Full-Time

Hospice Compliance Director

Posted on 1/30/2025

BrightSpring Health Services

BrightSpring Health Services

Senior

Indianapolis, IN, USA + 5 more

More locations: Louisville, KY, USA | Nashville, TN, USA | Birmingham, AL, USA | Memphis, TN, USA | Moody, AL, USA

The role requires travel to multiple states/agencies.

Category
Risk & Compliance
Legal & Compliance

You match the following BrightSpring Health Services 's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Registered Nurse or Bachelor’s degree in nursing, business, healthcare, pre-law or related field
  • Two years’ experience in hospice, regulatory compliance experience preferred
  • Knowledge of state and federal statutes, rules and regulations, and accreditation requirements as applicable to hospice, including applicable fraud and abuse laws
  • Experience with state, CMS, and accrediting body surveys, including writing and implementing plans of correction for survey citations
  • Knowledgeable of laws and regulations relevant to company operations
  • Strong analytical skills, including an understanding of how to use data metrics
  • Good verbal and written communication and public relations skills
  • Demonstration of autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities
  • Ability to travel overnight to work-related locations
Responsibilities
  • Identifies and mediates compliance risk areas in relation to local, state, and federal regulations.
  • Monitors implementation of the Compliance Program and make regular reports, also communicating trends, concerns and areas of risk to VPs of Operations and local Administrators.
  • Assists with the development, evaluation, and implementation of policies, protocols, and initiatives, based upon identified and/or potential areas of risk and governmental focus on compliance issues.
  • Assists with review, revision, and evaluation of the company’s compliance program as necessary to meet the changing needs of the organization in its business and regulatory environment.
  • Conducts mock surveys and assist agencies in survey preparation and response.
  • Coordinates with billing, human resources, and other departments on matters of regulatory compliance.
  • Provides compliance education and support to local clinical leadership to ensure compliance functions are understood and implemented within the agency, promoting an understanding and culture of compliance.
  • Conducts independent (scheduled and ad hoc) field and desk compliance reviews/audits to evaluate and monitor compliance with standards and procedures implemented by the Company and duties imposed by state and federal laws and regulations.
  • Evaluates requests for documents and records from government agencies, payors and other third parties. Gather, submit and track requested documentation. Communicate regarding requests with VP of Compliance, agency leadership and billing counterparts.
  • Stays abreast of laws and regulations relevant to Company operations.
  • Flexibility to assist in ad hoc projects and available to travel; available to provide job duties for multiple states/agencies.
Desired Qualifications
  • Two years’ experience in hospice, regulatory compliance experience preferred
  • Familiarity with HomeCare/HomeBase and its reporting and analytics features preferred
  • Certification in Basic Healthcare compliance a plus
BrightSpring Health Services

BrightSpring Health Services

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