain an environment of continuous survey readiness.  The Director has the delegated authority to take immediate and appropriate action in the event of an emergency situation where there is clear and present danger that poses a threat of personal injury, or threat of damage to property or equipment.  

Minimum Requirements

  • Education       Bachelor’s degree required.  Master’s preferred.  RN preferred.
  • Experience      Minimum 3 years management experience, 1 year healthcare experience, 1 year regulatory and/or data analysis experience.

Required Licenses/Registrations/Certifications

  • Valid Driver’s License

Core Job Responsibilities

  • Data collection and analysis, performance improvement.
  • Chairperson for all Quality Committees for Hospice.  Resource for all other related committees.
  • Prepare reports for internal and external submission and review.
  • Oversight of ADR process and compliance.
  • Oversight of HIS submission to CMS.
  • Review and action for all MIDAS entries for Hospice.
  • Regulatory readiness for all locations - Hospice Home, Drayton, and contracted entities outside of SRHS.
  • Timely submission of reportable variances and plan of correction to DHEC and other regulatory agencies.
  • Compliance regarding record maintenance and legacy documents/systems.

Spartanburg Regional offers a wide range of market competitive benefits and compensation.  For our full-time associates, we provide the following (but not limited to) services and benefits:

    • Health, Dental, and Vision plans
    • Prescription Drug Plan and Employee Pharmacy
    • Infertility and adoption benefits
    • CarePlus Disease Management Program, Wellness, Rapid Weight Loss, Nicotine Cessation, Child Development, and Pampered Pregnancy Program
    • Flexible Spending Accounts for Medical and Dependent Care
    • Life Insurance and AD&D
    • Free On-Site Parking
    • 401(k) Tax-Deferred Plans
    • Paid-Time Off
    • Discount and Purchase Programs
    • Rewards & Recognition Program
    • Relocation Assistance
    • Tuition Reimbursement

We invite you to apply if you are seeking an opportunity to make a difference!  Our long tenured team are hardworking, supportive, compassionate with excellent clinical skills.  We enjoy partnering with patients and their families to impact care.

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