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Veterans in Healthcare • Gainesville, Georgia, United States
Role & seniority: QAPI/Compliance Coordinator (mid-level, healthcare quality and compliance focus)
Stack/tools: Office suite (Excel, PowerPoint, Word), data analysis and report creation, regulatory/accreditation knowledge (CMS, LTC standards), policy/procedure writing and maintenance
Coordinate all performance improvement and compliance activities; lead QAPI projects and meetings
Supervise medical records maintenance for accuracy/compliance; oversee regulatory visits and accreditation surveys
Provide education on regulatory/ accreditation standards; communicate status to LTC leadership and staff; prepare annual program evaluation
Must-have skills: Associate degree (or LPN in lieu of degree); 3–5 years in healthcare accreditation, compliance, and quality assessment (prefer LTC); excellent written/spoken communication; strong data analysis, organizational skills, and confidentiality; proficient in Excel/Word/PowerPoint; ability to prioritize and manage multiple projects; problem-solving and process improvement mindset
Nice-to-haves: Long-term care experience; familiarity with payroll activities for direct reports; experience coordinating patient/family satisfaction surveys and policy development
Location & work type: Gainesville, GA; full-time position; 8-hour shifts (evening–morning) on-site
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locations Gainesville, GA
time type Full time
posted on Posted 2 Days Ago
job requisition id R25233
Job Category: Legal / Compliance Work Shift/Schedule: 8 Hr Evening - Morning Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About The Role
Job Summary
The QAPI/Compliance Coordinator is accountable for management and the coordination of an integrated Quality Assessment program. This position is responsible for facilitation of the endeavors which aim to position New Horizons for successful compliance with the standards/rules/regulations of accrediting body. Through relationships with staff, administrators, physicians, and patients/families; will serve as the resource in the area of compliance, regulations, policies and procedures, and accreditation. Coordinates all QAPI activities and will lead appropriate projects and meetings. Assist with departmental writing of policies, procedures, and standard work, as requested.
Minimum Job Qualifications
Educational Requirements: Associates Degree.
Minimum Experience: Three (3) to Five (5) years experience in healthcare accreditation, compliance, and quality assessment; preferably in long term care
Other: Associates degree or in lieu of an Associates Degree, you may have be a LPN
Preferred Job Qualifications
Job Specific And Unique Knowledge, Skills And Abilities
Excellent oral and written communication skills; excellent customer service skills; positive interpersonal skills. Understanding of performance improvement concepts and processes. Ability to analyze data and correlate with financial and regulatory requirements and accreditation standards. Propose processes for ensuring compliance with same. Well organized and detail oriented with a track record of follow through, completeness, and accuracy. Ability to exercise sound judgment and maintain strict confidentiality of protected health information. Ability to assess, plan, implement, execute, evaluate, and redirect for continuous process/outcome improvements. Excellent attention to detail, time management and organization. Accelerated computer skills - to include Excel, PowerPoint, Word, and report creation. Ability to prioritize duties and projects with a willingness to work flexible hours to meet the needs of the department. Participates in the establishment of methods to communicate regulatory information to LTC staff. Responsible for completing payroll activities for direct reports and others as assigned. Responsible for overall management and maintenance of medical records and supervision of medical records staff.
Essential Tasks And Responsibilities
Coordinates all performance improvement and compliance activities. Supervises the maintenance of medical records assuring accuracy, completeness and compliance with licensing regulations, accreditation standards and legal and ethical standards. Coordinates/facilitates problem solving/performance improvement activities for quality/regulatory issues and concerns. Provides timely information to Long Term Care Executive Director about status of compliance with regulatory and accreditation standards, as appropriate. Participates in orientation of new personnel to agency programs, policies and procedures. Coordinates the implementation of the patient/family satisfaction survey in accordance with LTC policy and procedure of organization. Provides formal and informal education and updates staff concerning regulatory and accreditation standards and requirements. Coordinates the logistics of the actual regulatory/accreditation visits/survey activities, as appropriate. Utilizes established outcome criteria, industry standards and all guidelines to recommend action plans to the LTC Leadership Team to promote improvements and to ensure compliance in all areas. Coordinates/facilitates problem solving activities with the LTC Administrative Team, as requested. Prepares LTC Annual Program Evaluation Evaluates physician and referral source satisfaction with services and works to meet expectations. Facilitates resolution of difficult issues with physicians and referral sources. Provides timely reports requested by Executive Director. Facilitates departmental problem-solving/improvement activities related to quality improvement, accreditation standards, or state and federal regulatory concerns. Represents the department and contributes expertise to committees or project teams as appropriate and assigned by Executive Director. Maintains general knowledge of the LTC regulatory standards. Participates in performance improvement activities by contributing suggestions, experience and expertise to promote efficiency and excellent outcomes. Develops, reviews and updates standard work, department policies and procedures pertaining to individual duties and responsibilities to ensure department compliance with all state, regulatory and hospital requirements. Maintains commitment to professional growth by keeping current on new trends and advances in regulatory trends. Oversees compliance with accrediting body, CMS, and state rules and regulation requirements. Responds to staff inquiries regarding regulatory standards for reference purposes. Completes required updates to the accreditation application to meet requirements. Competent in performing quality audits. Performs other duties, as assigned.
Physical Demands
Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
Vision: Heavy, Constantly 66-100% of time
Kneeling/Stooping/Bending: Occasionally 0-30%
Standing/Walking: Occasionally 0-30%
Pushing/Pulling: Occasionally 0-30%
Intensity of Work: Frequently 31-65%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.