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Regional Director of Clinical Compliance & Quality

Pine Acres Rehabilitation & Care Center

The Regional Director of Clinical Compliance & Quality is responsible for leading, developing, implementing, monitoring, and sustaining clinical compliance, QAPI, clinical education, auditing systems, survey readiness, and quality improvement initiatives across assigned facilities.

The Regional Director of Clinical Compliance & Quality will work directly with facility leadership teams, including Administrators, Directors of Nursing, Assistant Directors of Nursing, MDS Coordinators, Infection Preventionists, Staff Development Coordinators, department managers, and frontline clinical staff to ensure all buildings remain in compliance with CMS requirements, state regulations, federal regulations, company policies, standards of nursing practice, and accepted quality improvement standards.

Major Duties & Responsibilities

  • Maintain a physical presence in the building a minimum of 3–4 days per week.

  • Review and monitor all areas of clinical risk, quality outcomes, resident care systems, and regulatory compliance.

  • Work directly with facility leadership to identify immediate compliance concerns and develop corrective action plans.

  • Assist the Administrator and Director of Nursing with daily clinical operations related to compliance, survey readiness, and quality improvement.

  • Conduct daily clinical rounds while on-site, including resident observations, staff interviews, care validation, and environmental review.

  • Monitor systems related to high-risk clinical areas, including falls, wounds, infections, weight loss, accidents/incidents, psychotropic medications, abuse prevention, elopement risk, change in condition, hospitalization, and resident grievances.

  • Ensure corrective actions are implemented, monitored, documented, and sustained.

  • Prepare the facility for state survey, federal survey, revisit, complaint investigations, focused infection control surveys, and any other regulatory reviews.

  • Provide hands-on training and re-education to facility staff based on identified deficiencies, audit outcomes, quality measures, and survey risk areas.

  • Review ongoing progress related to Special Focus Facility expectations and ensure the building demonstrates measurable and sustainable improvement.

Qualifications

  • Active and unrestricted Registered Nurse license

  • Ability to travel as needed

  • Proven experience in Major Duties

Compensation & Benefits

  • Competitive salary or hourly rate

  • Mileage reimbursement

  • Lodging reimbursement when overnight travel is required

  • Meal reimbursement for approved overnight travel

  • Licensure reimbursement as needed

  • Opportunity to support multiple facilities and improve clinical outcomes

  • Regional leadership growth opportunity

  • Health Insurance

  • Dental & Vision

  • PTO

  • Holiday Pay

  • 401k after 1 year of employment

Vacancy posted 1 day ago
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