Compliance Specialist

TCN BEHAVIORAL HEALTH SERVICES INC•Xenia, OH

19d

About The Position

The Compliance Specialist shares responsibility for overseeing and managing duties that help maintain the organization’s compliance with regulations, standards, and procedures associated with federal, state, and local funding. The role focuses on behavioral health services and requires attention to detail, adherence to regulatory frameworks, and collaboration with stakeholders to support service quality and funding requirements. The position manages incident-report processes, satisfaction surveys, client rights and grievances, compliance training, policy reviews, community-meeting follow-up, clinical chart reviews and observations, and additional-session requests. It also assists with on-site surveys and other duties as requested by the Corporate Compliance Officer. The employee must maintain an appropriate professional license or registration and required continuing education, complete agency and regulatory trainings, follow organizational policies and behavioral and ethical expectations, and support TCN’s C.A.R.E.S. core values: Commitment, Accountability, Respect, Empathy, and Service.

Requirements

Three years of experience in quality assurance/quality improvement activities are required.
An associate degree with licensure in a behavioral health-related field is preferred.
Knowledge of safety rules and procedures, agency policies and procedures, regulatory agency requirements, and documentation requirements.
Sound analytical, problem-solving, and interpersonal skills.
Ability to perform duties effectively under potential emotional stress and in conflict situations.
Proficiency with basic computer skills and office equipment for documentation and communication.
Client-focused approach, active listening, reading comprehension, critical thinking, and leadership abilities.
Ability to multitask, communicate information clearly, follow directions, and demonstrate strong attention to detail.
Ability to use a computer keyboard, sit for periods of time, and lift up to 25 pounds.
Maintain a license or registration appropriate to the profession or job requirement and complete appropriate continuing education throughout employment.
Complete agency-required annual training, including client rights and grievances, safety, and infection control.

Nice To Haves

Three years of behavioral health experience.
Leadership experience.
Associate degree with licensure in a behavioral health-related field.

Responsibilities

Oversee the incident-report process, including staff training, review for completeness and accuracy, routing for signatures, and reporting to Ohio DBH when required.
Review incident reports in monthly safety committee meetings and conduct an annual review to identify concerns and develop action plans with CQI committee members.
For incidents involving a client death, request the coroner’s report and consult the Chief Medical Officer about whether a death review is necessary; coordinate and document any required review meeting.
Maintain incident-related documentation in designated electronic document management systems.
Maintain, create, or redesign satisfaction surveys for clients and community partners or referral sources; coordinate survey distribution, data entry, analysis, reporting, and discussion of findings in PI/CQI meetings.
Collaborate with department managers on reports and plans to address concerns identified through survey results.
Receive, address, research, document, and maintain written or verbal client or parent/guardian grievances.
Monitor and evaluate Client Rights and Grievances policies and procedures, and report grievances to applicable committees, leaders, boards, human resources, MHRB, and the TCN Board of Directors as specified.
Conduct Client Rights training for new personnel during orientation and for current staff annually.
Conduct compliance training for personnel at hire and annually, in person or through an approved electronic or software platform.
Participate in the annual review and updating of TCN Behavioral Health Services policies and procedures, including leading meetings or committees as needed.
Attend community meetings, summarize minutes and action items as applicable, and disseminate information to TCN leaders and employees as appropriate.
Complete two clinical chart focus reviews within the first 30 days of a new clinical employee’s hire and an additional review 60 days after hire; review at least two charts per week.
Observe each clinical provider at least once every six months, review documentation from the observation, and prepare a summary for the provider and supervisor.
Oversee the adult mental health department’s Additional Session Requests procedure as needed; review charts and requests, assess viability, recommend alternatives where appropriate, maintain review records, and ensure identified corrections are made.
Run a monthly report on clients approaching or exceeding 12 sessions to check that providers are following the model and submitting requests as needed.
Assist with on-site surveys and perform other duties as requested by the Corporate Compliance Officer.
Maintain a professional license or registration appropriate to the profession or job requirements, including required continuing education.
Complete required annual agency training, including client rights and grievances, safety, infection control, and other training required by Ohio DBH, CARF, or other regulators.
Remain free from citations for unethical practice and meet the standards of the employee’s profession.
Follow organizational and departmental policies and behavioral and ethical expectations; complete required agency trainings; and demonstrate and support TCN C.A.R.E.S. core values.