Compliance Officer

JOB DESCRIPTION

RESPONSIBLE TO: CEO

As the Director of Quality Assurance, you will monitor compliance of Residential Treatment Homes through audits, checklists, and continuous quality improvements. The Director maintains current information on clinical practice guidelines, policies, and develops, coordinates, and implements quality assurance measures and activities; monitors policies, processes, and procedures; and prepares and submits reports and deliverables on time as required. Design, develop and oversee all quality monitoring activities and auditing of resident charts, facility environmental audits , ensures monthly and quarterly drills are performed, ensures proper training of RPS and overnight . Provide quality measures and how they apply to the various Behavioral Health department and act as an operational compliance monitor. Work closely with and in consultation with other agency directors. Support overall consistency, thoroughness, and accuracy of services delivered in accordance to Arizona Department of Health policies.

Responsibilities:

1. Plans, coordinates, and directs quality assurance programs designed to ensure continuous quality of care consistent with established Arizona DHS standards, requirements and expectations.

2. Oversees and facilitates all QA activities, provides continuous improvement services to staff to increase knowledge of performance improvement, strategies, principles, methodology, techniques, and data analysis.

3. Ensure that all processes contributing to the performance of services are conducted properly.

4. Establishes key performance indicators and maintains systems for tracking, reporting, and improving performance.

5. Reviews audit results and identifies the severity of findings or the risk associated with the findings to ensure the appropriate level of action is taken to eliminate non-conformance.

6. Tracks or follows up on corrective action plans to ensure completion of all items in the specified time frame.

7. Review and evaluate reported crisis and formulate a plan of action for handling the incident/issues based on the area of expertise/responsibility.

8. Attends and actively participates in staff meetings and conducts case consultations/peer reviews/internal auditing.

9. Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.

10. Utilizes measurable indicators and outcome measurements to determine whether the desired organizational results are achieved.

11. Responds to requests from Health Plans and Department of Health.

12. Ensure residential sites environmental and client records are in compliance with ADHS , AHCCCS and Healthplan rules . Understands the articles and Rules under Article 7

Required Qualifications:

1. Ability to work independently, exercise good judgment, perform clerical work in a methodical independent manner with speed and accuracy.

2. Ability to provide information in verbal and written form professionally.

3. Knowledge of quality improvement techniques and evidenced-based practices preferred.

4. Experience in project management, program evaluation, team facilitation, and analysis preferred.

5. Experience in Behavioral Health programs, healthcare field, or health plan quality management, data analytics, public health, or closely related field preferred.

6. Ability to utilize computer equipment and web-based software to conduct work.

7. Ability to interact with the various office staff as needed to support necessary workflows.

8. Ability to interact with healthcare professionals, residents, their families, and other supports.

9. Ability to communicate effectively to individuals and groups through spoken, written, and electronic media.

10. Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.

11. Knowledge and experience of psychiatric disorders, symptoms, diagnoses, and criteria as defined by the most current Diagnostic and Statistical DSM 5 manual.

12. Experience identifying organizational needs and recommending the appropriate improvements to increase organizational effectiveness.

13. Knowledge of insurance programs with relevant experience navigating similar complex projects.

14. Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.

COMPENSATION:

· Individual agrees to give a 30 day notice at time of resignation.

· Individual agrees to give a 30 day notice of vacation or time-off notice to supervisor.

· If Individual works more than 30 hours she/he will qualify for vacation and sick. Accrual of these hours will start immediately and can be used after the first 90 days of employment.

QUALIFICATIONS:

· Must be at least 21 years of age.

· Must be able to document utilize an online Electronic Health Record.

· Must demonstrate good communication skills.

· Must have minimum bachelors degree with 5 years experience in the field.

JOB KNOWLEDGE:

Must be an experienced leader with excellent communication skills and experience with the treatment of addictions including knowledge of twelve step recovery programs. Must be forward thinking, creative, and maintain high ethical standards. Must demonstrate sound judgment, problem solving skills, strong organizational skills, good verbal and written skills, and be able to interact effectively with other professional staff. Must be flexible and use good judgment in handling diverse personalities and emergency situations. Must be able to work independently and maintain accuracy under the pressure of meeting deadlines.

DECISIONS OUTSIDE THE SCOPE OF THIS POSITION:

· Financial expenditures beyond established authority limits

· Implementing any changes in program structure or guidelines without the express permission of the CEO.

AMERICANS WITH DISABILITY SPECIFICATIONS:

: The physical demands described here are representative of those that reasonable accommodations may be made to enable individuals with disabilities to perform the required to stoop, kneel, stand, walk, and sit; use hands and arms to control or reach objects; ascend and descend stars; talk, hear, taste, and smell. The employee may occasionally be required to lift and/or move up to 25 pounds. Specific vision abilities required by the job include close, distance, color, peripheral vision and depth perception and ability to adjust focus.

: Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must work under conditions of frequent disruptions and occasional crisis conditions.

Job Type: Full-time

Pay: $55,000.00 - $70,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Required)

Experience:

• Organizational skills: 5 years (Required)
• Compliance management: 5 years (Required)

Ability to Commute:

• Phoenix, AZ 85085 (Required)

Ability to Relocate:

• Phoenix, AZ 85085: Relocate before starting work (Required)

Work Location: In person

Salary : $55,000 - $70,000