About The Position

Position Summary: The System Manager of Compliance is responsible for assisting leaders with planning, directing, organizing, monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team. Is responsible for implementing and administering programs, policies and practices to support an effective Compliance Program. Acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Performs regular audits, implements policies and designs control systems to support an effective compliance program. Ensures that project/department milestones/goals are met and adheres to approved budgets. Manages subordinate department staff in the day-to-day performance of their jobs and coordinates internal audits conducted by outsourced entities. Reports to the System Director Compliance, Privacy & Ethics.

Requirements

  • Required Bachelor’s Degree in Healthcare or related field or obtain Bachelor’s Degree in healthcare or related field within 24 months of hire
  • Minimum of 5 years’ experience in Healthcare or related field
  • Minimum of 1 year supervisory experience
  • Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
  • Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
  • Ability to work in a busy and stressful environment
  • Strong interpersonal, verbal and written communication skills
  • Creativity, problem analysis and decision making
  • Exercises tact, discretion, sensitivity and maintains confidentiality
  • Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
  • Ability to work varied shifts
  • This role requires regular and sustained attendance.
  • The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
  • On-call work may be required to respond promptly to organizational, patient, or employee needs.

Nice To Haves

  • One or more of the following certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified in Healthcare Compliance (CHC)
  • 5 years’ experience in hospital compliance

Responsibilities

  • Assisting leaders with planning, directing, organizing, monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team.
  • Implementing and administering programs, policies and practices to support an effective Compliance Program.
  • Acting as a liaison to government agencies and coordinates site visits for regulators.
  • Investigating potential compliance violations and takes corrective action as necessary.
  • Performing regular audits, implements policies and designs control systems to support an effective compliance program.
  • Ensuring that project/department milestones/goals are met and adheres to approved budgets.
  • Managing subordinate department staff in the day-to-day performance of their jobs and coordinates internal audits conducted by outsourced entities.
  • Directs broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements.
  • Ensures a collaborative departmental approach to operational planning, care/service design and development of organizational policies, which reflect the mission of the organization.
  • Coordinates and assists with oversight of departmental services.
  • Continuously assesses, measures and improves departmental performance.
  • Provides direct spiritual care for patients and families consistent with their cultural, spiritual, personal values, preferences, and beliefs.
  • Demonstrates responsible management of all departmental resources.
  • Demonstrates clinical/technical and managerial competency.
  • Leads, teaches, inspires, helps and consistently demonstrates healthcare system behavioral standards.
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