Deputy Chief Policy & Compliance Officer

at  Columbia River Mental Health Services

Lives Change Here! We are GROWING…Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental/chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.
Our Mission: Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.

WHY WORK HERE?

CRMHS offers AMAZING benefits aside from health and wellness (medical/dental/vision etc.) Work life balance benefits: 12 paid holidays per year, 3 paid floating holidays, up to 24 days of PTO days in the first year, that grows year after year. Career development: $325 annual allowance for career development and education with an additional 40 hours of paid time off for career development/education! And so many More!
Starting Pay Range - $90,000 - $92,000/year (Salaried / Exempt)
Location: We are looking for someone who can be primarily in person (Vancouver, WA), with flexibility to work hybrid every so often.
Summary:
The Deputy Chief Policy & Compliance Officer is responsible for working with Chief Policy and Compliance Officer and other CRMHS Directors and Manager to ensure CRMHS is in compliance with Federal, State, Accreditation, and Contract requirements. The individual will work in a fast-paced environment to support leading the Quality, Compliance, and Health Information Management departments meeting agency needs and all legal and contract regulations. The Deputy should have a strong understanding of billing requirements for behavioral and medical activities and 42 CFR Part 2 and HIPAA. The Deputy will lead the preparation for internal and external audits, and develop and implement correction action plans, as necessary. The individual will work with a highly motivated team to develop trainings and initiate the development, implementation, and revisions of policy and procedures across multi-disciplinary teams.

Essential Job Responsibilities:

• Develops, updates, and reviews policies and procedures according to applicable WACs, RCWs, Federal regulations, accreditation, and contracts;
• Oversees internal compliance and quality reviews of behavioral health and medical programs, including review of billing, accreditation, and documentation reviews
• Ensure compliance, investigates, and develops corrective action plans for any issues relating to fraud, waste, and abuse;
• Assists in tracking, management, and compliance of organization’s contracts and grants
• Updates, reviews, maintains, and communicates agency and program policies, procedures, and ethics and training plan in partnership with agency leadership;
• Develops and leads implementation of Quality Improvement Plan and measures for success for agency to support growth and program development for client quality and access to care
• Leads Compliance team in maintaining, updating, and implementation of the Critical Incident Report (CIR) plan, Workplace Violence plan, and Risk Management plan protocols for the agency, including reporting to State and MCOs for necessary incidents
• Identify potential areas of compliance, vulnerability and risk and implement corrective action plans for resolution;
• Lead the compliance, quality, and CCHBC teams, providing guidance and support to ensure effective performance;
• Monitoring changes in laws and regulations related to behavioral health
• Support building a culture of continuous improvement and ethical behavior within CRMHS
• Monitors compliance with State, Contracts, and Accreditation requirements for grievances and supports resolution of grievances when not appropriate for other staff to complete
• Takes leadership role in the pursuit, management, and compliance of accreditation for organization
• Prepares, coordinates, and responds to all State, Federal, County, Managed Care Organization, and accreditation audits, including creating the corrective action plans and is the principal point of contact for all non-billing audits;
• Assists in identifying funding opportunities and potential new program areas to match organization/department priorities;
• Generates primary and supporting documentation for funding opportunities through timely submission of well-researched, well written and well-documented grant/funding proposals;
• Assists with reports to government, corporate, foundations, and other funders as required by grant statements of work;
• Support Health Information Management Manager to ensure compliance with and investigate any issues relating to HIPAA, 42 CFR Part 2, and all other federal and state privacy and confidentiality laws;
• Supports Chief Policy and Compliance Officer in management of quality, compliance, and CCBHC program;
• Performs other duties as assigned or as the situation dictates.

Non-essential Job Functions:

• Attends staff meetings
• Travels to CRMHS locations for staff training & investigations.

Education, Licensing and Experience:

• Master’s degree in healthcare, business administration, public administration or social work preferred;
• Certification in Healthcare Compliance within 1-year of hire
• Experience in developing policies and procedures, grant writing, and process improvement in a health care setting;
• Experience in developing and maintaining contact and communication with state and local government preferred.

Competencies, Knowledge, Skills and Abilities:

• Detail-oriented with a high degree of accuracy
• Self-motivated with ability to work independently
• Strong organizational and interpersonal communication skills
• Strong project management, planning and organizational skills with an ability to outline initiatives and develop priorities
• Self-starter with ability to coordinate activities with minimal supervision
• Excellent oral and written communication skills with the ability to communicate across a broad range of audiences
• Ability to think strategically, manage risks, and translate strategies into actionable plans
• Willingness to be a team player
• Proficient with Microsoft office suite (Word, Excel, Outlook, PowerPoint)

• Develops, updates, and reviews policies and procedures according to applicable WACs, RCWs, Federal regulations, accreditation, and contracts;
• Oversees internal compliance and quality reviews of behavioral health and medical programs, including review of billing, accreditation, and documentation reviews
• Ensure compliance, investigates, and develops corrective action plans for any issues relating to fraud, waste, and abuse;
• Assists in tracking, management, and compliance of organization’s contracts and grants
• Updates, reviews, maintains, and communicates agency and program policies, procedures, and ethics and training plan in partnership with agency leadership;
• Develops and leads implementation of Quality Improvement Plan and measures for success for agency to support growth and program development for client quality and access to care
• Leads Compliance team in maintaining, updating, and implementation of the Critical Incident Report (CIR) plan, Workplace Violence plan, and Risk Management plan protocols for the agency, including reporting to State and MCOs for necessary incidents
• Identify potential areas of compliance, vulnerability and risk and implement corrective action plans for resolution;
• Lead the compliance, quality, and CCHBC teams, providing guidance and support to ensure effective performance;
• Monitoring changes in laws and regulations related to behavioral health
• Support building a culture of continuous improvement and ethical behavior within CRMHS
• Monitors compliance with State, Contracts, and Accreditation requirements for grievances and supports resolution of grievances when not appropriate for other staff to complete
• Takes leadership role in the pursuit, management, and compliance of accreditation for organization
• Prepares, coordinates, and responds to all State, Federal, County, Managed Care Organization, and accreditation audits, including creating the corrective action plans and is the principal point of contact for all non-billing audits;
• Assists in identifying funding opportunities and potential new program areas to match organization/department priorities;
• Generates primary and supporting documentation for funding opportunities through timely submission of well-researched, well written and well-documented grant/funding proposals;
• Assists with reports to government, corporate, foundations, and other funders as required by grant statements of work;
• Support Health Information Management Manager to ensure compliance with and investigate any issues relating to HIPAA, 42 CFR Part 2, and all other federal and state privacy and confidentiality laws;
• Supports Chief Policy and Compliance Officer in management of quality, compliance, and CCBHC program;
• Performs other duties as assigned or as the situation dictates