COMPLIANCE COORDINATOR

JOB SUMMARY:

Under the direction of the Director of Facilities Management, provides administrative support services to facilitate compliance to regulatory and accreditation body standards. Performs a wide range of administrative and office support activities for Facilities Management functions and/or other HAMC functions to facilitate the efficient operation of the organization.

GENERAL REQUIREMENTS:

• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Wears protective clothing and equipment as appropriate.

GENERAL SKILLS:

• Reporting Skills, Administrative Writing Skills, Microsoft Office Skills, Managing Processes, Organization, Analyzing Information, Professionalism, Problem Solving, Supply Management, Inventory Control, Verbal Communication.
• Advanced written and spoken (English) communication and administrative skills; excellent telephone etiquette.
• Computer literacy including MS Office products: Word, Excel, Outlook, Power Point; experience with mail-merges and with databases.
• Exceptional time-management, planning, and administrative skills.
• Ability to organize and prioritize workload.
• Demonstrate high level of diplomacy, sound judgment, and discretion when dealing with others, volunteers, and community professionals.
• High degree of energy, self-motivation, and flexibility.

WORKING CONDITIONS:

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.

PHYSICAL REQUIRMENTS & DEMANDS:

• Have near normal hearing: Hear alarms/telephone/normal speaking voice.
• Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
• Have good eye-hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67-100%): Standing, Walking.
• Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry > 20 lbs. with assistance.
• Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry > 50 lbs. with assistance, Reaching above shoulder.

MISSION STATEMENT:

QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment.

JOB SPECIFIC COMPETENCIES:

• Interacts with employees, vendors and others to provide and process information in response to inquiries and concerns related to Facilities Management operations.
• Provides Facilities Management with word processing support and assists with departmental policies and plans for the electronic document management system.
• Prepares and modifies documents including correspondence, reports, memos and emails.
• Assists with meeting agendas, compiles, transcribes, and distributes meeting minutes.
• Assists Facilities Management in the creation and maintenance of a systematic tracking and retrievable system for the storage and maintenance of the required regulatory and accreditation documents.
• Assists with the compilation and submission of physical environment quality measurement data reports and corrective action plans to the Quality Management and Accreditation departments within the hospital and nursing home.
• Provides support for Facilities Management maintenance requests and tracking.
• Assists Director in fulfillment of Emergency Operation Planning for the organization.
• Maintains professional and technical knowledge by attending educational workshops.
• May perform other assigned duties as position evolves or as needs are identified by CEO.
• Assists with scheduling of vendors to ensure compliance with standards and necessary repairs.
• Maintains written and electronic records demonstrating compliance with standards.
• Participates in committees, research and special projects.

PROFESSIONAL REQUIREMENTS:

• Follows Code of Conduct policy.
• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification when on duty; uses computerized time clock system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and/or skills fair and department in-services, as scheduled.
• Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission statement of the organization.
• Ensures compliance with policies and procedures regarding department operations, fire, safety, and infection control.
• Participates in the departments continuous quality improvement (CQI) activities.

GUEST RELATIONS STANDARDS:

(All guest relation violations are subject to disciplinary action up to and including termination):

• Always treat others in a friendly, helpful manner.
• Refers co-workers to proper sources when unable to provide an answer.
• Interacts with others in a professional and friendly manner.
• Takes interest in others and always gives full cooperation to fellow workers.
• Always maintains an open line of communication with other departments.
• Thoroughly familiar with the hospital and the services it offers.
• Greets visitors immediately upon entry to the department/facility.
• Always presents a positive image when greeting visitors in the department; remains friendly and cooperative under all conditions.

OTHER:

• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.

OTHER DUITIES:

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.

EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

• High school graduate or equivalent.
• Two (2) years data processing experience required
• Hospital or medical information systems experience preferred.
• Experience with healthcare accreditation (CMS, DNV, Joint Commission) policies and procedures a plus
• Able to communicate in English, both verbally and in writing.
• Additional languages desirable.