- Develops relevant compliance, quality and performance systems, data collection and reporting systems and plans for healthcare service lines (Senior Living, PACE and Home & Community-Based Services) in collaboration of operational leaders to support achievement of organizational objectives and goals related to stewardship, growth, compliance, quality and workforce.
- Collects and monitors metrics contained in compliance, quality and performance plans and reports findings to service line leaders (Senior Living, PACE and Home & Community-Based Services).
- Conducts internal compliance audits for all healthcare service lines (Senior Living, PACE and Home & Community-Based Services) and reports findings to community leadership.
- Assists in the development of corrective action plans required after internal audits findings are reported and supports local leadership in the implementation of the plan; monitors for intended improvement and provides regular progress reports to leadership.
- Develops and implements effective operational clinical system, processes and practices for all healthcare service lines.
- Identifies improvement requirements for compliance, quality and clinical performance per standards of practice for each healthcare service lines.
- Maintains systems and process for the development, implementation and communication of policies and procedures used by all healthcare service lines.
- Coordinates all Part D activities including bids and audits; coordinates all medication room and medication systems across healthcare service lines.
- Coordinates PACE primary care support functions including HCC diagnostic coding to maximize Medicare reimbursement.
- Collaborates with VOANS centralized functions of finance, human resources, information technology and legal/compliance to assure effective enterprise-wide success.
- Coordinate external partnerships, vendor relationships and association contacts to support healthcare service lines operational and economic benefits.
- Provides direct supervision and support Quality Directors, Clinical Operations Directors, Medication/Pharmacy Compliance Coordinator Primary Care Consultant and other management staff.
- Support, disseminate and assure model practices are implemented and are effective throughout VOANS healthcare service lines.
- Maintains the stability and reputation of VOANS by ensuring all activities and operations are performed in compliance with local, State, and Federal laws, regulations, and contractual requirements.
- Functions as an engaged member of the Healthcare Business Unit Executive Leadership Team. In coordination and partnership with other members of the leadership team, assists in the development and implementation of organizational and strategic initiatives.
- Assists with and support high employee engagement including an excellent onboarding experience, new employee orientation, performance management, and ongoing training and education of all staff.
- Follows all organizational policies and procedures and CDC and Occupational Safety and Health Administration (OSHA) safety guidelines.
- Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
- Participates in continuing education and any required staff and training meetings. Maintains professional affiliations and any required certifications.
- Performs other duties as required or requested.
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Vice President of Compliance - Eden Prairie, United States - Volunteers of America National Services
Description
The Vice President of Compliance & Performance Excellence oversees and manages compliance monitoring, quality assessment and improvement functions, clinical systems, pharmacy systems, Part D management and performance monitoring systems for all healthcare operations.
PACE locations include:
North Carolina, Michigan, Colorado and Kentucky
Benefit Highlights:
403(b) Retirement Plan
Career scholarships;
Continuing career education and leadership programs;
Dental and Vision Insurance
Paid Time Off (Vacation, Holiday & Sick Days)
Schedule: *REMOTE M-F 8:00 AM-5:00 PM
Essentials:
•Bachelor's Degree from an accredited school in a nursing, healthcare administration, accounting or related field is required; Advanced degree in a human service related field, health care management/ administration, non-profit/public administration, accounting is required.
•A minimum of five (5) years of demonstrated success in PACE quality management is required. A minimum of five (5) years of demonstrated metrics measurement reporting leading to effective quality improvement and regulatory compliance is required.
•Experience in using Microsoft office applications (Outlook, Word, Excel and Smart Sheet).
•Ability and willingness to work flexible hours in various locations and environments.
•Ability to travel with some overnight stays.
Preferred Qualifications:
•Demonstrated quality improvement success in skilled nursing facilities.
•Knowledge of value-based payment programs.
•Experience in training and excellent presentation skills.
•Comprehensive knowledge of PACE, skilled nursing and residential regulations, quality improvement, infection control, and Part D management.
•Comprehensive knowledge about the PACE model and philosophy of care.
•Demonstrated critical thinking skills on a consistent basis.
•Demonstrated recent experience in enterprise-wide PACE and/or skilled nursing facility projects that improved quality outcomes and results.
•Demonstrated effective leadership and decision-making skills. Ability to apply creative problem-solving skills to complex issues. Ability to plan, prioritize, and follow-up on responsibilities.
At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations' shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best
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