The Compliance Manager is responsible and accountable for overall implementation, evaluation and monitoring of accreditation and survey readiness for Federal, State, and Local agencies for a mid-size affiliate. The Manager reports directly to Compliance and Risk, working with affiliate leadership and clinical staff to meet regulatory requirements, manage risk situations, and maintain standards for State licensure.
Job Responsibilities:- Participates in all federal, state, and local surveys and accreditation activities for the assigned affiliate, including coverage for
- another affiliate, as needed, for vacations or time-off.
- Maintains effective communication with all employees promoting: (a) use of the compliance hotline, (b) heighten awareness of
- the Standards of Conduct, and (c) understanding of new and existing compliance issues related to policies and procedures.
- Coordinates and facilitates auditing activities relative to comprehensive Compliance Program initiatives.
- Ensures policies and procedures are up-to-date.
- Collects, analyzes, and trends data on patient incidents utilizing the event reporting system.
- Facilitates root cause analyses of adverse events and participates in action plans; monitors implementation and outcome of
- action plans as related to findings from federal, state, or local accrediting/licensing agencies.
- Identifies needs or seeks direction in identification of needs to maintain expertise and keeps current with health care trends
- and practices as related to organizational policies and federal, state, or local regulatory statutes.
- Performs other duties as assigned
Qualifications:- Bachelor's degree in related field, or an equivalent combination of work experience and education
- Minimum of three (3) years' related experience with knowledge of compliance and risk
- Minimum of one (1) year of management/supervisory experience preferred
- Strong business foundation with proven analytical and problem-solving skills
- Demonstrated skills in fiscal management, utilization of analytical and statistical tools, data analysis, and outcomes
- management
- State and Federal regulation knowledge and current updates
- Knowledgeable in Conditions of Participation for Hospice and accreditation standards
- Able to communicate effectively (written and verbal) in English
- Excellent management of group dynamics and conflict resolution
- Knowledge of and ability to apply process improvement theory and process mapping
- Computer knowledgeable and competent with statistical applications and graphics
- Able to work with minimal supervision and exercise a high degree of discretion and independent judgment
- Able to prioritize multiple job responsibilities, exercise critical thinking skills, and effectively handle stress
Benefits:- 403b Retirement Account and generous company match.
- Medical, Vision, and dental; some plans qualify for a Health Saving Account (HSA)
- Up to 27 days of PTO/Holiday
- Group & Voluntary Life / Accidental Death & Dismemberment Insurance
- Tuition Reimbursement
- Pet Insurance
- Employee Discounts
- Employee Assistance Program
