Compliance Specialist II

Rogers Behavioral Health•Oconomowoc, WI

8d•Hybrid

About The Position

The Compliance Specialist II is responsible for managing incident and investigation reporting events and will complete internal audits of each program to monitor and ensure compliance with State, Federal, and Joint Commission Standards. The Specialist II will be responsible to manage daily assigned incident or other serious event investigations that occur within the assigned programs they are responsible for. They will support program documentation compliance by completing chart audits. They will complete program audits to ensure processes the organization implements compliant outcomes. If the outcomes are not compliant, recommend making appropriate changes to the issues giving rise to non-compliance. Perform quarterly (four per year) program audits within all assigned programs they are responsible for. These surveys may occur in Rogers Inpatient Hospital, Residential and Outpatient settings. The program audits will require the Specialist to: Interview staff, discuss regulations, standards and Roger’s policies. Provide education to staff when needed in all areas related to compliance with these standards. Prepare findings report. Track action items for follow up and revisit on follow up surveillance rounds to ensure resolution. They will assist during Federal, State and Joint Commission surveys as needed, conducting tours and providing necessary documents as appropriate. Participate in the Rogers Operating System to ensure action plans and follow-up projects to address any regulatory deficiencies identified are addressed. Utilize key metrics and reporting tools related to all department functions. Promote a team atmosphere by treating individuals with respect and honesty and by using direct communication and active listening skills. Be open to change and actively support change. Be open to others’ ideas and points of view. Facilitate change in a positive and agile atmosphere. Conduct self in a professional manner. Demonstrate organizational skills that promote timely response to all inquiries and to task completion. Communicate with all individuals in a positive and professional manner. Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solutions. Communicate concerns and provide solutions for the same. Attend outside seminars and/or educational classes to promote professional growth. Demonstrate a positive and professional attitude toward parties outside the hospital (provider relations representatives, managed care contractors, visitors, vendors, etc.). Comply with the hospital’s policies and procedures, including Human Resources, Infection Control, and Employee health policies and programs. Project a professional image by wearing appropriate, professional attire. Perform other duties as assigned. Ability to travel up to 50% of the time.

Requirements

Bachelor’s degree in political science, social services, business, healthcare or related field required.
3 to 5 years’ experience with regulatory agencies.
Demonstrate an understanding of Joint Commission, State and Federal regulatory requirements and risk management responsibilities.
Must hold a valid driver license.
Must be granted insurable status by the Rogers Memorial Hospital insurance policy.

Nice To Haves

Experience conducting audits with Joint Commission or state agency preferred.

Responsibilities

Manage daily assigned incident or other serious event investigations within assigned programs.
Support program documentation compliance by completing chart audits.
Complete program audits to ensure processes implement compliant outcomes and recommend changes if non-compliant.
Perform quarterly program audits in Rogers Inpatient Hospital, Residential and Outpatient settings.
Interview staff, discuss regulations, standards, and policies.
Provide education to staff on compliance with standards.
Prepare findings reports.
Track action items for follow-up and conduct surveillance rounds to ensure resolution.
Assist during Federal, State, and Joint Commission surveys.
Participate in the Rogers Operating System to address regulatory deficiencies.
Utilize key metrics and reporting tools.
Promote a team atmosphere.
Be open to change and support change.
Be open to others’ ideas and points of view.
Facilitate change in a positive and agile atmosphere.
Conduct self in a professional manner.
Demonstrate organizational skills for timely response and task completion.
Communicate with all individuals in a positive and professional manner.
Attempt to resolve individual issues with peers positively and calmly, focusing on solutions.
Communicate concerns and provide solutions.
Attend outside seminars and/or educational classes for professional growth.
Demonstrate a positive and professional attitude toward external parties.
Comply with hospital policies and procedures.
Project a professional image through attire.
Perform other duties as assigned.