Director of Compliance & Quality Improvement

at  Hillcrest Family Services

WHAT YOU NEED

• Bachelor’s degree in healthcare administration, business, law, or related field. Master’sdegree preferred.
• Minimum of 3 5 years’ experience in healthcare compliance, with specific experience inbehavioral health services.
• Thorough understanding of regulatory requirements governing healthcare, includingHIPAA, Medicaid, Joint Commission, and the state mental health regulations.
• Strong analytical skills and attention to detail.
• Excellent communication and interpersonal skills, with the ability to effectively train andeducate staff at all levels.
• Demonstrated ability to lead investigations, implement corrective action plans, anddrive a culture of compliance and accountability.

What Makes You Stand Out

• Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) credentials.

The Director of Compliance & Quality Improvement oversees and ensures compliance with all regulatory requirements and standards related to health services within the organization. They develop, implement, and manage compliance policies, procedures, and training programs to mitigate risks and promote ethical practices. The role involves collaborating with various departments, to assess compliance needs, conduct audits, and address any identified issues. The Director of Compliance & Quality Improvement serves as a resource for staff, providing guidance on compliance matters and fostering a culture of integrity and accountability. Additional duties and responsibilities include:

• Develop and maintain comprehensive compliance policies and procedures specific to all health services provided throughout the Hillcrest Family Services organization.
• Chair the Compliance Committee and actively lead meetings, facilitate discussions, and encourage active participation by all committee members.
• Ensure policies are updated to reflect changes in regulations and industry standards.
• Implement effective strategies for communicating policies to staff and ensuring understanding and adherence.
• Develop and deliver compliance training programs for staff, including clinicians, administrators, and support staff.
• Conduct regular training sessions to educate employees on compliance requirements, ethical standards, and best practices
• Monitor and assess the effectiveness of training initiatives and adjust as needed
• Stay abreast of federal, state, and local regulations governing behavioral health services, including HIPAA, Medicaid, Joint Commission, and other relevant laws.
• Interpret regulations and provide guidance to ensure organizational compliance
• Conduct periodic audits and reviews to assess compliance with regulatory requirements and identify areas for improvement.
• Identify compliance risks related to patient/client care, billing practices, documentation, and confidentiality.
• Develop risk mitigation strategies and controls to address identified vulnerabilities.
• Collaborate with other departments to implement risk management initiatives and monitor effectiveness.
• Investigate complaints, incidents, or allegations of non-compliance with policies or regulations.
• Develop and implement corrective action plans to address identified issues and prevent reoccurrence.
• Maintain accurate records of investigations, findings, and remedial actions taken.
• Promote a culture of ethical behavior and integrity throughout the organization.
• Ensure compliance with the organization’s code of conduct and ethical guidelines
• Provide guidance and support to staff facing ethical dilemmas or conflicts of interest. Develop policies and programs that encourage staff to report suspected fraud and other improprieties without fear of retaliation.
• Other duties as assigned.