Regulatory Compliance Specialist

Job Details

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Job Summary: 

We are looking for a dedicated, detail-oriented compliance auditor to join our team. The responsibilities of the compliance auditor include protecting the company’s assets, enforcing compliance with internal regulations, recommending improvements to our internal control structure, and ensuring compliance with legal and federal regulations.

This is a key position that serves as the organization’s eyes and ears for compliance, quality of care and safety.  The role is dually protective; first and foremost, of the safety of our patients and secondly as a proactive agent that guards against negative audit findings, citations, compliance variances and potential retractions from external entities that routinely monitor our operations.

Under the close supervision of the Regional Director of Health Information Management, the Regulatory Compliance Specialist will conduct ongoing internal audits, investigation complaints, aid in the development, oversight and implementation of corrective action plans and ensure compliance with federal, state, payer and accreditation regulations.  They will be our expert in assessing standards of care, treatment, and services (CTS), environment of care (EC), emergency management (EM), life safety (LS) and performance improvement (PI) as well as organizational policy, document management and related duties.  The Regulatory Compliance Specialist will create accountability for operationalizing corrective actions while maintaining a working relationship with leadership, interdisciplinary teams and committees to ensure the highest levels of quality and compliance are standard operating procedure at Gateway Rehabilitation Center.

Benefits for Qualified Positions Include:

  • Above Regional Market Start rate
  • Very Generous PTO Available Immediately
  • Competitive Benefits: Health, Dental, and Vision Insurance
  • Life Insurance
  • Short and Long Term Disability
  • 401(k) Retirement Plan with employer matching and more!

Essential Functions:

  • Establishes an effective audit and monitoring system to gauge compliance with federal, state, payer and accreditation regulations and standards.
  • Visits each physical location on a rotating basis to assess physical plant, observe workflows and conduct internal audits geared to identify audit preparedness, deficiencies and deploy/monitor corrective action/quality improvement plans
  • Monitors and reports key performance indicators on a routine basis (quality and compliance indicators) and as requested by local administrative leaders.
  • Aligns monetary resources, develops action plans, measures, and analyzes results, initiates corrective action, and minimizes the impact of variances.
  • Recommends strategies for operational consideration by evaluating trends, establishing critical measurements, accumulating resources, resolving problems, and implementing change.
  • Initiates process improvement in collaboration with leaders of affected departments or programs.
  • Hold regular dialogue with staff and peers.
  • Supports all risk management activities.
  • Reports relevant compliance/non-compliance issues and corrective actions to the Risk Management Committee.
  • Chairs the Audit Committee
  • Plans and coordinates the ongoing organization-wide collection of information regarding deficiencies and opportunities for improving Information Management and Compliance.

Qualifying Education, Experience and Skill Requirements:

  • Degree in Health Services Administration
  • 5+ years of progressive qualitative and quantitative auditing experience
  • Thorough understanding of Behavioral Health federal and state regulations as well as Joint Commission Standards
  • Able to commute to multiple program locations on a routine/regular basis
  • Strong written and oral communication skills
  • Strong analytical skills
  • Proficient computer skills
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