VNS Health
Director, Home Health Clinical Excellence & Regulatory Compliance
VNS Health, New York, New York, us, 10261
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 Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
Lead the design, implementation, and continuous improvement of clinical programs to ensure best-in-class patient care.
Champion innovation in clinical care delivery, including the integration of evidence-based practices and emerging technologies.
Collaborate with the Education and Operations teams to develop and maintain clinical competencies across the workforce.
Promote inter-professional collaboration and workforce optimization strategies, including paraprofessional care models.
Serve as the clinical lead for specialty certifications (e.g., Age-Friendly Care/4Ms, Heart Failure, Fall Prevention, Hospital at Home).
Act as the Subject Matter Expert (SME) in defensible documentation and EMR logic (HCHB and R2).
Develop and maintain clear Standard Operating Procedures (SOPs) for clinical documentation and patient care protocols.
Provide training and support to ensure accurate, timely, and compliant documentation practices.
Serve 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.
Lead internal Root Cause Analyses and implement Corrective Action Plans (CAPs) for regulatory and clinical issues.
Serve 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 response.
Collaborate with the corporate Quality & Compliance teams on policy and procedure development and updates.
Partner with Enterprise Risk, Legal, and Quality on regulatory risk assessment and mitigation efforts, including home health litigation risks.
Coordinate with the Quality team to support and participate in quarterly QAPI meetings.
Analyze clinical trends and outcomes to identify opportunities for improvement and risk mitigation.
Collaborate with the Director of Outcomes & Complex Care Management to align clinical initiatives with organizational goals.
Partner with the Research department to integrate evidence-based practices into clinical programs.
Work with the Intake team to support clinical program alignment and ensure timely admissions.
Collaborate with the Revenue Cycle Department (RCD) to analyze and address denial trends.
Engage with the Clinical Advisory Board (CAB) to align clinical strategies with community needs.
Represent the agency at industry conferences and events to stay current on home health trends and innovations.
Drive execution of strategic initiatives and manage multiple clinical projects simultaneously.
Participate in special projects and perform other duties as assigned.
Qualifications Education:
Bachelor's Degree in Health Care, Nursing, Physical Therapy, Occupational Therapy, Public Health, or related health care field. required
Master's Degree in Health Care, Nursing, Public Health, Education, Business Administration or related field preferred
Work Experience:
Minimum of seven years of progressive experience in quality improvement and measurement, health information management, strategic planning, performance improvement, and/or research required
Management experience required
Experience in home health/home care required
Demonstrated ability to lead project teams, develop project plans with corporate wide impact, and work in team groups required
Excellent problem-solving skills, innovation, and strategy required
Strong oral/written communication, presentation, and organizational skills required
Proficiency in training and staff development preferred
Proficiency with personal computers, including Windows, Excel, Word and Power Point required
Pay Range USD $137,800.00 - USD $183,800.00 /Yr.
About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
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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 Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
Lead the design, implementation, and continuous improvement of clinical programs to ensure best-in-class patient care.
Champion innovation in clinical care delivery, including the integration of evidence-based practices and emerging technologies.
Collaborate with the Education and Operations teams to develop and maintain clinical competencies across the workforce.
Promote inter-professional collaboration and workforce optimization strategies, including paraprofessional care models.
Serve as the clinical lead for specialty certifications (e.g., Age-Friendly Care/4Ms, Heart Failure, Fall Prevention, Hospital at Home).
Act as the Subject Matter Expert (SME) in defensible documentation and EMR logic (HCHB and R2).
Develop and maintain clear Standard Operating Procedures (SOPs) for clinical documentation and patient care protocols.
Provide training and support to ensure accurate, timely, and compliant documentation practices.
Serve 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.
Lead internal Root Cause Analyses and implement Corrective Action Plans (CAPs) for regulatory and clinical issues.
Serve 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 response.
Collaborate with the corporate Quality & Compliance teams on policy and procedure development and updates.
Partner with Enterprise Risk, Legal, and Quality on regulatory risk assessment and mitigation efforts, including home health litigation risks.
Coordinate with the Quality team to support and participate in quarterly QAPI meetings.
Analyze clinical trends and outcomes to identify opportunities for improvement and risk mitigation.
Collaborate with the Director of Outcomes & Complex Care Management to align clinical initiatives with organizational goals.
Partner with the Research department to integrate evidence-based practices into clinical programs.
Work with the Intake team to support clinical program alignment and ensure timely admissions.
Collaborate with the Revenue Cycle Department (RCD) to analyze and address denial trends.
Engage with the Clinical Advisory Board (CAB) to align clinical strategies with community needs.
Represent the agency at industry conferences and events to stay current on home health trends and innovations.
Drive execution of strategic initiatives and manage multiple clinical projects simultaneously.
Participate in special projects and perform other duties as assigned.
Qualifications Education:
Bachelor's Degree in Health Care, Nursing, Physical Therapy, Occupational Therapy, Public Health, or related health care field. required
Master's Degree in Health Care, Nursing, Public Health, Education, Business Administration or related field preferred
Work Experience:
Minimum of seven years of progressive experience in quality improvement and measurement, health information management, strategic planning, performance improvement, and/or research required
Management experience required
Experience in home health/home care required
Demonstrated ability to lead project teams, develop project plans with corporate wide impact, and work in team groups required
Excellent problem-solving skills, innovation, and strategy required
Strong oral/written communication, presentation, and organizational skills required
Proficiency in training and staff development preferred
Proficiency with personal computers, including Windows, Excel, Word and Power Point required
Pay Range USD $137,800.00 - USD $183,800.00 /Yr.
About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
#J-18808-Ljbffr