Compliance Coordinator (Mental Health) - Compliance

Job Overview

This is a union position.

HealthRIGHT 360 is a family of programs that provides compassionate care to people in need, by way of primary medical, mental health, and substance use disorder treatment and services. At HealthRIGHT 360, you'll work alongside like-minded colleagues who are passionate and committed to our work. Working at HealthRIGHT is a profound and meaningful experience and provides the opportunity to take part in supporting some of the most vulnerable communities in California and making a difference. Whether you work in our administrative departments or are a frontline clinician, each position has a profound impact on our mission as whole- to help folks get better, do better, and be better. HealthRIGHT 360 is committed to fostering a diverse and equitable workforce and workplace through inclusive hiring practices, trainings, and staff led committee work. Our goal is that HealthRIGHT 360 is a safe and empowering place for all employees.

The Compliance Coordinator is the liaison between the Behavioral Health Program and the Compliance Department. The Compliance Coordinator is an integral partner to the behavioral healthcare team, helping to support the team to meet regulatory state/county and agency requirements. The Administrative Operations team at HealthRIGHT 360 follows a mission driven culture that is shaped by values of accountability, clear and honest communication, professionalism, work ethic, innovation, humility, and community.

Key Responsibilities

Key Leadership responsibilities:

• Responsible for practicing the Department culture and values.
• Responsible for the integration of Behavioral Health Programs and Compliance department to ensure accuracy and efficiency.
• Meets regularly with Program Leadership to ensure their program is informed of new Compliance Procedures and Initiatives.
• Represents HealthRIGHT 360 by attending external meetings and trainings, when assigned.

Key Chart Documentation and Audit Support: 

• Provides support and guidance to programs regarding applicable agency requirements.
• Completes Internal Chart Audits and provides ongoing feedback to the programs concerning Medi-Cal documentation requirements. 
• Reviews, monitors, and provides feedback on Title 9 requirements for specialty mental health documentation and criteria.
• Ensures documentation links to associated medication support services for mental health clients.
• Completes Chart Compliance Reports and contributes to Compliance Department efforts to provide feedback.
• Responsible for maintaining internal tracking reports and updating them on a regular basis. 
• Provides supports for internal and external program audits, and corrective action plans, when applicable.

Key Interdisciplinary Collaborations and Communications:

• Collaborates with the Billing and Electronic Health Record teams, as needed.
• Collaborates with the medical records team, as needed.
• Collaborates with other agency teams, as needed.

Key Administrative and Other responsibilities:

• Maintains compliance with agency policies, procedures, and standards. 
• Arranges work schedule in accordance with agency needs and expectations.
• Attends internal meetings as assigned (which may result in traveling to various local Counties).
• Attends external meetings as assigned; May be the lead agency representative at specific County meetings.
• In conjunction with clinical supervisors/directors, provides trainings to staff on documentation requirements, incident reporting process, HIPAA/42 CFR part 2, agency/program policies and procedures, grievance processes, and medical records process.
• Provides support to programs with agency policies and procedures.
• Runs credentials reports and monitors personnel credentials in the agency’s electronic health record system.
• Provides assistance with updating materials, as needed.

And, other duties as assigned

Education and Knowledge, Skills and Abilities

Education and Experience Required:

• Master’s Degree, or, in place of a Master’s Degree a Bachelor’s Degree AND a minimum of three (3) years of Compliance and/or Clinical work experience.

Desired:

• Familiarity with DMH (mental health) regulatory requirements.
• Background in compliance or auditing.

Background Clearance Required:

• Must not be on active parole or probation.

Knowledge Required:

• Culturally competent and able to work with a diverse population.
• Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency.
• Strong proficiency with Microsoft Office applications, specifically Microsoft Word, Outlook, Microsoft Excel, and internet applications.

Skills and Abilities Required:

• Knowledge of Clinical documentation (treatment plans, progress notes etc.).
• Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
• Professionalism, punctuality, flexibility and reliability are imperative.
• Excellent verbal, written, and interpersonal skills.
• Integrity to handle sensitive information in a confidential manner.
• Action oriented.
• Strong problem-solving skills.
• Excellent organization skills and ability to multitask and juggle multiple priorities.
• Outstanding ability to follow-through with tasks.
• Ability to work cooperatively and effectively as part of an interdisciplinary team and independently assume responsibility.
• Strong initiative and enthusiasm and willingness to pitch in whenever needed.
• Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations.
• Able to work within a frequently changing project scope while maintaining overall direction and structured priorities.
• Knowledge of co-occurring disorders and trauma informed treatment.

In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.

Tag: IND100