Manager of Compliance and Accreditation

Catholic Charities of Ingham, Eaton, & Clinton Counties•Lansing, MI

About The Position

Job Summary: Under the general supervision of the Director of Human Resources, oversees the agency’s compliance and accreditation functions while providing technical advice/guidance and support to all levels of the organization to align with Catholic Charities of Eaton, Ingham and Clinton’s (CCEIC) mission, vision, values, and strategic planning processes. Agency Expectations of Employee: Supports Mission, Vision and values of agency and church social teachings. Is sensitive to cultural diversity of colleagues and clients served. Demonstrates ongoing professional growth and knowledge through training and experience. Forges mutually respectful partnerships with persons served and their families to assist them in gaining skills and confidence to address the problems and issues they face. Believes in the capacity of people to grow and change. Role and Responsibilities Key Duties and Responsibilities (Compliance and Accreditation) Oversees, coordinates and serves as a resource for administration and program management in successful preparation for National Accreditation. Monitors and evaluates performance of the program with respect to the agency’s annual plan, contractual requirements and audit findings. Monitors the program to ensure contractual compliance as well as maintenance of accreditation and licensing standards. Knowledge of Continuous Quality Improvement (CQI) methodologies Facilitate Performance and Quality Improvement (PQI) throughout the agency including the plan and processes to meet PQI goals. Acts as the agency’s Recipient Rights and Corporate Compliance Representative for MSHN, MDHHS and other contracts In partnership with program leadership develops systems to support implementation and maintenance of the agencies client demographic database. Publishes monthly, quarterly, special request reports as necessary. Oversees client and staff satisfaction surveys and reporting processes across the agency. Contributes to the development, maintenance and review of agency policies and procedures. Execute, facilitate, and support reviews according to program expectations and standards including risk based, random and quality assurance reviews for strategic areas. Does research and provides input for ongoing policy and procedure development and review processes. Maintains positive and professional interpersonal relationships and represents the best interests of the agency at all times. Remains sensitive to language and cultural differences of clients and staff. Investigates all client complaints and provides follow up. Facilitates monthly utilization review meetings, collects and provides analysis of data to all appropriate parties. Facilitates all required agency trainings as assigned. Acts as the HIPAA Privacy Officer for the agency Qualifications and Education Requirements Education: Possession of Bachelor’s degree in Social Work, Project Management, Business Administration, or related field and experience. License : N/A Qualifications / Experience: Experience : A minimum of two to four years of progressively more responsible work experience in management, administration, quality improvement, accreditation, or social services. Experience in non-profits preferred. Qualifications: The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Emotionally able to work with information that may be traumatic in nature, as well as, work with individuals or families in crisis or experiencing trauma. Ability to stand and/or walk up to 8 hours per shift. Work involves talking, stooping, squatting, twisting, climbing, kneeling, hearing, using hands to handle, feel or operate objects, tools, or controls and reach with hands and arms. Vision abilities required by this job include close vision, distance vision and the ability to adjust focus. May be required to push, pull, lift, and/or carry up to 50 pounds. Ability to sit and use computer workstation, including keyboard and visual display terminal for extended periods of time. Noise in the work environment is usually moderately quiet but can be very loud at times. Work in an environment with various degrees of discomfort. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Additional Notes This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change duties at any time.

Requirements

Possession of Bachelor’s degree in Social Work, Project Management, Business Administration, or related field and experience.
A minimum of two to four years of progressively more responsible work experience in management, administration, quality improvement, accreditation, or social services.
Emotionally able to work with information that may be traumatic in nature, as well as, work with individuals or families in crisis or experiencing trauma.
Ability to stand and/or walk up to 8 hours per shift.
Work involves talking, stooping, squatting, twisting, climbing, kneeling, hearing, using hands to handle, feel or operate objects, tools, or controls and reach with hands and arms.
Vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
May be required to push, pull, lift, and/or carry up to 50 pounds.
Ability to sit and use computer workstation, including keyboard and visual display terminal for extended periods of time.

Nice To Haves

Experience in non-profits preferred.

Responsibilities

Oversees, coordinates and serves as a resource for administration and program management in successful preparation for National Accreditation.
Monitors and evaluates performance of the program with respect to the agency’s annual plan, contractual requirements and audit findings.
Monitors the program to ensure contractual compliance as well as maintenance of accreditation and licensing standards.
Knowledge of Continuous Quality Improvement (CQI) methodologies
Facilitate Performance and Quality Improvement (PQI) throughout the agency including the plan and processes to meet PQI goals.
Acts as the agency’s Recipient Rights and Corporate Compliance Representative for MSHN, MDHHS and other contracts
In partnership with program leadership develops systems to support implementation and maintenance of the agencies client demographic database.
Publishes monthly, quarterly, special request reports as necessary.
Oversees client and staff satisfaction surveys and reporting processes across the agency.
Contributes to the development, maintenance and review of agency policies and procedures.
Execute, facilitate, and support reviews according to program expectations and standards including risk based, random and quality assurance reviews for strategic areas.
Does research and provides input for ongoing policy and procedure development and review processes.
Maintains positive and professional interpersonal relationships and represents the best interests of the agency at all times.
Remains sensitive to language and cultural differences of clients and staff.
Investigates all client complaints and provides follow up.
Facilitates monthly utilization review meetings, collects and provides analysis of data to all appropriate parties.
Facilitates all required agency trainings as assigned.
Acts as the HIPAA Privacy Officer for the agency