Quality Assurance & Compliance Coordinator
MSL Community Management LLC
Quality Assurance & Compliance Coordinator At MBK Senior Living, the Quality Assurance & Compliance Coordinator operates under the direct guidance of the Executive Director to support and lead the implementation and oversight of the quality assurance program. This role is vital for ensuring rigorous compliance with local, state, and federal regulations, upholding MBK’s adherence to all regulatory and accreditation standards, and enhancing resident outcomes through data‑driven performance monitoring and cross‑functional collaboration, while fostering a culture of continuous quality improvement across all operations. Duties & Responsibilities Lead the execution of the quality assurance program, verifying adherence to all regulatory mandates (federal, state, local) and protecting resident confidentiality per HIPAA. Oversee and verify daily and future staffing plans and schedules to ensure continuous compliance with the state‑mandated acuity model (e.g., ABST) and minimum staffing ratios for resident care needs. Maintain official accreditation status by continuously monitoring compliance with all established standards and coordinating necessary internal associated activity. Serve as a liaison for regulatory agencies and accreditation bodies, and prepare for, manage and coordinate all third‑party audits, surveys, and inspections. Collaborate with the Executive Director and others to develop action plans to address deficiencies and ensure timely resolution. Maintain centralized records for all compliance and survey documentation, ensuring accurate and timely reporting of corrective actions. Maintain a safe and secure environment for staff, residents, and guests following established safety standards, policies, and procedures. Conduct regular facility inspections, operational site reviews, and audits to assess performance and identify areas for improvement. Implement and oversee data collection to establish, track, and report on KPIs and trends related to quality, compliance, and resident satisfaction. Develop and monitor Quality Improvement Plans (QIPs) and action plans to address deficiencies and drive resolutions. Promote a culture of continuous improvement and quality‑focused care by presenting outcomes and providing actionable recommendations to leadership. Implement comprehensive risk‑management procedures, including maintaining accurate incident logs and overseeing critical incident reporting and mortality review processes. Conduct training programs for staff on regulatory compliance, risk management, and quality assurance, ensuring required and assigned training is completed. Ensure effective communication with residents, families, and staff regarding quality assurance initiatives and compliance updates. Provide temporary support and coverage across various departments (e.g., Sales, Operations) during critical periods or staff vacancies, as requested. Perform other job duties or special projects as assigned or requested by Supervisor. Education and Licenses/Certifications High school diploma or equivalent (GED), required. Must hold a current state administrator’s license and maintain required CEUs. College degree in Healthcare Administration, Nursing, Gerontology, or related field, a plus. Valid state‑issued driver’s license and reliable transportation, or valid insurance. Required background clearances, health screening, and negative TB test results within 6 months of employment. Experience Requirements 3+ years of prior related work experience in quality assurance, regulatory compliance, or risk management in the senior living or healthcare industry. Required Competencies Up‑to‑date knowledge of state‑mandated acuity model (ABST) and state regulations. Proven experience managing audits, regulatory compliance, and accreditation processes. Strong technical and computer skills, including proficiency in Microsoft Office Suite (Word, Excel, Outlook). Excellent written and verbal communication skills, ability to speak, write, and read English. Strong organizational, problem‑solving, and time‑management skills. Ability to make sound, independent decisions and manage conflicts, stressful or emergency situations. Ability and willingness to work independently without direct oversight and supervision. Physical Demands & Work Environment Must be mobile and able to perform walking, bending, kneeling, squatting, pulling, reaching overhead, and repetitive motion. Ability to lift up to 50 pounds and push up to 250 pounds. Ability to assist in the physical movement of residents during routine transfers and in emergency situations. Equal Opportunity Employment & Accommodation MBK Senior Living is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, genetic information, or other protected reason. Our company is committed to providing access, equal opportunity and reasonable accommodation for qualifying individuals. To request reasonable accommodation, contact View email address on click.appcast.io. #J-18808-Ljbffr
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