COMPLIANCE AND PRIVACY SPECIALIST

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY•Brick, NJ

2h•$0 - $65,000•Hybrid

About The Position

This individual is responsible for monitoring and ensuring the organization’s compliance with all regulatory agencies; licensing and accreditation. Preferred Behavioral Health Group is the premier behavioral health organization in New Jersey, an award-winning team, and was proudly named one of "THE BEST PLACES TO WORK IN NEW JERSEY" for BOTH 2024 and 2025 by NJBIZ. Our mission is to change lives and save lives across the state of New Jersey through a Trauma Informed Care culture. Our staff is at the core of everything we do. We are dedicated to building a diverse team where employees feel a sense of belonging and are valued for their individual contributions. We encourage staff development and embrace a growth mindset.

Requirements

Knowledge of HIPAA and privacy regulations
Knowledge of mental health and substance abuse regulations
Proficient in Microsoft Office Suite, including advanced Excel functions for data analysis and reporting.
Experienced with Microsoft Teams, Outlook, SharePoint, and cloud-based collaboration tools.
Skilled in data management, dashboard development, and performance monitoring.
Knowledge of electronic health record systems and quality improvement databases.
Master’s Degree in Social Work or related field
minimum of three years' experience in behavioral field, and clinical licensure or direct care experience in respective field

Nice To Haves

LSW/LCSW preferred

Responsibilities

Ensures timely completion/submission of Quality/compliance documents, data, reports, etc., and conducts follow-up for missing data
Reviews regulations and standards against programmatic and organization-wide policies and procedures to determine organizational-level of compliance, processes, recommendations, and initiates actions to ensure compliance
Maintains current knowledge of requirements and standards for accreditation and licensing, including, but not limited to, state regulations, HIPAA, ACA, CARF, etc.
Develops, initiates, maintains and revises policies and procedures as needed for the general operation of the Compliance Program and its related activities, as well as for risk management purposes
Coordinates the development, implementation and maintenance of audit controls and measurements for internal processes, ensuring correct processes are in place for accurate, complete and compliant programs across the organization
Monitors compliance with USTF reporting requirements
Completes internal investigations as directed by Director of Quality & Compliance
Monitors for and reports HIPAA or compliance breaches to appropriate agencies
Institutes and maintains an effective compliance communication program for the organization which includes both written materials and training programs designed specifically to promote understanding of compliance issues, laws and regulations and consequences of non-compliance
Collaborates with the Human Resources Department and others, as appropriate, to provide an effective compliance training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers
Monitors implementation of the Quality Improvement Plan
Facilitates root cause analysis meetings and incorporates policy change as required
Monitors ISR account list for Medicaid PEs
Completes licensing and accreditation applications
Reviews all Business Associate Agreements (BAA) with external entities
Maintains Governance, Risk, and Compliance software (ComplyAssistant), including contract maintenance
Serves as a liaison to licensing and accreditation bodies as needed
Collaborates with leadership and program staff to prepare for licensing and accreditation inspections and to remediate findings, as needed
Assists with all site visit activities, prepares plans of correction and monitors implementation