Compliance Nurse
Massachusetts Health & Hospital Association · Richland, WA · 3 wk ago
On-siteHealthcareFull-time
About the role
Role Overview: The Compliance RN provides clinical oversight to ensure hospice regulatory compliance, quality documentation, and survey readiness.
Responsibilities
- Conduct clinical chart audits
- Review hospice eligibility, recertifications, physician narratives, and face-to-face documentation to identify risks that could lead to survey findings or payment denials
- Interpret Medicare and CMS requirements
- Educate clinical staff
- Lead survey preparedness activities
- Collaborate with leadership and the QAPI Coordinator to analyze root causes, recommend corrective actions, and monitor improvements
- Maintain adherence to agency policies, confidentiality, and health requirements
- Participate in community outreach, ongoing training, and meet physical demands of the role
Qualifications
- Active RN license in Washington State or nursing compact
- Experience in hospice care, regulatory compliance, and audits preferred
- Ability to interpret complex regulations and provide staff education
- Valid driver’s license, reliable transportation, and ability to drive within service areas
- CPR/BLS certification required
Skills
- Excellent analytical, communication, and organizational skills
- Bilingual skills in Spanish and English are a plus
Benefits
Offers comprehensive benefits, professional growth opportunities, and a purpose-driven environment focused on compassionate care aligned with the agency’s mission, vision, and values.