Job Title 

Location

Additional Location(s)

Employee Type

Working Hours Per Week

Summary

The Senior Director of Hospice Quality and Education will play a crucial role in assessing, planning, implementing, and evaluating education and training curriculums collaboratively with the Senior VP of Operations, ensuring alignment with regulatory requirements, strategic initiatives, and employee needs across all divisions. The Senior Director of Hospice Quality and Education will be accountable for monitoring, implementing, and evaluating processes and programs to meet regulatory, accreditation, and standards of practice, as well as being accountable for the staff development team to ensure proper rollout, maintenance, and success of all education programs.  

Essential Duties and Responsibilities

include the following. Other duties may be assigned as necessary.

Regulatory and Quality:

• Oversee and coordinate all quality improvement activities, utilizing continuous quality improvement principles and methodologies
• In collaboration with Human Resources, coordinates Agency Orientation for clinical staff.
• Develops and coordinates the content of ongoing staff development and clinical training courses.
• Ensures Agency compliance with mandatory orientation, ongoing educational, and in-service requirements, as directed by the Medicare Conditions of Participation (CoPs), ACHC standards, and other applicable accreditation/governmental agency mandates.
• Works alongside Clinical leadership to coordinate Staff Meeting Agendas and In-Services.
• Participates in the selection of agency preceptors/mentors in conjunction with the Clinical leadership staff.
• Assists in the overall development and implementation of our CAHPS initiative and coordinates, participates in, and reports on activities and outcomes related to ACHC initiatives across the organization.
• Tracks and trends outcomes with goals for continuous improvement.
• Responsible for assisting other clinical departments with documentation improvement as needed.
• Establishes and maintains a documentation task force for ongoing documentation recommendations.
• Manages all education and quality staff for GHG Hospice.
• Establish processes for monitoring and measuring performance in patient care, safety, risk management, infection control, outcomes, and customer satisfaction.
• Ensure compliance with regulatory, accreditation, and governmental agency requirements for quality and education programs.
• Lead a documentation task force to continuously improve documentation practices.
• Participate in agency program development and implementation to contribute to the organization's growth and success.
• Stay updated with industry trends and best practices related to home care safety and infection control standards.
• Develop standardized processes, Audit Management, across the Graham Healthcare Group company wide.
• Audit charts quarterly to ensure accurate processing and implement necessary changes.
• Stay updated with regulation changes related to medical records functions.
• Oversee the HIS and Oasis Submission Process to ensure compliance and accuracy, and support development of needs related to future HOPE assessment.
• Monitor department activities' timeliness and effectiveness using internal benchmarking and industry standards, utilizing reporting tools.
• Conduct continuous process evaluation and provide recommendations to leadership for areas of improvement and cost savings.
• Analyze daily reports in HCHB/Salesforce to track patients with outstanding items and prioritize triage to teams.
• Performs all other duties as assigned.

Professional Development

• Manage and supervise Staff Development.
• Ensure education programs align with company strategic initiatives and address patient and employee needs.
• Manage processes within QA and Hospice Education.
• Collaborate with vendors on product offerings and monitor usage and return on investment.
• Review department hours and structure them in the most cost-effective way.
• Conduct interviews and develop procedures for onboarding new hire employees and retaining current staff.
• Evaluate team members' performance and implement disciplinary actions when necessary.
• Establish, monitor, and report appropriate KPIs to leadership on a monthly basis.
• Uphold the Company's Core Values and Core Competencies in all aspects of work

• Additional duties may be assigned to support the organization's goals and objectives.

Knowledge/skills

• Proficient in training and developing employees to meet company expectations.
• Experienced in conducting group presentations and teaching/training with an understanding of adult learning principles.
• Demonstrates strong organizational skills, attention to detail, and the ability to meet deadlines effectively.
• Possesses a working knowledge of computer programs such as email, Word, Excel, PowerPoint, etc.
• Maintains up-to-date knowledge of Medicare Guidelines for Hospice.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s degree in nursing, Masters preferred
• Current RN license
• Seven (7+) years clinical experience in Hospice or Home Health industry, preferred.
• Five (5+) years of supervisory experience and/or demonstrated ability to manage a team.
• Experience with state/CMS Survey Process. 
• Experience setting and exceeding organizational quality metrics.
• Clear understanding of medical terminology and basic ICD10 coding.
• Proficient in Microsoft suite of products including Outlook, Word, and Excel.
• Reliable internet service and ability to office from home with minimal disruption to the workday.
• Homecare Homebase experience, preferred.
• Detail-oriented with a vast knowledge of home health and hospice regulations.
• Demonstrated leadership abilities.
• Strong organizational skills, able to effectively manage concurrent demands and multi-task.
• Proficient in Microsoft Office suite.
• Competent and proficient in understanding QAPI and ACHC accreditation
• Knowledge of Medicare regulations and Hospice COPs.
• Excellent interpersonal skills.
• Experience working both independently and collaboratively in a team environment.
• Analytical and problem-solving capabilities to handle shifting priorities and demands.
• Prompt and efficient in reacting to project adjustments and alterations.
• Flexible during times of change.
• Strong written and oral communication skills.
• Strong customer service skills.
• Excellent team-building skills.

Certificates, Licenses, Registrations

Must have and maintain in good standing professional license, certificate, or registration, as applicable.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Employee will be required to drive daily for meetings and/or visits to residential homes. Employee will work in varied residential environments based on assigned case load. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.

Comments

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

NOTICE:

• Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
• By supplying your phone number, you agree to receive communication via phone or text.
• By submitting your application, you are confirming that you are legally authorized to work in the United States.

Graham Healthcare Group is an Equal Opportunity Employer