Job Description

Job Description

Job Description

Columbia Community Mental Health is a nonprofit agency and Certified Community Behavioral Health Clinic that provides services to individuals with mental, addiction and developmental disabilities.

We uphold our values in authenticity and commitment to quality care. Members of our CCMH team have a daily opportunity to make a positive impact.

Position: Compliance Officer

Shift: Full-time, Monday - Friday, 8:00 AM to 5:00 PM

Salary Range: $109,636.80 to $148,678.40 (annually). There are 15 steps on our salary scale. New offers are usually within the first few steps of the scale. We use a bona fide factor system to determine starting wage (years of experience, education, credentials, and specialty skills that relate to the job requirements).

• Develop and maintain the annual compliance plan. Oversee the implementation and management of compliance plan activities.
• Create a comprehensive fraud waste and abuse (FWA) prevention program and oversee the functions of the FWA program.
• Monitor and respond to the agency compliance hotline
• Monitor federal, state, and industry specific laws and regulations for obedience. When updates are made to any such regulations, informing necessary stakeholders and leadership within the agency.
• Report to the Board of Directors, regulatory audit and oversight committee, and other board committee(s) regularly and as directed.
• Develop, implement, and maintain CCMH’s policies and procedures system necessary to comply with legal and regulatory requirements and consistent to internal standards.
• Oversee all internal auditing and monitoring activities including at minimum service delivery documentation, policy and procedure, program staffing, and quality metric goals.
• Investigate and respond to any report of non-compliance made by an employee, supervisor, director, or external entity.
• Developing and maintaining a quality assurance process improvement (QAPI) committee, for the purpose of ensuring the annual quality assurance and quality improvement plan and overseeing the completion of quality improvement projects.
• Coordination with members of senior leadership regarding the compliance of current systems operations, required changes needed to maintain industry compliance, and communications.
• Monitor and maintain effective language for CCMH proprietary materials including as example(s) consent to treatment, notice of privacy practices, code of conduct, business associate agreements, etc.
• Coordinating with governing entities as it relates to external auditing and evaluation of program performance.
• Facilitate preparation and responses to site reviews as it relates to implementing preventative on-site reviews, creating/responding to plan-of-corrections, and reporting/ communicating to the governing entity.
• Maintaining an effective whistleblower protection program.
• Reporting any discrepancy in performance to a legal or regulatory requirement as obligated by the compliance plan.
• Oversee ethical reporting of any and all instances of non-compliance with a federal, state, or industry specific regulatory requirement.
• Manage and coordinate effective compliant investigation and response from clients, community partners, employees, etc.
• Educate employees on applicable federal, state, and industry specific laws and regulations.
• Organize the content and structure of specific industry training as it relates to critical areas of employment responsibilities.
• Other duties as assigned.

SUMMARY: This position is responsible for the creation and implementation of an effective compliance program under the direction of the Board of Directors. The compliance officer ensures CCMH adherence to outside regulatory and legal requirements as well as internal policies and bylaws. This position is responsible for leading the quality assurance process improvement (QAPI) committee.

SUPERVISORY RESPONSIBILITIES: Supervises the QI Specialist and Records Specialist and is supervised by the Executive Director, but Reports to and evaluated by the Board of Directors.

EDUCATION and/or EXPERIENCE: Certification in Healthcare Compliance (CHC) or equivalent Certification. Advanced degree or Certificate in a health care field with Compliance Certification preferred. Five years’ experience in human services or health care required; specific experience in behavioral health, quality assurance, and/or quality improvement preferred. Advanced knowledge of data bases, analyzing data and reporting Combination of education/experience that demonstrates the ability to perform the duties outlined for this position may be considered.

QUALIFICATIONS & SKILLS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required: Knowledge of behavioral health field. Have an experience interacting with technology and understanding data systems. Must have skills to interact with staff, clients, families, community partners and the public. Ability to communicate positively/productively ; able to communicate complex instructions with clarity and patience; able to follow instructions; complete data reporting requirements accurately/efficiently. Proven ability to present complex data and reports to the BOD and Executive Director in a manner that is understandable and allows for decision making. Able to manage time/work demands appropriately; exercise good judgement and set appropriate boundaries to maintain the integrity of clinical systems; able to work independently and the willingness to learn and be creative. Must be proficient in Microsoft Office Programs; skills working with technology and data. Must have skills in analyzing systems and identifying opportunities for improvement.

LANGUAGE SKILLS: Ability to read and communicate in English language, and understand documents, instructions, and procedure manuals, as needed to successfully accomplish the essential duties of this job. Must have ability to read, analyze, and interpret general business periodicals, professional journals, finance reports, and legal documents. Able to write reports, business correspondence, and procedure manuals; and to effectively present information and respond to questions from groups of managers, clients, customers, and the public. Ability to create and present data analysis.

REASONING ABIIITY: Ability to define and solve practical problems, collect data, establish facts, and draw valid conclusions; able to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Must be able to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

Working Conditions:

• Must have the ability to assist the team in providing safety to all clients and staff in potentially volatile situations.
• Occasionally stooping, lifting (20-50 lbs.), climbing (stairs), crouching, reading, and running
• Regularly sitting, walking, standing, and keyboarding

CCMH is an Equal Employment Opportunity Employer. CCMH does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, veteran/reserve/national guard, disability, or any other similarly protected status.

CCMH is Drugfree workplace.

Come join a team that makes a difference every day! Come join an agency in which your personal values can align easily to the mission, vision and values!

FMLA POSTER:

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

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