Compliance Coordinator in Denver, Colorado at Pinnacle Hospice Care Inc

Optimal Hospice is looking for a Compliance Coordinator to provide services for our patients!

About us:

Optimal Hospice is devoted to helping our patients achieve and maintain the best possible quality of life. Our mission is to improve and restore our clients’ lives through quality patient care, innovative specialty health care programs and state of the art technology. The Optimal team embodies compassion, heart, patience, empathy, and competence to meet our patient’s needs.

Core values: Commitment Advocacy Respect Excellence

Why Optimal Hospice?

Thriving Together: As we grow, so does the opportunity for personal and professional advancement. Join a team that's not just about today but invested in building a future where your contributions make a lasting impact.

Community of Care: Optimal Hospice is more than an agency; it's a community dedicated to nurturing your skills and passions. We've crafted an environment that encourages growth and celebrates the unique strengths each team member brings.

Heartfelt Connection: In a world of growth and expansion, we've retained the warmth of a close-knit family. Your journey with Optimal Hospice is more than a career - it's a personal connection to a purpose-driven community.

Position & Responsibilities:

• Facilitates the organization's continuous state of CMS and JCI survey readiness through activities such as but not limited to: on-site support, auditing to determine data analysis and trending, benchmark comparisons, observational visits with staff, mock surveys, participation in IDTs, providing organizational monitoring of all aspects of hospice care provided, implementing quality improvement initiatives, and participating in on-site surveys as needed.
• Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services.
• Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare.
• Identifies and communicates clinical staff education needs to Hospice leadership.
• Promotes positive motivation, identifies problems and/or deficiencies, assist in developing action plans, educates staff, and implements solutions for the QAPI program and follows up in a timely manner.
• Work collaboratively with Nursing Supervisors to ensure documentation is complete and consistent with care and reflects legal requirements
• Review all clinical records at the local level to ensure appropriate documentation for reimbursement, including verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the plan of care, and evidence of communication between disciplines
• Oversee the maintenance of clinical records and files to comply with the Conditions of Participation (COPs), JCI, and state guidelines
• Audit charts for clinical oversight and compliance and adherence to Medicare guidelines
• Communicate with the Clinical Supervisor/DON regarding identified trends of deficiencies with Medicare Conditions of Participation, clinical care, coordination of care, and documentation for the purposes of requiring more extensive education or action of clinical staff
• Educate and mentor clinicians one-on-one (in person or over the phone) regarding concerns, question, accuracy of Plan of Care data and other related documents that are being reviewed
• Collaborate with branch Leadership to ensure effective and efficient episodic management
• Act as a resource to staff in identifying safety and risk management issues for patients and staff
• Perform quarterly chart audits to identify trends and send the findings to the Quality Assurance Supervisor to include in the QAPI report/program
• Maintains updated nursing knowledge and skills
• Works weekends as assigned
• Assisting with the overall development and implementation of the QAPI program
• Assisting in the identification of goals and related patient outcomes
• Coordinating, participating and reporting of activities and outcomes
• Comply with Company’s Core Values and Core Competencies
• Perform other duties as assigned

Benefits:

• Family Oriented Company
• Dedicated intake and scheduling team that support you and your patients
• Supportive work environment with opportunity to learn and develop
• 401K plan

• Bachelor's degree in nursing or health care preferred.
• Current Registered Coordinator licensure in State of Practice required..
• Minimum of 2 years healthcare quality and compliance experience required.
• Minimum of 3 years hospice experience required.
• Strong technical skills to include proficiency with Windows, Microsoft Office, EMR Systems, and the use and development of databases. Netsmart experience a plus.
• Demonstrated effective leadership skills in QAPI management, strategic planning, and/or program and staff development.
• CMS requires that all patient-facing staff, as well as those that are in contact with patient-facing staff, be fully vaccinated, or have a documented religious or medical exemption. This important rule is required for all healthcare organizations that receive federal funds through Medicare or Medicaid.