The Director of Five-Star & Quality Performance is responsible for leading organization-wide initiatives that drive Five-Star ratings, Quality Measures performance, MDS accuracy, and quality incentive outcomes across multiple skilled nursing facilities. This role serves as the subject matter expert for Five-Star methodology, MDS processes, Quality Measures, and the Ohio Quality Incentive Program (QIP), partnering closely with facility leadership teams to improve clinical outcomes, regulatory performance, reimbursement accuracy, and overall quality ratings.
This is a primarily remote position with regular travel to assigned facilities and corporate offices. Candidates should be located in the Columbus or Cincinnati market. Candidates based in Cincinnati must be willing to travel overnight as needed to facilities in Northern Ohio, including the Cleveland and Toledo areas.
Key Responsibilities
Five-Star Management & Performance
- 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 to improve Health Inspection, Quality Measure, and Staffing domains.
- Provide ongoing education and coaching to facility leadership teams regarding Five-Star methodology and performance.
Quality Measures Leadership
- 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 overall quality performance.
- Conduct monthly calls with the centers to review current metrics and project metrics for end of quarter/
MDS Oversight
- Collaborate with facility MDS teams to improve coding accuracy and Quality Measure outcomes.
- Support education and competency development of MDS coordinators and interdisciplinary teams.
Ohio Quality Incentive Program (QIP)
- 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.
Multi-Site Leadership
- Provide consultation, coaching, and support to administrators, DONs, MDS coordinators, and regional leadership as related to the company’s quality initiatives.
- Input center’s percentages into our projection applications and reports to track quality initiatives across facilities.
- Participate in facility performance reviews and strategic planning meetings.
- Assist with survey preparedness and post-survey quality improvement efforts.
Work Environment & Travel
- Primarily remote position.
- Expected in a corporate or regional office approximately 1-2 days per week.
- Candidates must reside in or near Columbus or Cincinnati, Ohio.
- Regular travel to Ohio facilities required.
- Candidates located in Cincinnati must be willing to travel overnight as needed to support facilities in Cleveland, Toledo, and other Northern Ohio markets.
Success Measures
The successful candidate will:
- Improve and sustain Five-Star ratings across assigned facilities.
- Drive measurable improvement in Quality Measures outcomes.
- Enhance MDS accuracy, compliance, and reimbursement performance.
- Maximize organizational performance under the Ohio Quality Incentive Program.
- Develop strong partnerships with facility leadership teams while creating a culture of accountability and continuous quality improvement.
Required
- 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.
Preferred
- RAC-CT certification or similar reimbursement certification.
- Experience supporting multiple skilled nursing facilities in a regional or corporate role.
- Experience leading quality improvement initiatives resulting in measurable Five-Star or Quality Measure improvements.
Skills Required
- Current Registered Nurse (RN) license; exceptional LPNs with significant MDS and Quality Measure expertise may be considered
- At least 5 years of multi-site skilled nursing or long-term care experience
- At least 5 years of MDS experience
- Expertise in CMS Five-Star methodologies and Quality Measures
- Experience with the Ohio Quality Incentive Program (QIP)
- Strong analytical skills interpreting clinical, quality, and reimbursement data
- Ability to influence and lead change across multiple facilities
- Excellent communication, presentation, and coaching skills
- RAC-CT certification or similar reimbursement certification
- Experience supporting multiple skilled nursing facilities in a regional or corporate role
- Experience leading quality improvement initiatives producing measurable Five-Star or Quality Measure improvements
- Residence in or near Columbus or Cincinnati, Ohio
- Willingness to travel overnight to Northern Ohio facilities when needed
What We Do
Lionstone Healthcare drives excellence across assisted living and skilled nursing facilities through innovation, leadership, and operational expertise. The company specializes in providing comprehensive senior care services, focusing on skilled nursing, rehabilitation, and long-term care to support individuals requiring medical assistance.
