What are the responsibilities and job description for the Director of Compliance position at APluscare LLC?
The Director of Compliance is responsible for establishing and implementing an effective
compliance program to promote legal, ethical and proper conduct throughout APluscare
operations. The Director of Compliance ensures that the Agency has robust compliance policies,
compliance education programs, reporting channels, monitoring mechanisms and processes for
remediating non-compliance and provides guidance to the senior management team and Board as
needed to appropriately address areas of risk.
Job Duties:
- Oversee and monitor the implementation and operation of an effective compliance program covering all elements of the system, including but not limited to residential programs, day habilitation programs, wellness programs, and behavioral health
- Conduct weekly supervision with Program leaders to ensure overall agencies compliance are met.
- Facilities completion of all required items or duties for the department heads of the agency.
- Perform an annual organizational risk assessment and develops a compliance work plan that includes the compliance and internal audit plan and educational curriculum.
- Provide a formal report on an at least a quarterly basis to the CEO, to the leadership team, and to the Board as requested by the CEO, regarding compliance work plan progress, audit results/trends and significant internal and external compliance developments.
- Develop and implement periodical reviews/updates compliance policies and compliance procedures to ensure that they appropriately addressed.
- Develop and oversee the implementation of an annual compliance education curriculum that includes mandatory general compliance education for all employees.
- Ensure that the Agency has an effective mechanism for promptly logging, triaging, investigating and remediating reports of suspected non-compliance that includes a root cause analysis and corrective action plan when reported concerns are substantiated.
- Ensure that there are mechanisms for reporting identified compliance violations to Government authorities in accordance with applicable law.
- Serve as a resource to executives and management for compliance guidance and assistance in establishing and implementing compliance risk minimization strategies that reduce the Agency's vulnerability to fraud and abuse.
- Monitor changes in laws, regulations, rules, enforcement agency guidance/initiatives and case law developments.
- Oversee the Agency's privacy function to ensure the development, implementation, maintenance of, and adherence to the system's policies and procedures covering privacy of, and access to, protected health information in compliance with laws and the Agency's privacy practices.
- Oversees the internal audit function, including developing and implementing an annual work plan.
- Responsible for reading, knowing, and complying with all appropriate governing documents in the administration of Agency programs be it contracts, agency policies and procedures, State or Federal standards, specific program operations manuals and circulars both internal and external, and the like.
- Completes and/or reviews all reports, forms, schedules and other documentation as required by the agency.
- Tracks all QA reporting and forms, ensuring all necessary follow-ups are completed that were noted.
- Responsible for ensuring the complete training and onboarding and completion of Orientation for all new hire employees.
- Completes and conducts new hire probationary logs and employee evaluations.
- Responsible for ensuring all staff training for the department are in compliance as it pertains to the DDD and the College of Direct Support (CDS)
- Works flexible hours when needed for the benefit of the programs.
- Interview and participates in hiring qualified personnel to maintain appropriate staffing levels.
- Monitors quality assurance and improvement activities and recommends action at all levels of services.
- Represent APluscare to other groups, organizations and the general public, ensuring the accuracy of public information materials.
- Assure that skilled nursing and other therapeutic services furnished are under the supervision and direction of a physician or a registered nurse.
- Ensure and supports appropriate staff supervision during all operating hours.
- Support and maintain all corporate policies, procedures, and quality and confidentiality Standards.
- Perform all other duties as assigned by the Executive Director or his/her designee.
Qualifications
- A bachelor's degree is behavioral health, Health Care Administration or related field with a minimum of 2 years of experience working with individuals with developmental disabilities is preferred
- Must possess thorough knowledge of laws, rules and regulations pertaining to DDD and provider operations (including Stark, antikickback and other fraud and abuse laws), and principles, practices and techniques of compliance management, including program planning and implementation, fiscal/financial analysis and basic accounting.
- Employee must cooperate with the licensee and department staff in any inspection or investigation
- Employee must successfully complete and demonstrate proficiency in all areas of required training.
- Valid Driver's License
- Must be at least 18 years of age
- Push, pull, and lift up to 50lbs
