Compliance Manager - NOT REMOTE

Capital Caring•Fairview Park, VA

3d•Onsite

About The Position

The Compliance Manager is accountable for implementing, evaluating, and monitoring accreditation and survey readiness for federal, state, and local agencies at a mid-size affiliate. The role reports directly to Compliance and Risk and works with affiliate leadership and clinical staff to meet regulatory requirements, manage risk situations, and maintain applicable licensure standards. The position participates in surveys and accreditation activities, coordinates compliance auditing, supports employee awareness of compliance issues, and ensures policies and procedures remain current. It also collects and analyzes patient incident data, facilitates root cause analyses, and monitors action plans related to findings from accrediting and licensing agencies. The manager may provide coverage for another affiliate during vacations or time off and performs other duties as assigned.

Requirements

Bachelor’s degree in a related field, or an equivalent combination of work experience and education.
At least three years of related experience with knowledge of compliance and risk.
Strong business foundation with proven analytical and problem-solving skills.
Demonstrated skills in fiscal management, use of analytical and statistical tools, data analysis, and outcomes management.
Knowledge of state and federal regulations and current updates.
Ability to communicate effectively in written and spoken English.
Excellent management of group dynamics and conflict resolution skills.
Knowledge of and ability to apply process improvement theory and process mapping.
Computer knowledge and competence with statistical applications and graphics.
Ability to work with minimal supervision and exercise discretion and independent judgment.
Ability to prioritize multiple responsibilities, use critical thinking skills, and handle stress effectively.
Satisfactory completion of competency requirements for the position.

Nice To Haves

At least one year of management or supervisory experience.
Knowledge of Hospice Conditions of Participation and the National Patient Safety Goals.

Responsibilities

Participate in federal, state, and local surveys and accreditation activities for the assigned affiliate, including providing coverage for another affiliate as needed.
Communicate with employees to promote use of the compliance hotline, awareness of the Standards of Conduct, and understanding of compliance issues related to policies and procedures.
Coordinate and facilitate auditing activities related to comprehensive Compliance Program initiatives.
Ensure policies and procedures are up to date.
Collect, analyze, and trend patient incident data using the event reporting system.
Facilitate root cause analyses of adverse events and participate in action plans.
Monitor implementation and outcomes of action plans related to findings from federal, state, or local accrediting and licensing agencies.
Identify needs or seek direction to maintain expertise and stay current with healthcare trends and practices, organizational policies, and regulatory statutes.
Represent the Company professionally and comply with applicable government regulations, Company policies, and health, safety, security, and confidentiality practices.
Use resources responsibly; participate in organizational, departmental, and individual performance improvement and Quality Assessment/Performance Improvement activities as appropriate.
Maintain professional knowledge and skills, advance electronic media skills, support research and educational activities, share expertise with coworkers, and promote the Company through community and professional organizations.
Perform other duties as assigned.