Job Title: Compliance Officer
Reporting Supervisor: Director of Compliance
Position Summary: The Compliance Officer is tasked with instituting proactive systems and methods to include quality, risk & incident management as well as investigations and plans of correction. The overarching responsibility of this position is to eliminate any perils, exposure, and liability that could negatively impact or harm APluscare, employees, or the individuals in their care. This professional must implement policies based on DDD and other regulations and ensure the health, safety, and welfare of all stakeholders.
Job Duties:
Ensures quality of life of the client served and protected by minimizing risk to the entire Agency and surrounding community. Conducts spontaneous and scheduled visits and inspections. Creates and revises systems and procedures by analyzing compliance policies and practices. Identifies potential weaknesses and risks in operations, documenting needs for improvement, creating corrective plans, and ensuring correction. Reviews practices on an ongoing basis to ensure prevention of incidents or violations. Audits and corrects employee documentation at the residential or individual/client level. Reviews and updates internal policies; recommends and formulates policies, procedures, and guidelines. Responds to internal and external inquiries related to licensing and compliance issues. Creates and maintains compliance and audit documents. Resolves compliance and risk problems by analyzing regulations and identifying solutions. Facilitates Agency governance filings, licensing, registrations, and corporate records for oversight entities. Assists in the development and implementation of corporate governance policies, guidelines, and templates. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies, as applicable. Responsible for compliance activities to include reporting, risk assessments, training and follow-up reviews of compliance investigations and notifications. Responsible for ensuring that all employees receive all required training upon hire and annually thereafter. Responsible for ensuring that additional employee development opportunities are available on an ongoing basis to all staff. Attends Agency and departmental meetings, trainings, and activities. Operates Agency vehicles in accordance with agency standards and policies. Is available for after-hours on-call duties for urgent facility matters. All other duties as requested or assigned by APluscare.
Skills/Qualifications:
Bachelor's Degree is required. 3 to 5 years progressive and comprehensive experience or training in internal auditing and regulatory compliance in healthcare. Certified in Healthcare Compliance (CHC) by the Health Care Compliance Association preferred. Must possess thorough knowledge of laws, rules, and regulations pertaining to DDD and provider operations (including Stark, antikickback and other fraud and abuse laws), and principles, practices, and techniques of compliance management, including program planning and implementation, fiscal/financial analysis and basic accounting. 1-3 years of experience working in the field with individuals with developmental disabilities. 2+ years of experience in health care administration. Valid Driver's License. Excellent verbal and written communications. Employee must cooperate with the licensee and DHS department staff in any inspection or investigation. Employee must successfully complete and demonstrate proficiency in all areas of required training. All other duties as required or assigned by APluscare.
Physical Demands/Working Conditions:
Handles detailed work and highly complex problems, balancing multiple tasks simultaneously. The ability to effectively communicate (orally and written) and interact with others, including diverse, inter-disciplinary, cross-functional teams. The ability to read, concentrate, and learn. Physical requirements include: sitting, standing, lifting up to 50lbs, and computer work for long periods of time. The ability to verbally express ideas in a way that is easily understood by others who are unfamiliar with the topic, including delivering a presentation, giving accurate information or acting as a spokesperson. The ability to write concisely and convey meaning in a manner appropriate to different readers, presenting a persuasive argument. The ability to handle numbers, gathering statistical data and being able to analyze, interpret and present it in a clear and accurate way. Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects. The ability to apply clinical knowledge to program implementation and educational development of staff. The ability to design, plan, organize, and implement projects and tasks within an allotted timeframe. Support and maintain all corporate policies, procedures, and quality and confidentiality standards. Duties and responsibilities may be added, deleted or changed to meet the needs of the organization.
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