SUMMARY: Contribute to the fulfillment of CareSouth's purpose by promoting a culture of ethical and compliant behaviors and practices accomplished through planning, coordinating, implementing and maintaining an agency-wide compliance program as part CareSouth's Compliance Program. The self-driven individual must possess high critical thinking, problem-solving and troubleshooting skills to be able to assess practices against policies and procedures through multiple departments. Strong computer navigation and operation skills, communication skills, and adaptability and flexibility are paramount to execute tasks within this role.
PRIMARY RESPONSIBILITIES:
- Knowledge and understanding of CSMD's Employee Handbook.
- Carry out the meaning of the CSMD Mission and Vision.
- Practice a culture of compliance and safety to reduce or prevent risk of injury, claims, loss, or liability by
utilizing the Risk Management, the Infection Control Plan, the Compliance Plan and other Management
Plans, policies and procedures.
- Perform responsibilities with a high-quality standard to yield improved compliance, quality, and patient
outcome measures by adhering to the Quality Improvement Plan.
- Be present and ready for work as scheduled.
- As required, attend and actively participate in various company committees, and in-services, trainings,
meetings, and community events.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Collaborate with other departments to foster a culture of compliance across the organization.
- Assist the Compliance Officer with the collection and evaluation of written data and reports for regulatory
bodies and leadership.
- As necessary, assist with the development of Compliance Program communications and training materials
to meet regulatory and organizational changes.
- As needed, assist with training to educate the workforce about regulations, program requirements, etc. that
apply to their work and best practices for operating within legal and ethical guidelines.
- Help manage complaints, concerns, appeals, and grievances relative to compliance issues received via email, phone and/or in person when needed.
- Appropriately answer questions and educate the workforce on compliance matters (e.g., internal policies and
procedures, organization and HRSA Compliance Manual(s), Operational Procedures, HRSA Program
Requirements, and other regulatory requirements, etc.).
- Assist with compliance periodic risk assessments to identify hidden risks or non-conformity issues.
- Monitor and communicate regulatory changes that impact CareSouth and delegated entities
- As needed, assist with evidence and document requests, procedure changes, and other CareSouth
projects.
- Conduct and/or assists with audits and monitor data, systems, and processes to measure adherence to internal policies and regulations.
- Study and gain expertise in legal requirements at all government levels regarding compliance related
issues regarding CareSouth activities.
- Collect and/or analyze complex situations and develop effective solutions.
- Apply and interpret audit and compliance requirements for various departments.
- When required, provide support to various departments in correcting compliance issues.
- As needed, assist in interpreting regulations to resolve organizational and operational issues.
- Assist as required in the creation, review, management, and implementation of internal policies, protocols,
forms and tools; and program requirements established by agencies that regulate CareSouth operations.
- Report findings to management as required.
- Assist with Emergency Management and Preparedness tasks and assignments.
- Keep abreast of new legislation and enforcement matters as well as industry and healthcare compliance
best practices.
- Comply with appropriate federal, state, and local regulations, internal policies, procedures and programs
relating to health and safety in the workplace.
- As required, assist with data gathering and analysis for legal purposes.
- Complete all required training within the established timeframe.
- The responsibilities of this position may include the performance of other duties.
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with this position. It is intended to be an accurate reflection of the general nature and level of the job.
REQUIREMENTS
- Bachelor's degree in Business Administration, Public Health, Public Administration, or related field.
Bachelor's degree substitutions are allowed as follows:
- Associate's degree in a related field with 2 years of experience
- High School Diploma with 4 years of experience
- Two years of relevant work experience.
- Confident, professional, and self-motivated with a keen interest in the ethical, legal, and regulatory
requirements in healthcare.
- Working knowledge of compliance, auditing and monitoring techniques.
- Ability to research and analyze regulatory issues that may arise.
- Integrity and professional ethics.
- Ability to express facts and ideas clearly and concisely, both orally and in writing.
- Ability to identify and define problems, collect data, establish facts and develop substantiated conclusions.
- Must be organized, capable of prioritizing and managing multiple, unrelated tasks and projects simultaneously.
- Strong attention to detail and accuracy.
- Superior problem-solving and troubleshooting skills.
- Ability to collaborate with all levels of management and staff.
- Strong sense of accountability.
- Works comfortably under pressure and able to deliver with tight deadlines.
- Ability to work independently under general guidance and supervision.
- Proficient in Microsoft Office Outlook, Teams, SharePoint, AdobeSign, PowerPoint, and similar software competency.
- Willingness and curiosity to learn.
- Strong analytical and critical thinking skills.
- Possess reliable transportation and willing to travel as required.
SUPERVISES
N/A
TRAINING
- Relias Track Non-Clinical
- Relias CareSouth Onboarding
PERFORMANCE MANAGEMENT EVALUATION TYPE
- Administrative and Programmatic
PHYSICAL REQUIREMENTS:
- Visual acuity - always
- Hand – eye coordination - always
- Lifting approximately 10-15 lbs.
- Pushing, Pulling - sometimes
- Sitting – extended periods of time
- Stooping, Bending, and Standing - sometimes
- Walking- frequent; short distances
- Manual Dexterity – fine motor skills for typing; document handling
WORK ENVIRONMENT:
- Indoor, environmentally controlled; some outdoor weather element exposure
- Exposure to disease or infections
- No vibrations
- Exposure to artificial and/or natural light
- Exposure to outdoor weather elements