Compliance and Quality Manager at NorthSight Recovery

Tempe, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Compliance, Quality Assurance, Risk Management, Regulatory Oversight, Auditing, HIPAA, Medicaid, Joint Commission, CARF, Performance Management, Root Cause Analysis, Medical Records Management, Training Development, Incident Reporting, Corrective Actions, Accreditation

Industry

Mental Health Care

Description

About the role The Compliance and Quality Manager ensures that our behavioral health organization meets all regulatory, accreditation, and quality standards while fostering a culture of compliance and continuous improvement. This role oversees compliance programs, risk management, and quality assurance efforts to enhance patient safety, service delivery, and operational efficiency. What you'll do Compliance & Regulatory Oversight Develop, implement, and maintain compliance policies and procedures in alignment with federal, state, and local behavioral health regulations (e.g., HIPAA, Medicaid, Joint Commission, CARF). Monitor legislative and regulatory changes, ensuring timely updates to policies and staff training. Conduct internal audits, risk assessments, and compliance investigations, recommending corrective actions. Ensure the organization maintains necessary licenses, accreditations, and certifications. Serve as the point of contact for regulatory agencies, auditors, and accreditation bodies. Quality Assurance & Performance Management Lead quality improvement initiatives to enhance service effectiveness and patient outcomes. Establish and monitor key performance indicators (KPIs) to measure compliance and quality benchmarks. Oversee incident reporting, complaint resolution, and root cause analyses, ensuring timely corrective actions. Develop and implement client satisfaction and staff engagement surveys to drive quality enhancements. Medical Records Management Oversee accurate and secure handling of patient medical records in compliance with HIPAA, state, and federal regulations. Ensure that all medical records are maintained, stored, and retrieved according to legal and organizational guidelines. Conduct regular audits of medical records to ensure completeness, accuracy, and compliance with billing and coding requirements. Train staff on proper documentation practices to maintain compliance and protect patient confidentiality. Respond to medical records requests, including subpoenas, audits, and patient inquiries, ensuring timely and appropriate processing. Training & Education Develop and facilitate training programs on compliance requirements, ethics, and best practices in quality care. Promote a culture of ethical decision-making, accountability, and adherence to regulatory standards. Risk Management & Incident Reporting Oversee risk management initiatives, ensuring timely identification and resolution of compliance risks. Ensure proper documentation and reporting of incidents, complaints, and adverse events. Collaborate with leadership to develop proactive strategies for mitigating compliance risks. Qualifications Bachelor’s degree in healthcare administration, social work, psychology, public health, or a related field (Master’s preferred). 3-5 years of experience in compliance, quality assurance, or risk management in a behavioral health setting. Strong knowledge of behavioral health regulations, HIPAA, Medicaid/Medicare, and accreditation standards. Experience conducting audits, investigations, and implementing corrective action plans. Excellent analytical, organizational, and communication skills. Ability to work collaboratively with leadership, clinicians, and staff to ensure regulatory compliance and quality care. This is a critical role in ensuring compliance, mitigating risks, and enhancing the quality of care we provide.

Responsibilities

The Compliance and Quality Manager will develop, implement, and maintain compliance policies aligned with behavioral health regulations, overseeing internal audits, risk assessments, and serving as the liaison for regulatory bodies. This role also involves leading quality improvement initiatives, monitoring KPIs, overseeing incident reporting, and managing secure medical records handling.