Quality and Compliance Lead

Help at Home, LLC, is the nation's leading provider of high quality care and support solutions. Our goal is to enable the highest level of personal independence and meaningful lives for our clients. Help at Home is committed to delivering a gold standard in care through our attentive and well-trained staff who support making it possible to keep people comfortably and safely within their homes and communities.

Position Overview:

The Quality & Compliance Lead, reporting to the Market Leader, is responsible for maintaining regulatory compliance and oversight of the administrative functions of client care for Help at Home's homecare and home health business. This position will ensure the market maintains compliance with applicable laws, regulations and company policies. The Lead will also ensure professional conduct and escalation of potential issues.

The Lead collaborates with the Quality, Compliance, Human Resources and branch/market staff to define, measure, analyze and improve processes and procedures to ensure best practices for all levels of home care, home health and other lines of service within the assigned geography. The Lead acts as a key resource to deliver high quality services to clients/patients and is responsible for driving the compliance and quality key performance indicators to achieve goals and objectives.

In this role, the Lead is responsible for collaborating with internal and external stakeholders and workgroups to identify areas of need and opportunity across the organization, identify trends and make recommendations for comprehensive programs and solutions.

Duties/Responsibilities:

• Ensures external audit information is shared internally with all appropriate parties timely after it is received and logged in all appropriate systems

• Drafts state specific corrective actions for external audits and ensures timely submission

• Communicates with state regulators regarding external audits

• Ensures that the Company has the policies and practices to comply with all requirements of Federal and State regulations for home health care agencies and services

• Researches, drafts and recommends policies that are required by industry regulations

• Develops and implements procedures to ensure that compliance is achieved

• Monitors activities required for Medicare and Medicaid contract compliance, as well as with the state oversight agency

• Supports staff development around regulatory compliance

• Monitors the Case Management function, including:

• Monitors reports to ensure client care is administered in an efficient and professional manner by all team members, and that associated issues are escalated to the attention of senior management

• Communicates regularly with Market Leader, providing status and activity reports as agreed, and participates in leadership meetings, agency sponsored in-services and team meetings as directed

• Keeps abreast of relevant trends, rules and regulations in the industry, and makes recommendations to management for changes and improvements to enhance services or efficiency. Communicates required changes to Client Coordinators and Caregivers

• Monitors the state training programs for employees to ensure completion of the mandatory in-service training related to the following topics and in response as required to implement correction actions

• Collects and assesses data and information related to service delivery needs, failures, and other risk areas, including identification of trends, issues and supporting data to determine a comprehensive program for our patients/clients including process improvement, clinical experiences and learning technologies

• Assesses plans, develop, implement, and evaluate ongoing quality service delivery needs and professional development needs of the market and patient/client-facing staff

• Recommends programs, solutions, training and coaching respectively through trends, dashboards and metrics working with other cross functional stakeholders and workgroups

• Responsible for key performance indicators to show how the processes are improving in their assigned markets

• Participates as a key stakeholder and main driver of Quality Improvement activities

• Collaborates with HR partners to ensure that educational content is delivered as directed

• Ensures all programs meet regulatory expectations and standards

• Collaborates with Quality, Compliance and Operations in the development, evaluation and implementation of policies and procedures

• Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities

• Provides leadership to branch managers and serves as a role model through ongoing coaching and mentoring

• Participates and remains knowledgeable of regulatory and current/future accreditation standards that may be required by the organization (i.e. JCAHO, others)

• Performs other related duties as assigned

Required Skills /Abilities:

• Excellent interpersonal, written, and verbal communication skills
• Strong analytical and problem-solving skills to assess situations and make accurate observations in the workplace
• Advanced knowledge of Microsoft Office Suite and aptitude to learn new applications
• Works accurately, efficiently, and independently
• Flexibility and ability to prioritize work with minimal supervision in a fast paced, high productive environment
• Ability to maneuver multiple databases in the collection and submission of information
• Multi market or multi-site leadership experience (preferred)

Education and Experience:

• Minimum of Bachelor's degree: Human Service or Healthcare related field preferred
• Minimum of 5 years of healthcare experience: strong preference in home health/home care setting
• Minimum of 3 years of quality/process improvement experience
• Optional: Six Sigma certification: Black Belt preferred

Location:

• Role must be within the supported market (Michigan) and will require travel within this market.