Acute Rehabilitation Hospital
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!
#J-18808-Ljbffr
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!
#J-18808-Ljbffr