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Berkshire Health Systems · 4 months ago

Director of Quality and Compliance

Pittsfield, MA

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Berkshire Health Systems is a healthcare provider seeking a Director of Quality and Compliance. This role is responsible for QAPI, regulatory compliance, and oversight of education and onboarding programs, ensuring exceptional care and compliance with regulations.

Health CareInformation Technology

Responsibilities

Admin-on-call every 6-8 weeks and 1-2 holidays on a rotating basis

Responsible for QAPI, regulatory compliance, utilization review and oversight of agency education program

Oversight of education and onboarding program of BVNA with goal of ensuring regulatory compliance, ongoing competency development of staff to deliver exceptional care and best patient outcomes

Serves as a home health regulatory and Quality expert supporting agency initiatives to provide prompt patient-oriented quality care in a consistent & professional manner resulting in full regulatory compliance and demonstrated clinical quality outcomes surpassing national benchmark standards

Ensures patient needs and billing requirements are met through accurate and timely QA/UR processes

Specific areas of oversight include Utilization Review, Patient Satisfaction, Infection Control, Performance Improvement, value-based purchasing and other program development

Qualification

Quality ManagementRegulatory ComplianceOASIS CertificationHome Health ExperienceData AnalysisCustomer ServiceAdvanced Computer SkillsMultiple Priorities ManagementInterpersonal SkillsOrganizational SkillsLeadership

Required

Five years of recent experience in home health required of which three years of experience are in quality management or an equivalent role in home health is required

Bachelor's degree in nursing required

RN- Licensed as a RN in MA

Drivers License

Oasis Certification required or attainment within 12 months of hire

HCS-D Home Care Coding Specialist-Diagnosis or BCHH-C- Board Certified Home Health Coder required or attain coding certification within 12 months of hiring

Must have reliable transportation

Must have strong customer service and interpersonal skills and be able to manage multiple priorities

Demonstrated ability to manage personnel at all levels of the organization with dignity and respect while setting and adhering to high standards of performance

Demonstrated ability to meet goals in a timely manner

Ability to lead work teams to excellence

Ability to analyze and interpret data

Excellent organizational skills, self directed and independent in fulfilling role obligation

Advanced computer skills in a Windows environment, including Microsoft Word, Excel, Midas and Outlook