VP Clinical Quality

About the role

This is a newly created position at Gentiva Hospice. The 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.

Responsibilities

• Define and evaluate effectiveness of a streamlined process for TPE education, chart review, and accountability by engaging cross-functional teams.
• Monitor audit process by reviewing results and promptly communicate strategies and process effectiveness to all relevant stakeholders, ensuring risks of future audits are mitigated and strategies for positive outcomes are determined in a timely manner.
• Develop an education process/plan for office leaders to ensure all staff are aware of TPE potential and implement metrics to assess the effectiveness and retention of this education.
• Integrate a sustainability framework to ensure that improvements and best practices are embedded into daily operations for lasting impact.
• Integrate routine root cause analysis into the monitoring and development process to proactively identify underlying factors contributing to office risk.
• Ensure that education related to audit risk, audit processes, and the results of root cause investigations is clearly communicated to all relevant staff.

Requirements

• Direct supervisor of Director of Clinical Quality.
• Conduct comprehensive reviews of current SOPs, identifying and implementing proactive, collaborative strategies to prevent additional TPE and to 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 promoting alignment across all key stakeholders.
• Establish clear guidelines that promote the 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, and ensure these strategies, along with their effectiveness, are communicated consistently and efficiently across teams.
• 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.
• Maintain 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.
• Absorb and assist agencies in meeting and exceeding all applicable regulatory and company requirements, by 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.

Qualifications

• Extensive knowledge in the areas of documentation, and the interpretation and application of regulations and performance improvement standards required.
• Must be knowledgeable of federal, state, and local regulations, as well as federal guidelines for hospice services.
• Knowledgeable in OSHA regulations.
• Experience building and leading high-performing teams; mentoring team members.
• Confident presenter and persuasive speaker.
• Ability to communicate effectively; excellent interpersonal skills.
• Ability to manage multiple projects and meet deadlines.
• Strong follow-up skills.
• Exercises professional judgement and demonstrates excellent problem resolution skills.
• Experience with Lean Six Sigma (LSS) tools and methodologies preferred.
• Strong attention to details.
• Extensive travel and frequent overnight travel.

Skills

• Computer skills to include 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.

Benefits

• 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)