Director of Quality Compliance
1 week ago
Join Buckelew and you will play a pivotal role in making a meaningful impact on the lives of individuals facing mental health and substance use challenges.
Buckelew Programs is the largest provider of behavioral healthcare services in the North Bay for those who would otherwise not have access. We are seeking a new Director of Quality & Compliance to join our team. In this role, you will oversee the organization’s Quality & Compliance department, and ensure that all necessary policies, procedures and protocols are prepared, documented, reviewed and followed.
Working under the direction of the CEO you will design, implement and maintain all areas of accountability of a formal compliance program in adherence to state and federal regulations. You will ensure all regulatory compliance and oversight areas are addressed, including contracts, grants, internal and external audits, regulatory and legal requirements, and licensing and accreditations. You will develop, implement, and participate in quality improvement initiatives; assist in program evaluation and planning consistent with the organizational values and mission; serve as HIPAA Privacy Officer and Compliance Officer.
The Compliance & Quality Director manages a small team, serves on the Agency Senior Management Team, and reports directly to the Chief Executive Officer. This is a full-time, exempt position, which offers a hybrid work schedule with the requirement of working onsite at our corporate office a minimum of two days per week.
**RESPONSIBILITIES**:
- Develops, initiates, maintains and oversees and monitors on a consistent and regular basis the organization’s compliance program, including all internal and external monitoring, internal auditing, investigative and reporting processes, procedures and systems develop and use tools which enhance agency quality and compliance.
- Remains current with changes in relevant laws and regulations, ensuring the company remains compliant with all legal requirements. Promotes a strong ethical culture within the organization, encouraging employees to act with integrity and in accordance with the company's values employees, management, and relevant stakeholders.
- Participate as Senior Management staff member in overall agency planning, budgeting and policy setting and implementing agency decisions as they relate to quality and compliance.
- Oversee standard compliance as regulated by State of California Title 9 Welfare & Institutions Code, federal MediCal regulations, federal HUD regulations, HIPAA, Community Care Licensing and ensures that all program standards, business practices, policies procedures and protocols meet CARF accreditation standards and other accreditation reviews and renewals.
- Serves as the organization’s primary point of contact for all compliance issues, including scheduling meetings, reporting on activities and making recommendations to the CEO, Board of Directors and any related committees.
- In collaboration with Senior Management Team members, participates in the development and implementation of the strategic plan with goals and strategies for the agency. Develops goals for the quality and compliance department and monitors and reports progress to the CEO.
- Plans, develops and implements an internal audit program that evaluates the accuracy of information and internal controls, the degree of internal and external risk, the potential exposure and the degree of compliance with all applicable internal and external guidelines, policies and regulations. Prepares detailed management reports on audit findings, recommendations for improvements and corrective actions planned to mitigate risk. Work with Q&C Manager and Program Supervisors to appropriately review client charts to ensure that clinical documentation meets client needs and contract related deliverables. Follows-up on audit recommendations to assure correction of deficient or exposed areas.
- Reviews and provides guidance and recommendations on all contracts, contract renewals and change requests to which Buckelew is a party. Proactively monitors contract compliance and reports findings and recommended corrections as necessary.
- Oversee the collection of risk data and critical incident reports. Identify compliance risks and escalate issues with appropriate Leadership to ensure agency practice adheres to accreditation and regulatory health and safety standards. Initiates and oversees independent internal investigation process when there is a violation or suspected violation of a regulation, policy, rule or procedures under the purview of this position. Reports findings in a prompt and thorough manner to CEO, other Senior Management, or Board of Directors as required. Creates plans for corrective action and follows up with responsible parties within Buckelew to report on corrections implemented to avoid future risks.
- Promotes and develops a culture of growth, learning and collaboration across the programs. Coordinates and co
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