Compliance Director

2 months ago

Ontario, United States Lifeways Inc Full time $48
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES (This is not an exhaustive list of all duties/responsibilities.  Other duties may be assigned)
  • Act as Compliance, Quality Assurance and Mental Health Abuse Investigations Director for the organization. 
  • Responsible for development, day-to-day management, and oversight of the compliance, quality assurance and mental health abuse investigation programs. 
  • Complete an annual compliance work plan, an annual Quality Assurance (QA) plan, an agency-wide risk assessment, and maintain and submit an annual HHS Breach Report.
  • Revise and oversee agency compliance and privacy policies/procedures, agency records, contracts, Business Associate agreements, and standards of conduct to ensure agency policies are updated regularly, comply with evidence-based practices, and in accordance with statutes and state and federal regulations.
  • Develop and implement a training program that include:
  • Agency-wide training for new employees on compliance, prevention of fraud, waste & abuse, and Lifeways’ Code of Conduct, HIPAA privacy regulations.
  • On-going clinical, compliance, and QA training for employees working in high-risk positions. 
  • Regularly report to the CEO and Board of Directors on efforts to develop and implement effective compliance, privacy, and quality assurance programs.
  • Communicate to employees the importance of reporting suspected wrongdoing to Lifeways and manage anonymous and confidential reporting mechanisms including a “hotline” for reporting suspected misconduct, fraud, waste, or abuse.
  • Conduct regular audits of agency compliance records, billing, electronic medical records including service documentation and privacy records, to help reduce agency risk, breaches, destruction & retention, and to comply with regulations.
  • Direct investigations into compliance related activities and potential breaches of Personal Health Information,
  • Direct mental health screening and investigation of potential abuse and ensure 24/7-365 screening of abuse reports as per Oregon Administrative Rules (OAR’s).
  • In conjunction with the CEO, Lifeways Board, and Lifeways legal counsel determine appropriate agency response to detected violations. 
  • Organize and participate in QA, Coordinated Care, Compliance, HIPPA Compliance and other job-related committees.
  • Direct response of privacy practice complaints and client and community partner complaints associate agreements for privacy requirements, and daily review of reportable QA incidents.
  • Ensure regular inspections of agency facilities and privacy practice procedures, and ongoing monitoring of business.
  • Compliance:
  • Implement, manage, and monitor compliance program, in collaboration with Executive Management.
  • Ensure ongoing surveillance of clinical service documentation, billing practices, and OIG FFP exclusion requirements. 
  • Monitor and respond to confidential and anonymous reports of fraud, waste, abuse, or other illegal or unethical reported behaviors. 

Quality Assurance:
  • Develop, implement, and conduct systematic continuous assessment of clinical documentation, quality of service and client outcomes.
  • Direct interpretation of QA and behavioral healthcare rules and provider regulations
  • Direct clinical service and billing audits 
  • Direct and report on quality improvement, data analysis, and consumer satisfaction surveys. 

Privacy:
  • Coordination of HIPAA privacy compliance activities 
  • Help establish and maintain a mechanism to track access to protected health information as required by law.
  • Oversee the Privacy Rules of clients to inspect, amend, and restrict access to their protected health information (PHI).

MH Abuse Investigations:
  • Monitor abuse screening timelines and report submissions of agency MH abuse investigators.
  • Liaison with the OHA Office of Investigations, Training, and Safety (OTIS) as needed. 

Required Qualifications:
  • Master’s degree in human services, social work, counseling, or LMFT
  • Certified Healthcare Compliance Certification or equivalency within 2 ½ years of hire
  • Completion of the OTIS MH Abuse Investigator Training within 1 year of hire
  • Valid driver’s license
  • Must pass a criminal background check

Preferred Qualifications:
  • Five years’ experience working in a regulated environment
  • Two years of direct clinical experience in behavioral health

Benefits offered:
  • $3,000 new hire bonus (new hired full-time staff)
  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Flexible Spending Account
  • Health Savings Account
  • Life Insurance, AD&D - Company Paid
  • Short Term Disability- Company Paid
  • Long Term Disability
  • Supplemental Life Insurance
  • 401K Retirement Plan (Traditional or ROTH) with Company Funded company match up to 6%
  • Retirement and Financial Planning Services
  • Shift differential incentives
  • Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
  • We provide professional development to enhance various skills, certifications, and continuing education
  • Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have opportunities
  • Paid Time Off (amount depends on years of service)
  • Sick Leave for part-time staff
  • (11) Paid Holidays 
  • Tuition reimbursement program 
  • Commuter Mileage Incentive
  • Cell phone reimbursement 
  • Clinical Supervision
  • Wellness Program reimbursement 
  • Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being

  • Compliance and Quality Assurance Director

    1 week ago

    Ontario, California, United States Lifeways Inc Full time

    About Lifeways Inc. Lifeways Inc. is a leading provider of behavioral health services, dedicated to improving the lives of individuals and families in need. We are committed to creating a supportive and inclusive environment where our employees can thrive and make a meaningful difference. Job Description: Compliance and Quality Assurance Director We are...

  • Safety and Compliance Director

    7 days ago

    Ontario, California, United States Sparrow Company Full time

    Job OverviewPosition SummaryThe individual in this role will oversee the establishment and administration of tailored Health and Safety initiatives across designated sites. These initiatives will align with the overarching guidelines set forth by Sparrow Company's Health and Safety Department.Key ResponsibilitiesPromote a culture centered on the company's...

  • Lead Auditor, Internal Compliance

    2 weeks ago

    Ontario, California, United States GFL Environmental Full time

    Lead Auditor, Internal ComplianceGFL Environmental is seeking a Lead Auditor for our Internal Compliance division. This role will be based in our Vaughan office and is pivotal in guiding a skilled team of professionals, empowering them to reach their utmost potential while effectively implementing the Operational Audit Programs and Strategies. Reporting to...

  • Director of Nursing Operations

    5 days ago

    Ontario, California, United States American Career College Full time

    Job SummaryWe are seeking a highly skilled and experienced Administrative Leader to join our team at American Career College. The successful candidate will provide administrative leadership and management of our comprehensive registered nurse program, ensuring compliance with programmatic accreditation, internal consistency, and graduate outcomes that meet...

  • Director of Operations

    3 months ago

    Ontario, United States Terry Staffing and Consulting Full time

    Job DescriptionJob DescriptionOur Company: Terry Staffing is partnering with a construction and maintenance company, specializing in the building of turn-key, power generation facilities, to find an excellent Director of Operations based just North of Sacramento, CA.Position Responsibilities:Working with a host of key stakeholders, the Director of Operations...

  • Assistant Store Director

    3 weeks ago

    Ontario, United States Cardenas Markets LLC Full time

    At Cardenas Markets, how we work is defined by shared values that include absolute integrity, respect, and collaboration. However, it's more than that; it's smart and highly driven people united in purpose to serve one another.Bring your energy and unique perspective and you'll have the opportunity to grow with us professionally, personally, and financially....

  • Campus Associate Director of Nursing, Administration

    3 weeks ago

    Ontario, United States American Career College Full time

    Job SummaryReporting directly to the Campus Director of Nursing, assists with providing administrative leadership and management of a comprehensive registered nurse program (graduate and undergraduate) in support of University, campus, and/or departmental goals in order to assure compliance with programmatic accreditation, internal consistency, and graduate...

  • Assistant Director of Nursing

    3 months ago

    Ontario, United States Smith Chason College Full time

    Job DescriptionJob DescriptionDescription:JOB TITLE: Assistant Director of Nursing STATUS: Full TimeTYPE: On-Campus/Hybrid as permitted by DirectorREPORTS TO: Director of NursingPURPOSE:The Assistant Director of Nursing (ADON) plays a pivotal role in supporting the educational and administrative functions of the Nursing program. The ADON will work closely...

  • 2nd Assistant Store Director

    3 weeks ago

    Ontario, United States Cardenas Markets LLC Full time

    At Cardenas Markets, how we work is defined by shared values that include absolute integrity, respect, and collaboration. However, it is more than that; it is smart and highly driven people united in purpose to serve one another.Bring your energy and unique perspective and you will have the opportunity to grow with us professionally, personally, and...

  • 2nd Assistant Store Director

    3 weeks ago

    Ontario, United States Cardenas Markets LLC Full time

    At Cardenas Markets, how we work is defined by shared values that include absolute integrity, respect, and collaboration. However, it is more than that; it is smart and highly driven people united in purpose to serve one another.Bring your energy and unique perspective and you will have the opportunity to grow with us professionally, personally, and...

  • Director, Corporate Branding

    4 weeks ago

    Ontario, United States Ajinomoto Foods North America Full time

    Overview The Director - Corporate Branding & Communications is responsible for the strategic corporate branding, and managing the public relations, internal communications, and packaging creative development. The role's purpose is to develop the Ajinomoto corporate brand around the strategic directions set for the brand and create the overall communications...

  • Physician Clinic Medical Director

    4 days ago

    Ontario, United States Concentra Full time

    Job DescriptionJob DescriptionOverviewLooking for a Physician Leadership role in Ontario, CA?Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at...

  • Physician Clinic Medical Director

    4 weeks ago

    Ontario, United States Concentra Full time

    Job DescriptionJob DescriptionOverviewLooking for a Physician Leadership role in Ontario, CA?Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at...

  • Campus Assistant Director, Student Affairs

    1 month ago

    Ontario, United States West Coast University Full time

    Come care with us at West Coast University! As a Assistant Director, Student Affairs, for a certified Great Place to Work, you are responsible for assisting with the campus's short and long-range planning/development and overall activities and goals for student services. Assists with the development and implementation of student affairs/activities and...

  • Campus Associate Director of Nursing, Administration

    2 days ago

    Ontario, CA, United States American Career College Full time

    Job Summary Reporting directly to the Campus Director of Nursing, assists with providing administrative leadership and management of a comprehensive registered nurse program (graduate and undergraduate) in support of University, campus, and/or departmental goals in order to assure compliance with programmatic accreditation, internal consistency, and...

  • Assistant Director, Persistence and Outcomes

    4 weeks ago

    Ontario, United States American Career College Full time

    At American Career College, we share a passion for students and transforming healthcare education! As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student learning, service, responsiveness, innovation, diversity, and stewardship.  As a part of this team,...

  • Assistant Director, Persistence and Outcomes

    3 weeks ago

    Ontario, California, United States American Career College Full time

    At American Career College, we share a passion for students and transforming healthcare education As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student learning, service, responsiveness, innovation, diversity, and stewardship. As a part of this team, you...

  • Campus Associate Director of Nursing, Administration

    2 days ago

    Ontario, CA, United States American Career College Full time

    Job Summary Reporting directly to the Campus Director of Nursing, assists with providing administrative leadership and management of a comprehensive registered nurse program (graduate and undergraduate) in support of University, campus, and/or departmental goals in order to assure compliance with programmatic accreditation, internal consistency, and...

  • Campus Assistant Director, Education

    2 months ago

    Ontario, United States American Career College Full time

    Campus Assistant Director, Education Ontario, California Job ID 2024-2641 At American Career College, we share apassion for students and transforming healthcare education! As an associate for a certified Great Place to Work, you willjoin a collaborative, student-centric culture valuing academic integrity, mutual respect, student learning, service,...

  • Assistant Director, Persistence and Outcomes

    3 weeks ago

    Ontario, United States American Career College Full time

    At American Career College, we share a passion for students and transforming healthcare education! As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student learning, service, responsiveness, innovation, diversity, and stewardship. As a part of this team,...