Director of Licensure and Regulatory Affairs

Company:

Compassus

 

Position Summary

The Director of Licensure and Regulatory Affairs is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Director of Licensure and Regulatory Affairs provides leadership and expertise in the pursuit and attainment of organizational goals related to licensing, Medicare enrollment, and regulatory compliance. S/he will be responsible for the preparation and submission of correspondence and applications to regulatory agencies in a timely manner. S/he will manage relationships with federal and state entities as it relates to licensing and Medicare enrollment.

Position Specific Responsibilities

• • Completes and submits State and Federal licensure applications for hospice, home health, infusion and palliative care, ensuring compliance with all regulatory requirements.
  
  • Manages the submission of state applications for annual renewal and promptly updates records when changes occur.
  
  • Handles the submission of Medicare 855A applications for hospice, home health and infusion and 855B applications for palliative care and HIT Infusion.
  
  • Executes the completion and submission of Civil Rights policies as mandated by the State.
  
  • Manages the submissions of CLIA Waiver applications, along with securing Pharmacy permits for relevant states.
  
  • Updates the NPPES site with accurate and current information.
  
  • Cultivates and maintains relationships with federal and state entities to foster regulatory compliance.
  
  • Initiates contact with regulators to address service area expansion, relocations, closures, and program openings.
  
  • Manages the notifications of State and Federal regulators promptly about changes in executive directors, alternate executive directors, and supervising nurses.
  
  • Completes Accreditation renewals for hospice, home health and infusion and provides program updates to the Accrediting Bodies.
  
  • Provides crucial support to outside counsel and supplies information for acquisition and name change applications.
  
  • Ensures the acquisition of appropriate signatures on all applications.
  
  • Maintains open communication with programs undergoing changes such as moving, closing, opening, or combining offices, guaranteeing the completion of all necessary regulatory steps.
  
  • Performs other duties as assigned.
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Education and/or Experience

• Bachelor’s degree in Health Care Administration or Business Administration required, Advanced degree preferred.
• 5 years previous experience in healthcare licensing and Medicare/Medicaid enrollment management required.
• Substantial experience in management required, hospice and/or home care management or operations experience preferred.

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Strong organizational and time management skills. Must be able to work a flexible schedule to include nights and weekends. Detailed knowledge of federal and state regulations as they pertain to hospice and home care licensure, enrollment, and administration. Working knowledge of Accreditation and survey requirements for hospice and/or home health. Must be able to travel. Ability to track multiple time-sensitive projects simultaneously, design and implement effective reporting on projects, and achieve project completion by deadlines. Ability to work well with others, inspire confidence and respect, and model strong moral character and ethical behavior.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking,