Job Details Job Location: LIVINGSTON, NJ 07039 Position Type: Part Time Salary Range: $70.00 - $75.00 Hourly Key Responsibilities Compliance Program Oversight Serve as the organization’s Compliance Officer and primary resource for regulatory guidance. Develop, implement, and continuously evaluate the hospice compliance program. Ensure adherence to CMS Conditions of Participation, state regulations, payer requirements, and accreditation standards. Monitor regulatory updates and interpret changes affecting hospice operations. Partner with the Quality team to develop corrective action plans and oversee implementation. Conduct ongoing compliance risk assessments and internal audits. Lead compliance investigations and support timely resolution of issues. Maintain clear reporting structures and escalation pathways. Regulatory Guidance & Operational Support Provide real‑time regulatory support to leadership and operational teams. Assist departments in designing compliant workflows and improving processes. Interpret regulatory requirements to guide operational decision‑making. Collaborate with clinical leadership to ensure documentation meets compliance and quality standards. Review and maintain policies, procedures, forms, and workflows for regulatory alignment. Support development of operational standards and best practices. Survey Readiness & Accreditation Participate in mock surveys, tracers, and internal compliance audits. Prepare staff and leadership for survey interviews and regulatory reviews. Coordinate responses to survey findings, deficiencies, and plans of correction. Track ongoing readiness initiatives and monitor regulatory risk areas. Quality & Performance Improvement Partner with QAPI leadership to support quality and performance initiatives. Identify compliance trends, operational risks, and opportunities for improvement. Assist in developing quality indicators, dashboards, and monitoring tools. Analyze audit findings and recommend sustainable corrective actions. Support integration of compliance and quality initiatives across departments. Education & Training Deliver engaging compliance and regulatory training to staff and leaders. Develop educational materials on hospice regulations, documentation, and operational compliance. Support onboarding and ongoing competency programs. Educate teams on ethical practices, reporting obligations, and compliance expectations. Documentation & Auditing Conduct chart audits and operational reviews to ensure regulatory adherence. Evaluate documentation for accuracy, completeness, and billing support. Review contracts, agreements, and organizational documents for compliance implications. Maintain organized, detailed records of audits, investigations, and compliance activities. Qualifications RN, BSN preferred; other healthcare or regulatory backgrounds considered based on hospice experience. Minimum of 5 years of hospice leadership, compliance, quality, or regulatory experience. Strong knowledge of Medicare Hospice Conditions of Participation, state hospice licensure regulations, accrediting body standards (CHAP), hospice billing and documentation requirements, and QAPI and survey readiness processes. Experience managing or supporting hospice surveys and plans of correction. Strong analytical, organizational, and communication skills. Ability to work collaboratively with executive leadership and interdisciplinary teams. Proficiency in policy development, auditing, and regulatory interpretation. #J-18808-Ljbffr
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