Regional Medical Services Compliance Associate

Description

Wage: $85,000 - $95,000 per year (salaried)
Bonus: $10,000 sign on bonus paid in 3 installments with 3-year service commitment
Schedule: Monday - Friday, 8 am to 5 pm

Benefits:

• Health insurance
• Flex Spending Account
• 403(b) Retirement
• Education Assistance Program
• Paid Holidays
• Vacation & Sick Leave
• Employee Assistance Program
• Additional voluntary benefits
• Longevity awards after 5 years of service

Position Summary:

The Regional Medical Services Compliance Associate is responsible for ensuring congruity of organization policies and procedures within the medical services of Catholic Charities. The Regional Medical Services Compliance Associate works under the direction of the Compliance Officer and collaboratively with the Director of Clinical Practice and positions responsible for administrative infrastructures including Information Systems, and Human Resources as well as the site Directors, Chief Operating Officer and Clinical Services. This position has the option to be based in our Yakima or Wenatchee offices, and is responsible for compliance activities for medical services across the whole organization.

Responsibilities:

Facilitate care of clients served in an Integrated Health Care environment

• Provide consultation and assists the Catholic Charities clinical team as needed in the following scopes of practice/programming
  • Hope Clinic
  • PACT
  • Crisis Services
  • Outpatient Services
• Coordinates and/or consults with primary care physicians to monitor compliance standards for psychiatric or medical management.
• Assists with the compliance, education and training of clinical staff regarding diagnoses, treatment planning use and abuse of medications, health maintenance, CPR and First Aid, and any procedural changes that are identified and require training and support to staff to meet compliance

Provides Support to Catholic Charities’ medical services in an integrated behavioral health and primary care environment

• Assists psychiatric staff providing compliance information, HIPAA standards and industry recommended assessments, prescribing, and medication management.
• Facilitates opportunities for compliance consultation among Catholic Charities medical providers.
• Assists with day-to-day operations of medical services as needed when staffing shortages are identified
• Audits for assurance of all medical services are input into the Electronic Medical Record (EMR) and meet integrated healthcare standards.
• In partnership with the Clinical Utilization Manager use the EMR to develop, implement, and maintain a process for concurrent documentation for physical health and behavioral health providers to have access to each other’s documentation.
• Reports to the Compliance Officer regarding the operations of the physical and integrated healthcare programs, benefits of client participation in integrated care, monitoring and management as necessary to assure optimal benefit to consumers.
• Disseminates information to the team regarding physical and integrated behavioral healthcare.

Provides ongoing Quality Improvement

• Sets benchmarks and targets related to healthcare quality, efficiency, and outcomes.
• Collaborates with key staff and plays a pivotal role in achieving healthcare transformation.
• Collaboratively, implements changes that improve service delivery, leverages innovative practices, and adapts to evolving healthcare landscapes.
• Supports team members through compliance measures regarding physical and integrated healthcare services.
• Offers expertise, training, and mentorship to ensure staff members are equipped to deliver high-quality care.
• Explores ways to improve care through information technology and collaborates with information technology specialists to improve service delivery.

Adheres to Compliance and Regulatory Standards

• Ensures compliance with all relevant healthcare regulations, including HIPAA, state licensing requirements, and other healthcare standards.
• Establishes and implements policies and procedures that align with regulatory guidelines to maintain a high standard of care and legal compliance.
• Conducts regular audits and assessments to proactively identify and address any compliance gaps or issues.
• Ensures that all medical documentation adheres to regulatory standards and best practices.
• Implements and monitors compliance with healthcare policies, procedures, and legal requirements, ensuring accuracy and completeness in clinical documentation.
• Keeps abreast of changing healthcare regulations, policies, and compliance standards.
• Participates in policy development or revision process to ensure services align with legal and regulatory requirements while promoting best practice.

Provides staff onboarding and training

• May be involved in candidate interviews, assessments, and discussions to ensure alignment with the healthcare facility’s vision, mission, and quality standards.
• Provide ongoing training to staff as needed on medical procedures and protocols.

Establishes a respectful culture that integrates best medical and behavioral health practices

• Analyzes current healthcare trends, community needs, and gaps in services to anticipate future demands.
• Stays abreast of advancements in medical technology, treatment modalities, and healthcare practices.
• Researches and evaluates emerging therapies, digital health solutions, and innovative treatments to improve patient care and outcomes.
• Anticipates and provides input to the Compliance Officer and Behavioral Health leadership around resource requirements, such as staffing, funding, equipment, or infrastructure.
• As requested, conducts needs assessments, and advocates for necessary resources to support envisioned healthcare initiatives.

Perform other duties as assigned

Qualifications

Job Requirements:

The following requirements are those that are normally required for performance of this position.  Any disabled applicant or incumbent who does not meet one or more of the physical requirements, but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.

Physical Requirements:

This position normally requires the physical demands of standing, walking, bending, lifting or performing other work requiring low physical exertion, talking and hearing on a regular basis to perform the job requirements.  These physical demands are required up to 80% of the time.  Position also requires ability to drive with adequate vision.

In emergency situations, could be exposed to unpredictable and assaultive clients. Exposure to communicative disease/illness could occur. Travel will be required as well as occasional evening or weekend hours.

Non-Physical Requirements:

Education

• Bachelor’s degree in science and nursing (BSN) required
• Master’s degree in science and nursing (MSN) or related field preferred

Experience

• 3 to 5 years’ experience in psychiatric client care and/or administrative/medical management required
• Experience within an integrated behavioral and physical healthcare clinic preferred

Special Skills

• Conceptual and program development skills
• Excellent oral and written communication abilities
• Demonstrated skills in psychiatric assessment, prescribing, and medication management
• Excellent judgment, relationship building and interpersonal skills
• Ability to provide culturally relevant medical services
• Ability to provide professional consultation with colleagues
• Ability to document in an Electronic Medical Record

Licensure, Registration, Certification

• RN license in Washington State
• Valid Washington State Driver’s License and minimum required liability insurance for WA State
• Must be deemed insurable as determined by Catholic Charities insurance liability provider

Employment is conditional upon:

• Being cleared by criminal background check and fingerprinting when required

Salary : $85,000 - $95,000