Compliance Generalist

WESTERN RESERVE AREA AGENCY ON AGING•North Olmsted, OH

1d•$65,000 - $0•Onsite

About The Position

The Compliance Generalist is a Registered Nurse or Licensed Social Worker who applies clinical knowledge to review cases and assess the agency’s compliance with program and regulatory requirements. The role also compiles and analyzes data related to assessments, care management, and other services to help identify and resolve potential compliance risks. The position serves as a clinical and compliance subject matter expert and works with the Compliance Officer and other departments to address issues and support compliance efforts. The role is based at the agency’s corporate location in North Olmsted, Ohio, and reports to the Senior Compliance and Privacy Officer. It requires an active Ohio RN or social work license. The agency is a private nonprofit corporation serving older adults and people who need home and community services in five Ohio counties.

Requirements

Current Ohio licensure as a Registered Nurse through the Ohio Board of Nursing, or current Ohio social worker licensure through the State of Ohio Counselor and Social Worker Board.
Strong organizational skills, accuracy, and keen attention to detail.
Research and analytical skills.
Excellent interpersonal and business communication skills, and the ability to communicate collaboratively and maintain good working relationships.
Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint, as well as word processing, graphics, spreadsheets, databases, email, and Internet research.
Ability to use and be trained in multiple databases.
A car available during working hours and the legal ability to drive.
Ability to independently identify, research, and resolve issues.
Sound technical skills, analytical ability, and good judgment.
Ability to sit for prolonged periods while completing chart audits.
Ability to sit, stand, stoop, bend, and ambulate intermittently; see and hear in the normal range with or without correction; operate office equipment using finger dexterity; and communicate face-to-face, by phone, email, and other means.
Ability to push, pull, or lift up to 100 pounds.
Some exposure to warm chemicals and cleaning products and to warm and cold temperatures.

Nice To Haves

At least two years of compliance, supervisory, or quality improvement experience.
Experience with team processes, assessment, and case work.

Responsibilities

Serve as a clinical and compliance subject matter expert.
Evaluate cases for compliance with contract and regulatory requirements, standards of care, and sound clinical judgment.
Develop, initiate, maintain, and revise policies and procedures related to the general operation of the Compliance Program for assigned programs.
Provide post-audit findings and recommendations to support contractual program and compliance standards.
Identify potential areas of compliance vulnerability and risk.
Work with the Compliance Officer and other departments to develop corrective action plans and provide guidance on preventing or addressing similar issues based on regulatory requirements and clinical experience.
Provide regular and requested reports to keep the Compliance Officer, Compliance Committee, and/or senior management informed about compliance operations and progress.
Manage multiple priorities while maintaining established time frames, meeting deadlines, and communicating changes effectively.
Maintain proficiency in required computer applications and software.
Maintain consumer confidentiality according to agency policy.
Participate in trainings, meetings, in-services, and continuing education opportunities requested by a supervisor or manager.
Complete chart audits, including sitting for prolonged periods.