Nurse Compliance Manager

Key Responsibilities

• Lead execution of the organization’s compliance program and annual compliance workplan in partnership with Compliance leadership
• Manage day-to-day compliance in healthcare delivery’s operations, monitoring activities, and audit readiness initiatives
• Oversee implementation of policies, procedures, and internal controls in alignment with regulatory and accreditation requirements
• Maintain compliance tracking systems, dashboards, audit logs, and reporting processes
• Serve as a primary point of contact for internal and external audits, regulatory surveys, and payer inquiries
• Prepare and present compliance reports and findings to senior leadership and regulatory bodies

Monitoring, Risk Management & Quality Oversight

• Lead risk-based compliance monitoring across clinical documentation and service delivery functions
• Identify systemic compliance risks across AFC, GAFC, and ADH programs and drive corrective action strategies
• Oversee medical record and claims review processes to ensure regulatory accuracy and billing integrity
• Conduct and supervise onsite and remote audits of field operations, caregiver performance, and documentation quality
• Ensure appropriate classification, escalation, and resolution of compliance issues based on risk level
• Lead root cause analysis and development of corrective and preventive action (CAPA) plans
• Monitor effectiveness of remediation efforts and ensure sustained compliance improvement
• Ensure alignment of care team documentation with regulatory and program requirements
• Provide oversight and guidance on caregiver education and compliance training effectiveness
• Partner with leadership to implement risk mitigation strategies across operations

Training, Leadership & Cross-Functional Collaboration

• Lead compliance training programs for field staff, care teams, and operational leaders
• Oversee onboarding and ongoing education related to compliance, documentation, and regulatory standards
• Act as compliance liaison to operations, clinical leadership, quality, and audit teams
• Provide coaching and oversight to compliance staff and field auditors as applicable
• Drive a culture of accountability, continuous improvement, and regulatory excellence
• Serve as a key escalation point for compliance issues requiring leadership intervention
• Represent Vitra Health as a compliance leader and brand ambassador across internal and external engagements