Manager, Compliance Program(on site)

Chapters Health•Fort Myers, FL

20h•Onsite

About The Position

The Compliance Program Manager is responsible and accountable to assist in the implementation, evaluation and monitoring of the Corporate Compliance Program & Plan across the Organization. Provides support to affiliate leadership and clinical staff to meet regulatory requirements and manages risk situations.

Requirements

Bachelor’s degree in nursing/health care or related field, or an equivalent combination of work experience and education
Current Florida license as RN, current active single-state out-of-state nurse license, or current active multistate/compact nurse license
Minimum of five (5) years’ experience utilizing knowledge of compliance and risk
Minimum of one (1) year of management/supervisory experience
Strong business foundation with proven analytical and problem-solving skills
Demonstrated skills in fiscal management, utilization of analytical and statistical tools, data analysis, and outcomes management
Working knowledge of State and Federal regulations
Knowledgeable in Joint Commission Hospice Standards and the National Patient Safety Goals
Excellent verbal and written communication skills (in English)
Skilled in management of group dynamics and conflict resolution
Knowledge of and ability to apply process improvement theory and process mapping
Computer knowledgeable and competent with statistical applications and graphics
Able to prioritize multiple job responsibilities, exercise critical thinking skills, and effectively handle stress
Able to work with minimal supervision and exercise a high degree of discretion and independent judgment
Satisfactorily completion of competency requirements for this position.

Nice To Haves

Master’s Degree in healthcare field preferred
HCCA Certification preferred or within one year of taking position

Responsibilities

Serves as a subject matter expert (SME) for all current Federal, Joint Commission, state and local laws pertaining to hospice and home health, as well as other lines of business.
Provides consultation and acts as a resource to staff regarding regulations.
Manages compliance activities to meet requirements and implements approved organizational practices as appropriate.
Works with other department leaders and staff to integrate compliance, performance improvement, and pertinent Joint Commission activities for the Organization.
Manages the Clinical, Technical and Admission Auditors in their day-to-day responsibilities and prepares compliance monitoring/auditing reports for the Senior Director of Compliance.
Ensures compliance findings are addressed and works with internal directors/managers to coordinate the development/revision and implementation of Company policies and guidelines.
Manages the Corporate Compliance Hotline and reporting system for occurrence reports; reviews reports resulting from such information; and makes recommendations for improvement based on information.
Coordinates audits and investigations of potential violations of law or Company policy under the direction of Senior Director of Compliance.
Coordinates timely response to requests from MAC, SMRC, Medicaid, Third Party payors, and other regulatory agencies.
Provides information to the Senior Director of Compliance on the implementation and management of risk management/legal issues.
Performs other duties as assigned.
Represent the Company professionally at all times through care delivered and/or services provided to all clients.
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
Comply with Company policies, procedures and standard practices.
Observe the Company's health, safety and security practices.
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
Use resources in a fiscally responsible manner.
Promote the Company through participation in community and professional organizations.
Participate proactively in improving performance at the organizational, departmental and individual levels.
Improve own professional knowledge and skill level.
Advance electronic media skills.
Support Company research and educational activities.
Share expertise with co-workers both formally and informally.
Participate in Quality Assessment Performance Improvement activities as appropriate for the position.
Provide direction for appropriate education and monitoring of and by the compliance staff regarding their own and the organization's responsibilities for regulatory compliance.