Quality Management and Regional Compliance Officer

We are Hiring!

Catholic Charities of Chemung/Schuyler is growing and seeking a Quality Management and Compliance Officer to join our Team.

Catholic Charities’ mission is to support all people in need and advocate for social justice and human dignity in partnership with the Diocese of Rochester and the greater community. We envision a just and compassionate community rooted in love and the dignity of all people. Our objectives are to address the needs of the community’s most vulnerable people and to challenge conditions causing poverty and despair.

If you’re looking for an opportunity to express and explore your passion for helping others, then join a team that truly makes a difference DAILY, in people’s lives. We are looking for empathetic, thoughtful candidates who have enthusiasm for helping people. We have supportive leadership who invest in our people and provide opportunities for employees to thrive, grow and learn.

Don’t miss out on being a part of something special!

Position Title:  Quality Management and Compliance Officer

Salary: $26.45-29.00/hour depending on education and experience.

Schedule: Full-time

Who are we looking for?

  • Someone who is passionate about making a positive impact in the community.
  • Someone who values partnership and works well both individually and as a part of a team.
  • Someone who is empathetic, ethical, and goal orientated.
  • Someone who is a great communicator and has exemplary attention to detail.

Primary Functions:

The Quality Management and Regional Compliance Officer (QMRCO) serves as the Regional Compliance Officer to provide development, oversight and monitoring of the Compliance Program and each Quality Assurance process. The QMCRO ensures service delivery compliant with applicable rules and regulations, inclusive of policies and procedures. The QMRCO Reports directly to the Executive Director and has a direct reporting line to the Chief Compliance Officer. The QMRCO also has direct lines of communication to the Catholic Charities Diocesan Director and to the Regional Board of Directors.

Specific Duties:

  • Acts as an advocate for and oversees the compliance program on an agency level.
  • Is obligated to serve the best interests of the Catholic Charities, its clients, and employees.
  • Directs, implements and maintains Compliance workplan.
  • Disseminate comprehensive resources, education, and training programs to support compliance and operational policies and procedures.
  • Coordinates oversees onboarding process for all agency new staff in accordance with operational guidelines and regulatory requirements.
  • Communicate and distribute compliance policies and procedures to providers and department personnel.
  • Provide training in compliance, as well as focused risk areas to all affected individuals, including annual regional board training; new board training within 30 days of appointment.
  • Obtain and maintain annual Conflict of Interest statements for all regional Board of Directors members and Executive Director.
  • Participate in all Corporate Compliance Committee meetings and activities, including the annual Compliance Week and CCDR virtual Safety Committee.
  • Report compliance activities to their regional Board of Directors as scheduled by the regional Executive Director, at least annually and as needed.
  • Refer issues to and collaborate with the Chief Compliance Officer, as necessary.
  • Respond to issues raised by staff, departments, and the hotline, conducting investigations and reporting as appropriate. Retrieve concerns/complaints forms from various sites on routine basis.
  • Identify and address corresponding agency risk areas and conduct an annual agency Risk Assessment.
  • Design and implementation of area-specific internal auditing and monitoring protocols (manual and/or electronic). Ensure on-going audits of all records are compliant with Federal, State and local agencies. Reports written findings of periodic reviews, and notes patterns/trends and recommendations/plans of corrective action to the Executive Director and the appropriate agency director.
  • In collaboration with the QA Specialist, assist with conducting, scheduling and record maintenance of agency auditing processes, including but not limited to program audits and external monitoring visits.
  • Create and work from a regional specific Annual Compliance Work Plan.
  • Present regional Work Plans to the Corporate Compliance Committee.
  • Support a proactive approach toward investigation and resolving potential compliance issues.
  • Independently investigate and act on matters related to compliance, including the flexibility to design and coordinate internal investigations (in response to reported problems or suspected violations) and any corrective action with all departments, providers and sub providers, agents and if appropriate independent contractors.
  • Ensure adherence to US Department of Labor Occupational Safety and Health Administrations (OSHA) standards by evaluating monthly OSHA checklist and responsible for implementation of OSHA specific tasks.
  • Conduct quarterly grant audits in collaboration with agency department directors and finance department.
  • Responsible for the implementation/revision of policy and procedure, and quarterly updates related to the agency’s Emergency Preparedness Plan, General Safety Manual, Exposure Control Plan, Safety Data Sheets (SDS) and agency HERO Act.
  • Responsible for the oversight of agency self-disclosure process and participates with NYS Office of Medicaid Inspector General (OMIG) and participates in and acts as a resource for external audits as needed, including OMIG audits.
  • Preparation and dissemination of client Protected Health information (PHI) requests within the legal timeframe.
  • Aids and acts as a resource to ensure quality program operations.
  • Promote awareness and conformance of all regulations and standards as they apply to the programs within the agency and provide interpretive guidelines as necessary.
  • Assists in tracking MOU/BAA expiration dates and renewals, meeting with agency’s Operations Manager quarterly.
  • Ensure that all independent contractors (vendors, billing services) are aware of the requirements of the CCDR Compliance Plan.
  • Acts as manager of and maintains NYS Office of Mental Health applications: SMS: Security Management System; MHPD – Mental Health Provider Directory; CAIRS – Child and Adult Integrated Reporting System; PSYCKES – Psychiatric Services and Clinical Knowledge Enhancement System. Assisting staff with access and termination of access. NIMRS – New Incident Management Reporting System: Assisting Quality Assurance Specialist with incident maintenance and serves as back-up for daily incident checking.
  • Maintains the integrity and storage of current and discharged files following agency document retention policy.
  • Conducts, documents, and tracks site inspections collaborating with the Property Department.
  • Represents agency on various external committees, including Your Health Partners of the Finger Lakes Compliance Committee; Association for Community Living (ACL) monthly meetings/yearly conference.
  • Serve as the Agency Privacy Officer, and act as a resourceful leader regarding HIPAA compliance.
  • Develop, implement and updates as necessary agency policies and procedures specific to Corporate
  • Compliance, HIPAA privacy, Incident Reporting and other policies as needed.
  • Assists in agency policy creation, revision and maintenance in a centralized platform and updating program manuals with revised policies. (electronic and hard copy)
  • Generate and maintain reports to the Executive Director as needed.
  • Report on a regular basis to the governing body through reports to the Executive Director, and report any issues with Corporate Compliance, HIPAA, or Privacy.
  • Participates as a member of the management team and attends agency committee meetings as assigned in addition to special projects as requested.
  • Attends training seminars, workshops, and other educational activities to keep abreast of new developments and changes related to the billing/reimbursement process.
  • Other duties as assigned.

Interim Appointment

Whenever it becomes necessary to create an interim appointment for the Regional Compliance Officer due to separation, leave of absence or otherwise, the Senior Executive at the CCDR Division level, in consultation with the CCDR Chief Compliance Officer, will appoint an interim Chief Regional Compliance Officer.

ADDITIONAL REQUIREMENTS:

  • Possess excellent verbal and written communication skills.
  • Ability to multi-task and prioritize duties.
  • Willingness to foster agency, department and program wide cooperation and teamwork through use of positive/constructive communication techniques.
  • Ability to maintain absolute confidentiality regarding all records reviewed including consumer records, employee records and billing records.
  • Proficiency and experience with PC’s and Microsoft applications.
  • Ability to analyze and interpret data and to handle problem resolution.
  • Possession of a valid NYS Driver’s license and a driver’s record considered acceptable by agency and insurance carrier.
  • Continuous use of a reliable, registered, and insured vehicle.
  • Demonstrate commitment to Agency Mission Statement.
  • Working knowledge of community resources and funding systems external to the agency.
  • Background checks may be required per program regulations.
  • Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. All duties must be performed in accordance with CCDR’s corporate compliance and ethics program.

QUALIFICATIONS:

  • Bachelor’s degree in social work, Psychology, Nursing or related field.
  • Three years’ experience in human service management with proven skills in program administration compliance and/or quality assurance plans.
  • A combination of education and experience may be substituted at the discretion of the Executive Director.

What you will get:

We offer a comprehensive benefits package (see below) to our full-time workforce members who work 30 or more hours per week.

  • Salary: $26.45-29.00/hour depending on education and experience.
  • Full-time, M-F
  • Paid Time Off: Accrue up to 10 days in the first year, 15 days after 1st Anniversary.
  • Holidays: 12 paid holidays
  • NY State Paid Sick Leave
  • Agency Sick Leave
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Group and Term Life Insurance
  • Short-Term Disability
  • Long-Term Disability
  • Supplemental Insurances
    • Hospital
    • Accident
    • Auto
    • Pet
    • Specified Disease
  • Flexible Spending Account
  • Legal Plan
  • Identity Plan
  • Employee Assistance Program
  • 403b Retirement Plan, with agency contribution for those that qualify (subject to agency performance)
  • My Better Benefits – provides discounts and savings on thousands of products and services.
  • Our hiring process and timeline:
    • Applications will be reviewed regularly until the position is filled.
    • Phone screenings will be conducted with qualified candidates.
    • In-person one-hour interviews will be conducted with candidates who advance after the phone screening
    • In-person interviews are typically with 2-4 Interviewers

    Selected candidate(s) to start ASAP.

    ***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agencies and our people. EOE/AA Disability/Vet

To apply for this job please visit completepayroll.evolutionadvancedhr.com.