Director of Quality Management

Director of Quality Management (DQM) Acute Rehabilitation Hospital of Plano Plano, Texas Position Overview

Acute Rehabilitation Hospital of Plano in Plano, TX has an exciting opportunity for a Director of Quality Management (DQM) to join our leadership team! A rewarding career is waiting for you at a hospital that specializes in high-quality rehabilitative care. If you are an experienced quality or compliance leader with a passion for regulatory excellence and continuous improvement, we invite you to explore this opportunity.

The Director of Quality Management (DQM) is a strategic leadership role responsible for overseeing all quality, compliance, and performance improvement initiatives within the inpatient rehabilitation hospital. This position ensures adherence to CMS Review Choice Demonstration (RCD) requirements, IRF coverage criteria, and accreditation standards while driving documentation excellence, denial prevention, and reimbursement integrity. The DQM partners closely with clinical and operational leaders to support high-quality patient outcomes and organizational success.

Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients. We offer competitive compensation, health, dental, and vision insurance, company-paid life insurance, holiday pay, paid time off, employee appreciation events, and much more. At Acute Rehabilitation Hospital of Plano in Plano, TX, you will join a respected hospital making a meaningful impact on the lives of our patients, our team, and the community we serve.

We look forward to welcoming you to our team!

Key Responsibilities CMS Review Choice Demonstration (RCD) Leadership

• Lead all aspects of the RCD program, including cycle management, submissions, and CMS timelines.
• Monitor affirmation and approval rates; implement corrective actions to maintain compliance and reduce review burden.
• Oversee response to Additional Documentation Requests (ADRs).

Regulatory & Compliance Oversight

• Ensure adherence to IRF coverage criteria (42 CFR §412.622), including:
  • Medical necessity documentation
  • Therapy intensity requirements
  • Physician supervision standards
• Maintain readiness for CMS audits and external reviews.
• Maintain working knowledge of CIHQ regulations and accreditation standards.

Quality Assessment & Performance Improvement (QAPI)

• Direct the hospital‑wide QAPI program, prioritizing high‑risk and problem‑prone areas.
• Integrate IRF‑QRP and IRF‑PAI data into performance dashboards.
• Report quality outcomes to hospital leadership and governing body.

Documentation Excellence & Denial Prevention

• Develop and enforce documentation standards for:
  • Pre‑admission screening
  • Individualized plans of care
  • Team conference documentation
  • Therapy documentation
• Partner with coding and revenue cycle teams to reduce clinical and technical denials.

Education & Training

• Provide ongoing education to physicians, therapists, and case managers on:
  • RCD requirements
  • Medical necessity standards
  • Documentation best practices
• Create tools, templates, and job aids to support accurate and timely documentation.

Data Analysis & Reporting

• Track and analyze key performance indicators including:
  • Affirmation rates
  • Denial trends
  • Compliance scores
• Prepare executive‑level reports demonstrating regulatory compliance and quality outcomes.

Compliance & Governance

All services are provided in accordance with:

• Federal and State rules and regulations
• Hospital policies and procedures
• Employee Handbook policies
• Patient Bill of Rights
• Employee Code of Conduct
• HIPAA requirements

Qualifications Education

• Bachelor’s degree in Nursing, Healthcare Administration, Physical Therapy, Occupational Therapy, or related field (Master’s preferred)

Licensure

• Active, unrestricted RN, PT, or OT license

Experience

• Minimum 3+ years of leadership experience in inpatient rehabilitation
• Strong working knowledge of:
  • CMS IRF regulations
  • Prospective Payment System (PPS)
  • QAPI standards

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Company Paid Life Insurance
• 401k Retirement Savings
• Supplemental Voluntary Benefits
• Paid Time Off with Cash‑Out and Donation Options
• Paid Holidays
• Pay on Demand – Payday Advance
• Gym Membership and Fitness Program Discounts
• Employee Discounts on Everyday Purchases and Services
• Access to Automobile and Home Insurance Marketplace and more!

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