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About the Role

This leadership role provides oversight of regulatory compliance, quality assurance and performance improvement (QAPI), risk management, survey readiness, and corporate compliance activities. If you are passionate about improving quality outcomes, fostering ethical operations, ensuring regulatory excellence, and supporting resident-centered care, we invite you to join our leadership team.

Responsibilities

• Lead and oversee the organization's Compliance Program.
• Chair the Compliance and Ethics Committee.
• Coordinate compliance monitoring, investigations, reporting, and program evaluations.
• Promote organizational awareness of ethics, fraud prevention, and regulatory responsibilities.
• Monitor compliance with New York State and federal regulations governing Adult Homes, Assisted Living Programs, and Licensed Home Care Services Agencies.
• Coordinate survey readiness efforts and assist with regulatory inspections, audits, and investigations.
• Monitor implementation of corrective action plans and regulatory requirements.
• Facilitate and coordinate the organization's QAPI program.
• Analyze quality metrics and performance indicators.
• Lead quality improvement initiatives and monitor outcomes.
• Prepare reports and recommendations for leadership.
• Monitor incidents, grievances, complaints, and adverse events.
• Identify operational and regulatory risks and recommend mitigation strategies.
• Support resident safety, abuse prevention, emergency preparedness, and workplace safety initiatives.
• Conduct internal audits and mock surveys.
• Support policy development and regulatory updates.
• Coordinate compliance-related education and training programs.
• Serve as a trusted resource for leaders and staff on compliance, quality, and risk management matters.

Requirements

• Minimum of five years of progressive experience in healthcare compliance, quality management, risk management, healthcare administration, assisted living, home care, long-term care, or related healthcare settings preferred.
• Experience with New York State Department of Health regulations strongly preferred.
• Experience coordinating surveys, audits, compliance programs, investigations, or quality improvement initiatives preferred.
• Leadership experience preferred.

Skills

• Strong understanding of healthcare compliance, QAPI, and risk management principles.
• Knowledge of New York State Adult Home, ALP, and LHCSA regulations.
• Excellent analytical, organizational, and communication skills.
• Ability to interpret regulations and develop practical compliance solutions.
• Proficiency with Microsoft Office, electronic health records, and data analysis tools.

Location

• Jamestown, NY

Work Type

• Full-Time
• Exempt

Experience Level

• 5+ years preferred

Education Level

• Bachelor's degree in Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, Quality Management, or a related field required.
• Master's degree preferred.

Salary/Compensations

• $65,000 - $80,000 annually

Benefits

• Competitive salary and benefits package

About the Company

• Hultquist Place is a 96-bed Adult Home offering Assisted Living Program (ALP) services through Lutheran's Licensed Home Care Services Agency (LHCSA). As part of Lutheran's commitment to strengthening lives and communities, we provide compassionate care and supportive services that promote dignity, independence, and quality of life.

Equal Opportunity

• Lutheran Social Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.