Director, Home Health Clinical Excellence & Regulatory Compliance

Visiting Nurse Service of New York • New York, NY • 3h ago

Overview The Director, Home Health Clinical Excellence & Regulatory Compliance is a strategic and operational expert responsible for driving clinical excellence, ensuring regulatory compliance, and mitigating risk across the Home Care line of business. Leads the development and implementation of innovative, evidence-based clinical programs, promotes defensible documentation practices, and serves as a subject matter expert in EMR systems and regulatory audits. Collaborates cross-functionally with education, operations, quality, compliance, legal, risk, research, and intake teams, the leader fosters inter-professional collaboration and workforce optimization. With a focus on continuous improvement, this position supports QAPI initiatives, supervises clinical leads, and champions specialty certifications to elevate care standards. What We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 30 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programsPre-tax flexible spending accounts (FSAs) for healthcare and dependent careGenerous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancementInternal mobility, generous tuition reimbursement, CEU credits, and advancement opportunitiesWhat You Will DoLeads the design, implementation, and continuous improvement of clinical programs to ensure best-in-class patient care.Champions innovation in clinical care delivery, including the integration of evidence-based practices and emerging technologies.Collaborates with the Education and Operations teams to develop and maintain clinical competencies across the workforce.Promotes inter-professional collaboration and workforce optimization strategies, including paraprofessional care models.Serves as the clinical lead for specialty certifications (e.g., Age-Friendly Care/4Ms, Heart Failure, Fall Prevention, Hospital at Home).Acts as the Subject Matter Expert (SME) in defensible documentation and EMR logic (HCHB and R2).Develops and maintain clear Standard Operating Procedures (SOPs) for clinical documentation and patient care protocols.Provides training and support to ensure accurate, timely, and compliant documentation practices.Serves as a regulatory expert on New York State and Federal home health regulations to ensure agency-wide compliance; monitor regulatory changes and support required operational changes.Leads internal Root Cause Analyses and implement Corrective Action Plans (CAPs) for regulatory and clinical issues.Serves as SME for routine government audits including but not limited to Additional Documentation Review (ADR) audits providing support to branch directors to ensure timely and accurate audit responseCollaborate with the corporate Quality & Compliance teams on policy and procedure development and updates.Partners with Enterprise Risk, Legal, and Quality on regulatory risk assessment and mitigation efforts, including home health litigation risks.Coordinates with the Quality team to support and participate in quarterly QAPI meetings.Analyzes clinical trends and outcomes to identify opportunities for improvement and risk mitigation.Collaborates with the Director of Outcomes & Complex Care Management to align clinical initiatives with organizational goals.Partners with the Research department to integrate evidence-based practices into clinical programs.Works with the Intake team to support clinical program alignment and ensure timely admissions.Collaborates with the Revenue Cycle Department (RCD) to analyze and address denial trends.Engages with the Clinical Advisory Board (CAB) to align clinical strategies with community needs.Represents the agency at industry conferences and events to stay current on home health trends and innov

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