VP Clinical Quality

Overview Vice President of Clinical Quality will define and routinely evaluate the effectiveness of a streamlined process for TPE education, chart review, and accountability by engaging cross‑functional teams to foster broader expertise and shared responsibility. The role will monitor audit processes by reviewing results and promptly communicating strategies and effectiveness to all relevant stakeholders, ensuring risks of future audits are mitigated and strategies for positive outcomes are determined in a timely manner. The Vice President will develop an education plan for office leaders to ensure staff are aware of TPE potential and implement metrics to assess the effectiveness and retention of this education. The role will integrate a sustainability framework to embed improvements and best practices into daily operations for lasting impact, and will incorporate routine root‑cause analysis to proactively identify underlying factors contributing to office risk. The Vice President will ensure that education related to audit risk, audit processes, and the results of root‑cause investigations is clearly communicated to all relevant staff. Essential Functions Direct supervisor of Director of Clinical Quality. Conduct comprehensive reviews of current SOPs, identifying and implementing proactive, collaborative strategies to prevent additional TPE and increase impact in Rounds 1 & 2. Ensure ongoing oversight and partnership among relevant departments for current Round 3 offices. Facilitate the creation of high‑quality documentation for MAC review and promote alignment across all key stakeholders. Establish clear guidelines that promote consistent application of processes, with periodic reviews to adapt to evolving audit requirements and office needs. Foster innovation by generating ideas and developing business cases for technology solutions that streamline and enhance the overall TPE process, leveraging digital tools and automation where appropriate to drive efficiency, transparency, and measurable outcomes. Review the status of claims pulled—whether favorable or unfavorable—and adjust actions accordingly to achieve optimal results, sharing key updates and recommendations without delay. Develop new strategies to proactively support offices in preventing audit failures, ensuring these strategies, along with their effectiveness, are communicated consistently and efficiently across teams. Oversee the documentation process for all IDG members and build competencies in quality by empowering leaders with tools and processes, incorporating feedback mechanisms and periodic evaluations to gauge learning outcomes. Provide ongoing education to NMD to promote awareness and support at the office level when identified needs arise, routinely measuring the impact of educational initiatives to inform continuous improvement. Develop and share a communication plan outlining the sustainability framework through an appropriate cadence, utilizing multiple channels—such as team meetings, digital newsletters, and training sessions—to ensure all stakeholders are informed and engaged. Provide regular updates on progress, highlight success stories, and solicit feedback to foster a culture of shared responsibility and continuous improvement. Monitor the existing process to ensure effectiveness and development of staff, ensuring proper process of accountability of documentation education is sustained. Utilize findings from these analyses to inform targeted education and implement proactive actions that effectively mitigate risk. Monitor agency‑level adherence to policies and procedures. Monitor compliance of patient records and quality assurance activities. Collaborate with Vice President, and Area Vice Presidents of Operations. Assist agencies in meeting and exceeding all applicable regulatory and company requirements, ensuring the implementation of the company’s systems, policies and standards in readiness preparation for all inspections, surveys, and reviews, including state licensure, federal certifications and accreditations. Collaborate with operational leadership on quality, regulatory survey outcomes and process improvement, and ensure Clinical Quality Team’s support of unfavorable internal survey or external conditional survey outcomes. Assist with the proper handling and resolution of any complaints from patients, families and the public. Participate in the hospice’s quality assessment and performance improvement program activities. About You Specialized Knowledge/Skills: Extensive knowledge of documentation and the interpretation and application of regulations and performance improvement standards. Knowledgeable in federal, state, and local regulations, as well as federal guidelines for hospice services; knowledge of OSHA regulations. Experience building and leading high‑performing teams; mentoring team members. Confident presenter and persuasive speaker with excellent interpersonal skills. Ability to manage multiple projects and meet deadlines; strong follow‑up skills. Exercise professional judgment and demonstrate excellent problem‑resolution skills. Experience with Lean Six Sigma (LSS) tools and methodologies preferred. Strong attention to detail. Extensive travel and frequent overnight travel. Education/Experience: Bachelor’s or advanced degree in Nursing; RN preferred. Minimum 10 years of prior managerial experience, of which 5 years is in Hospice/Home Health service industry for a certified agency, is preferred. License/Certification: Valid driver’s license and automobile liability insurance coverage. Unencumbered and active RN license in state of residence required. Training/Equipment: Computer skills, including solid knowledge of Microsoft Office Suite including Excel. Basic PowerPoint skills. Experience using reporting tools and databases to review data in electronic systems. Experience with HomeCare‑HomeBase preferred. We Offer Benefits for All Associates (Full‑Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full‑Time Benefits: Medical, Dental, Vision Insurance Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance Company‑paid Life & Long‑Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Legalese This is a safety‑sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet stage‑specific requirements We are proud to be an EEO employer We maintain a drug‑free workplace Location Gentiva Hospice #J-18808-Ljbffr