Manager Risk and Compliance

Job Description

Step into a meaningful role within our Hospice Care Team as a Manager of Risk and Compliance dedicated to supporting patients and families during some of life’s most vulnerable moments. You’ll serve as a trusted resource for nurses, physicians, caregivers, and loved ones, helping maintain comfort, dignity, and continuity of care.

This opportunity is ideal for someone who is compassionate and confident working independently in a field-based or home‑care setting. A passion for supporting colleagues, providing calm reassurance, and upholding the highest standards of patient-centered care will make you an invaluable part of our hospice mission.

Location:

Hospice of Cincinnati – 4360 Cooper Rd, Cincinnati, OH 45242

Work Schedule

• Full Time
• Day Shift
  
  

Incentives & Benefits

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement. Please use the link to view TriHealth’s benefits: https://careers.trihealth.com/what-we-offer/benefits

To explore more about Hospice and the care we provide click the link below:

https://hospiceofcincinnati.org/

Job Overview

This role is responsible for effective management of the HOC Navigators Compliance and Risk Programs ; ensuring organizational compliance with all applicable laws, regulations, and standards. Assists with development of and oversees implementation of the annual compliance and risk plans. Ensures effective work processes and structure to achieve results. Achieves pillar goals in the areas of people/culture, quality/safety/compliance, service, growth, and finance. Leads in accordance with TriHealth Way of Leading, SERVE values, and ALWAYS behaviors. Reports to the Chief Quality & Compliance Officer. Serves as a member of the HOC management team and compliance committee.

Job Requirements

Bachelor's Degree In healthcare or related field (Required)

Master's Degree (Preferred)

4 - 5 years Experience in progressive healthcare leadership (Required)

Knowledge of CMS Hospice Conditions of Participation and related state and federal regulations. Data collection, analysis and reporting. Computer literate and ability to use Microsoft tools and Epic.

Job Responsibilities

Achieves Results: Monitors, communicates, and manages compliance and risk performance to ensure organizational goals are achieved. Oversees development and implementation of training related to compliance and risk. Develops effective processes and leverages tools and technology to ensure high-reliability standard work. Effectively engages leaders, team members, and providers to continuously improve performance. Collaborates and coordinates with internal functions including IS, data analytics, quality, education, and billing; and external functions including legal, fiscal intermediaries, and auditing agencies.

Audit Plan: Oversees an effective audit plan to ensure all documentation is technically accurate and supports billing for the appropriate level of care. Oversees requests for Additional Development Requests (ADRs) and any other medical record-related requests.

Risk Management: Contributes to annual risk assessment. Implements, executes, and maintains the Risk Management Plan. Proactively identifies and mitigates risk vulnerabilities, monitors risk areas, and responds swiftly to resolve risks.

Compliance: Contributes to development of the HOC Compliance Plan. Implements, executes, and maintains the HOC Compliance Plan to ensure compliance with all rules and regulations, applicable laws and accreditation standards. Ensures any new programs and changes to existing programs comply with all rules and regulations, laws, and standards. Participates in Joint Commission readiness by ensuring policies and practices are consistent and compliant. Effectively leads documentation specialists and medical records teams.

Other Related Information

Direct Report FTEs = 3-9 Indirect Report FTEs = 3-9 Creates a culture of compliance, safety, and high reliability. Passion for excellence. Ability to achieve results through leadership, collaboration, and influence. Committed to developing and supporting others. Highly effective and transparent communicator and teacher. Chairs the Compliance and QAPI Committees. Participates in HOC Navigators Board Quality & Compliance Committee, Joint Commission Continued Readiness Committee, Policy & Procedure Committee, and other groups as needed.

Working Conditions

Bending - Rarely

Climbing - Rarely

Concentrating - Consistently

Continuous Learning - Frequently

Hearing: Conversation - Consistently

Hearing: Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Rarely

Lifting <10 Lbs. - Occasionally

Lifting 50+ Lbs. - Rarely

Lifting <50 Lbs. - Rarely

Pulling - Occasionally

Pushing - Occasionally

Reaching - Occasionally

Reading - Consistently

Sitting - Frequently

Standing - Occasionally

Stooping - Rarely

Talking - Consistently

Thinking/Reasoning - Consistently

Use of Hands - Consistently

Color Vision - Occasionally

Visual Acuity: Far - Occasionally

Visual Acuity: Near - Consistently

Walking - Frequently

Leadership Performance Standards

Achievement Of Annual Pillar Goals

TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results:

• Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance
  
  

Leadership Competencies

TriHealth Way of Leading

TriHealth Way of Serving

Transformation Change

Drive for Results

Build Organizational Talent

Leadership Tactics

Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.

Regularly Round on Team Members, using questions from the rounding log.

• 25 or fewer team members = monthly
• 26-50 team members = every other month
• 51+ (and optional team members) = quarterly
  
  

Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.

Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).

Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.