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Lifeways
Ontario, OR | Full Time
$97k-124k (estimate)
1 Month Ago
Compliance Director
Lifeways Ontario, OR
$97k-124k (estimate)
Full Time | Ambulatory Healthcare Services 1 Month Ago
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Lifeways is Hiring a Compliance Director Near Ontario, OR

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)
  • Act as Compliance, Quality Assurance and Mental Health Abuse Investigations Director for the organization.
  • Responsible for development, day-to-day management, and oversight of the compliance, quality assurance and mental health abuse investigation programs.
  • Complete an annual compliance work plan, an annual Quality Assurance (QA) plan, an agency-wide risk assessment, and maintain and submit an annual HHS Breach Report.
  • Revise and oversee agency compliance and privacy policies/procedures, agency records, contracts, Business Associate agreements, and standards of conduct to ensure agency policies are updated regularly, comply with evidence-based practices, and in accordance with statutes and state and federal regulations.
  • Develop and implement a training program that include:
  • Agency-wide training for new employees on compliance, prevention of fraud, waste & abuse, and Lifeways’ Code of Conduct, HIPAA privacy regulations.
  • On-going clinical, compliance, and QA training for employees working in high-risk positions.
  • Regularly report to the CEO and Board of Directors on efforts to develop and implement effective compliance, privacy, and quality assurance programs.
  • Communicate to employees the importance of reporting suspected wrongdoing to Lifeways and manage anonymous and confidential reporting mechanisms including a “hotline” for reporting suspected misconduct, fraud, waste, or abuse.
  • Conduct regular audits of agency compliance records, billing, electronic medical records including service documentation and privacy records, to help reduce agency risk, breaches, destruction & retention, and to comply with regulations.
  • Direct investigations into compliance related activities and potential breaches of Personal Health Information,
  • Direct mental health screening and investigation of potential abuse and ensure 24/7-365 screening of abuse reports as per Oregon Administrative Rules (OAR’s).
  • In conjunction with the CEO, Lifeways Board, and Lifeways legal counsel determine appropriate agency response to detected violations.
  • Organize and participate in QA, Coordinated Care, Compliance, HIPPA Compliance and other job-related committees.
  • Direct response of privacy practice complaints and client and community partner complaints associate agreements for privacy requirements, and daily review of reportable QA incidents.
  • Ensure regular inspections of agency facilities and privacy practice procedures, and ongoing monitoring of business.
  • Compliance:
  • Implement, manage, and monitor compliance program, in collaboration with Executive Management.
  • Ensure ongoing surveillance of clinical service documentation, billing practices, and OIG FFP exclusion requirements.
  • Monitor and respond to confidential and anonymous reports of fraud, waste, abuse, or other illegal or unethical reported behaviors.
Quality Assurance
  • Develop, implement, and conduct systematic continuous assessment of clinical documentation, quality of service and client outcomes.
  • Direct interpretation of QA and behavioral healthcare rules and provider regulations
  • Direct clinical service and billing audits
  • Direct and report on quality improvement, data analysis, and consumer satisfaction surveys.
Privacy
  • Coordination of HIPAA privacy compliance activities
  • Help establish and maintain a mechanism to track access to protected health information as required by law.
  • Oversee the Privacy Rules of clients to inspect, amend, and restrict access to their protected health information (PHI).
MH Abuse Investigations
  • Monitor abuse screening timelines and report submissions of agency MH abuse investigators.
  • Liaison with the OHA Office of Investigations, Training, and Safety (OTIS) as needed.
Required Qualifications
  • Master’s degree in human services, social work, counseling, or LMFT
  • Certified Healthcare Compliance Certification or equivalency within 2 ½ years of hire
  • Completion of the OTIS MH Abuse Investigator Training within 1 year of hire
  • Valid driver’s license
  • Must pass a criminal background check
Preferred Qualifications
  • Five years’ experience working in a regulated environment
  • Two years of direct clinical experience in behavioral health
Benefits Offered
  • $3,000 new hire bonus (new hired full-time staff)
  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Flexible Spending Account
  • Health Savings Account
  • Life Insurance, AD&D - Company Paid
  • Short Term Disability- Company Paid
  • Long Term Disability
  • Supplemental Life Insurance
  • 401K Retirement Plan (Traditional or ROTH) with Company Funded company match up to 6%
  • Retirement and Financial Planning Services
  • Shift differential incentives
  • Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
  • We provide professional development to enhance various skills, certifications, and continuing education
  • Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have opportunities
  • Paid Time Off (amount depends on years of service)
  • Sick Leave for part-time staff
  • (11) Paid Holidays
  • Tuition reimbursement program
  • Commuter Mileage Incentive
  • Cell phone reimbursement
  • Clinical Supervision
  • Wellness Program reimbursement
  • Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$97k-124k (estimate)

POST DATE

08/13/2024

EXPIRATION DATE

09/27/2024

WEBSITE

lifeways.org

HEADQUARTERS

ONTARIO, OR

SIZE

200 - 500

FOUNDED

1964

CEO

TIMOTHY HOEKSTRA

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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About Lifeways

Lifeways Inc. provides comprehensive mental health services. We are here to help you with any mental health problem, from mild depression or anxiety problems to the most severe disorders. We provide individual, couples, family and group therapy for adults, elderly people and children.

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The following is the career advancement route for Compliance Director positions, which can be used as a reference in future career path planning. As a Compliance Director, it can be promoted into senior positions as a Top Compliance Executive that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Compliance Director. You can explore the career advancement for a Compliance Director below and select your interested title to get hiring information.