- Responsible for the oversight and administration of the Compliance Program and QI for the assigned PACE Program. This includes compliance with all state and federal program requirements, obtaining and maintaining certification under CMS and any other state or federal laws.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
- In collaboration with Quality and Compliance Manager and Medical Director, initiates, develops, and guides the implementation of the annual Quality Improvement Plan. Timely compiles quarterly and annual reports and presents the reports to the PO leadership, staff, contractors, administration, the Participant Advisory Committee (PAC), and Board of Directors in accordance with the Compliance Plan and the QI.
- Schedule and lead the Pace Quality Management Committee in collaboration with the Medical Director at assigned PACE Program. Duties include preparation of meeting agenda, preparation of minutes, and assistance with committee correspondence and presentation materials.
- Communicate the QI to members, staff, contractors, administration, Participant Advisory Committee (PAC), and the Board of Directors..
- Ensure compliance with CMS regulations. Responsible collaborating with the Health Plan Operations Manager on the Medicare Part D fraud, waste and abuse Compliance Program.
- Prepare for CMS sites visits, inspections, and all subsequent follow up
- Other duties assigned
- Must possess a comprehensive knowledge of healthcare delivery, compliance and management at a level as normally obtained through a Bachelor's Degree in Nursing or other closely related field.
- Three (3) years of documented experience working in the field of quality and compliance for a healthcare organization preferred.
- Minimum of one (1) year of documented experience working with a frail or elderly population preferred.
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The Lake Erie College Of Osteopathic Medicine Bradenton, United States· JOB SUMMARY: The Grants and Compliance Coordinator provides leadership and direction for programs funded by federal, state, and private funds; oversees the financial administration of federal, state, and private grants; ensures that program staff accomplish their approved prog ...
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Cornerstone Barricades Tampa, United States Full timeABOUT OUR COMPANY Cornerstone Barricades, Inc. is a Maintenance of Traffic (MOT) service provider based in Gainesville, FL. With over 20+ years of experience working for and with the Florida Department of Transportation, our high experienced staff specializes in road construction ...
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HR Compliance Coordinator Temp
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Quality and Compliance Coordinator - Pinellas Park, United States - Tidewell
Description
The Quality and Compliance Coordinator:
Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza is a condition of employment and a requirement for all Empath Health employees.
Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community