Compliance Coordinator-RN

Job Description: Compliance Coordinator

Position: Compliance Coordinator Location: Saint James Health, Newark, NJ

Job Summary: The Compliance Coordinator will ensure that Saint James Health operates in accordance with federal, state, and local regulations. This role will involve overseeing federal grant compliance, ambulatory care licensing compliance, Federal Tort Claims Act (FTCA) compliance, and maintaining board minutes for monthly meetings. The ideal candidate will have at least three years of compliance experience in a hospital or Federally Qualified Health Center (FQHC).

Key Responsibilities

• Federal Grant Compliance:
• Monitor and ensure compliance with all federal grant requirements.
• Prepare and submit required reports and documentation to federal agencies.
• Conduct regular internal audits to ensure adherence to grant conditions.
• Collaborate with the finance department to ensure accurate financial reporting and compliance.
  
  

Ambulatory Care Licensing Compliance

• Ensure the facility and all its operations comply with ambulatory care licensing regulations.
• Maintain up-to-date knowledge of state and federal licensing requirements.
• Prepare for and coordinate inspections and audits by regulatory bodies.
• Address any compliance issues identified during inspections and audits.
  
  

Board Meeting Coordination

• Schedule and organize monthly board meetings.
• Prepare and distribute agendas, meeting materials, and notices.
• Record, transcribe, and maintain accurate minutes of board meetings.
• Ensure compliance with all board governance requirements and bylaws.
  
  

Federal Tort Claims Act (FTCA) Compliance

• Ensure compliance with FTCA requirements for liability coverage.
• Prepare and submit FTCA-related documentation and reports.
• Conduct risk assessments and implement risk management strategies to minimize liability.
• Provide training and education to staff on FTCA requirements and compliance.
  
  

General Compliance Duties

• Develop and implement compliance policies and procedures.
• Conduct compliance training sessions for staff.
• Investigate and resolve compliance issues and complaints.
• Maintain detailed records of compliance activities and prepare regular reports for senior management.
• Stay current with changes in healthcare laws and regulations and adjust compliance programs accordingly.
• Other Duties:
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice
  
  

Qualifications

• Bachelor's degree in healthcare administration, business administration, or a related field
• Minimum of three years of compliance experience in a hospital or Federally Qualified Health Center (FQHC).
• Thorough knowledge of federal grant compliance, ambulatory care licensing regulations, and FTCA requirements.
• Strong organizational and communication skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and compliance management software.
  
  

Preferred Skills

• Experience with electronic health records (EHR) systems, EPIC experience Preferred
• Familiarity with the Health Resources and Services Administration (HRSA) guidelines.
  
  

Working Conditions

• Full-time position based in Newark, NJ.
• Occasional travel may be required for training and conferences.
• Must be able to work flexible hours to attend monthly board meetings.
• Must be available one evening a month for Saint James Health board meeting
  
  

Saint James Health is an equal opportunity employer and encourages diversity in the workplace.