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Director of Quality Initiatives
Lionstone Healthcare. Lead organization-wide strategy to improve and sustain CMS Five-Star ratings across multiple facilities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CMS Five-Star methodologies and Quality Measures, with a strong focus on improving resident outcomes and quality performance across multiple skilled nursing facilities. Proficient in data analysis, quality improvement initiatives, and effective communication with facility leadership teams.
Highest-signal resume keywords
Registered Nurse (RN) LicenseCMS Five-Star MethodologiesQuality Measures ExpertiseOhio Quality Incentive Program (QIP)MDS Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisQuality Improvement InitiativesPerformance Metrics MonitoringAction Plan DevelopmentClinical Data InterpretationQuality ReportingAudit ConductingCoding Accuracy ImprovementSurvey PreparednessStrategic Planning
Soft Skills
Communication SkillsCoaching SkillsPresentation SkillsInfluencing SkillsLeadership Skills
Tools & Technologies
Projection ApplicationsQuality Reporting Programs
Certifications & Qualifications
RAC-CT Certification
Industry Keywords
Skilled NursingLong-Term CareFive-Star RatingsQuality Incentive ProgramMDS Coordinators
About the role
Key responsibilities & impact- Lead organization-wide strategy to improve and sustain CMS Five-Star ratings across multiple facilities
- Monitor and analyze Five-Star performance metrics, identifying trends, risks, and opportunities for improvement
- Develop and implement action plans covering Health Inspection, Quality Measure, and Staffing domains
- Provide education and coaching to facility leadership teams regarding Five-Star methodology and performance
- Serve as the organization’s expert on Quality Measures and quality reporting programs
- Analyze facility-level Quality Measure performance and develop improvement strategies
- Conduct routine audits to validate data integrity and identify opportunities for enhanced outcomes
- Partner with clinical and operational leaders to improve resident outcomes and quality performance
- Conduct monthly calls with centers to review current and projected metrics
- Collaborate with facility MDS teams to improve coding accuracy and Quality Measure outcomes
- Support education and competency development of MDS coordinators and interdisciplinary teams
- Lead organizational strategies related to Ohio’s Quality Incentive Program
- Monitor facility performance against QIP benchmarks and performance measures
- Identify opportunities to maximize incentive payments through improved quality outcomes and compliance
- Educate facility leaders on QIP requirements and financial impact
- Provide consultation, coaching, and support to administrators, DONs, MDS coordinators, and regional leadership
- Enter center percentages into projection applications and reports to track quality initiatives
- Participate in facility performance reviews and strategic planning meetings
- Assist with survey preparedness and post-survey quality improvement efforts
- Regularly travel to assigned Ohio facilities and corporate offices
Requirements
What you’ll need- Current Registered Nurse (RN) license required; exceptional Licensed Practical Nurses (LPNs) with significant MDS and Quality Measure expertise will be considered
- Minimum of 5 years of multi-site skilled nursing or long-term care experience
- Minimum of 5 years of MDS experience
- Demonstrated expertise in CMS Five-Star methodologies and Quality Measures
- Experience with the Ohio Quality Incentive Program (QIP)
- Strong analytical skills with the ability to interpret clinical, quality, and reimbursement data
- Proven ability to influence and lead change across multiple facilities
- Excellent communication, presentation, and coaching skills
- RAC-CT certification or similar reimbursement certification preferred
- Experience supporting multiple skilled nursing facilities in a regional or corporate role preferred
- Experience leading quality improvement initiatives resulting in measurable Five-Star or Quality Measure improvements preferred
- Candidates must reside in or near Columbus or Cincinnati, Ohio
- Candidates based in Cincinnati must be willing to travel overnight as needed to facilities in Northern Ohio