Compliance, Quality & Education Manager (RN)

Compliance, Quality, Education Manager - RN

This is a dual role that will split into the Clinical Compliance Manager and the Quality Education Manager as growth occurs in the branch. The Compliance portion of this position is responsible for executing clinical compliance audits, monitoring regulatory adherence, and supporting survey readiness across the assigned hospice location. This role identifies compliance risks through medical record review, operational audits, regulatory monitoring, and branch mock audits and works collaboratively with clinical leadership to implement corrective actions. The Quality & Education portion of this position is the authority for hospice quality, education, and performance improvement. This role is responsible for the full QAPI lifecyclefrom data collection and analysis through facilitation of QAPI meetings, development of corrective action plans, education rollout, and sustained performance improvement monitoring.

The Clinical Compliance portion translates audit findings into practical education and coaching for clinical staff, ensuring sustained compliance with CMS Conditions of Participation, accrediting body standards, and applicable state and federal regulations. This position functions as both a quality strategist and educator, ensuring regulatory compliance, financial stewardship, staff competency, and consistent hospice practice across all disciplines. The Quality & Education portion partners closely with Administrators, branch leadership, and field staff to drive measurable improvement in quality outcomes, staff engagement, and fiscal responsibility.

Required Experience:

• Registered Nurse (RN) license, active and in good standing.
• Minimum of 6-8 years of hospice experience.
• Working knowledge of CMS Conditions of Participation and accreditation standards.
• Experience with medical record review, audits, or quality/compliance activities.
• Strong clinical documentation skills and attention to detail.

Preferred Experience:

• Experience in hospice compliance, quality, or survey preparation roles.
• Multi-state hospice experience (Michigan, Ohio, Indiana preferred).
• Prior participation in surveys, audits, ADRs, or corrective action processes.
• Compliance or quality certification (e.g., CHC, CHPC, CHPN) preferred but not required.

General Working Conditions:

This position entails sitting for long periods of time. While performing the duties of this job, the employee is required to communicate effectively with others, sit, stand, walk and use hands to handle keyboard, telephone, paper, files, and other equipment and objects. The employee is occasionally required to reach with hands and arms. This position requires the ability to review detailed documents and read computer screens. The employee will occasionally lift and/or move up to 25 pounds. The work environment requires appropriate interaction with others. The noise level in the work environment is moderate. Ability to wear Personal Protective Equipment (PPE).

• Primarily remote with travel to assigned hospice locations as needed.
• May require availability during surveys, audits, or regulatory events.

Equal Opportunity Employer