Director of Compliance na DotHouse Health

Description

DOTHOUSE MISSION STATEMENT

To be an essential resource for our community in its efforts to achieve the highest levels of health, well-being and quality of life for its residents. To provide affordable, accessible, and exceptional health care and other essential services in an environment that respects our consumers, our staff and our diverse community. To be a leading force for change in the health, economic and social status of our community.

SUMMARY:

Under the direction of the Chief Operating Offer, the Director of Compliance, will oversee, support, and coordinate the implementation and management of the DotHouse Health (DHH) Compliance Program ensuring organizational compliance with federal, state, and local laws and regulations. 

GENERAL DUTIES & RESPONSIBILITIES:

• Maintains a compliance program aimed at reducing risk for DotHouse Health. Ensure a safe and healthy working environment for all staff.
• Maintain presence in health center to provide de-escalation and resolution for day-to-day patient complaints.
• Develops and maintains an expert working knowledge on Health Care compliance. Responsible for keeping knowledge current and monitoring changes to federal, state, and local laws/ regulations to ensure compliance by maintaining professional affiliations and participating in various professional activities. 
• Evaluates all aspects of DHH’s Compliance Program including HIPAA Regulations. Tracks all non-routine disclosure of Protected Health Information, complaints, questions, and allegations of non-compliance with the privacy program. 
• Coordinates and collaborates with key leadership to implement the Health Center’s Emergency Management Plan and Continuity of Operations Plan; in addition, other EP responsibilities with agencies such as: Boston EMS, BMC, etc.

Policy & Procedure Management:

• Develop, update, maintain and revise policies and procedures to ensure they align with regulatory requirements and best practices for the general operations of the compliance program and its related activities to prevent illegal, unethical, or improper conduct.
• Responsible for the communication, implementation and maintenance of all compliance, accreditation and regulatory issues pertaining to the operations of the health center. 

Reporting and Surveys

• Compiles and maintain documentation for health center’s Federal Torts Claims Act redeeming application including risk management workplans, credentialing and privileging information.
• Coordinates tracers according to the Joint Commission standards to assess compliance and implement appropriate corrective actions with the Management Team or others as appropriate. Monitors subsequent compliance.

Monitoring 

• Monitors the incident reporting system and reviews all incident reports ensuring safety and quality goals are achieved and that DHH is providing transparency to increase quality and accountability. Collaborate with leadership and key staff to conduct root cause analysis and inform and improve operations.
• Investigate compliance-related issues, complaints, or privacy breaches, working with legal and senior management to address and resolve them. 
• Reviews the Office of Inspector General’s (OIG) annual and semiannual work plan for relevance to DHH and the Excluded Individuals and Entities List of parties debarred from federal programs as it pertains to DHH.
• Monitors the learning management system to ensure all mandatory education requirements are assigned and completed in a timely and compliant manner.
• Monitors the Compliance hotline and follows up with necessary communication and actions. Coordinates a follow up response to complaints, allegations, or questions. 

Staff training and collaboration

• Coordinates with all staff members in preparation and planning for audits and surveys from regulatory agencies.
• Coordinates and leads quarterly committee meetings as appropriate.
• Work with Human Resources to ensure compliance with all legal and regulatory occupational health requirements including, but not limited to OSHA, ADA, FMLA, DPH, HRSA and CMS. 
• Communicates with the appropriate members of the Senior Leadership Team on a regular basis to ensure compliance with regulatory agencies on applicable areas that relate to their specific departments. 
• Coordinates initiatives and special projects as assigned by the Chief Operating Officer.
• Available to support patient-facing issues and operational duties as requested.

Software/Hardware: Must be proficient and have a strong working knowledge of Microsoft Office (Outlook, Excel, Word, etc.). Strong Knowledge of computer software applications.

Requirements

Education: Masters Degree in Healthcare Administration or related field

Certification/Licensure: Risk Management Certificate is required.

Experience:

• Minimum of three (3) years’ experience in healthcare is required.
• Minimum of two (2) years’ experience as a compliance officer, compliance manager, or related position.
• Excellent verbal, written, and interpersonal communication skills.
• Have excellent organizational skills 
• Previous experience directly related to The Joint Commission and Corporate Compliance and other regulatory agencies as identified.
• Expert knowledge of OIG’s Compliance Program
• Familiarity with Safety and Risk Management Software
• Prior experience in Regulatory Compliance interacting with federal, state, and local regulatory agencies.
• Experience dealing with The Center for Medicare and Medicaid Services (CMS) and the Fiscal Intermediaries is strongly preferred.

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