Job Description

POSITION SUMMARY:

The Chief Compliance Officer will serve as an agency risk assessment manager to identify systemic deficiencies and areas of non-compliance related to quality, medication administration, and compliance. This position requires stringent monitoring practices of resident medical information and auditing internal agency records and processes to ensure adherence to state and agency regulations and guidelines. The Chief Compliance Officer will effectively monitor all compliance-related processes and supervise members of the Compliance team in their various roles, delegating appropriately to remediate issues. The Chief Compliance Officer supervises the Billing & Occupancy Manager, Medication Coordinator, Health Data Coordinator, and IR & Medical Records Coordinator. The Chief Compliance Officer collaborates with Program Team Members and person-centered team members. The Chief Compliance Officer is supervised by the Chief Executive Officer.

REQUIRED QUALIFICATIONS:

oAt least 21 years of age

oBachelors Degree in a human services field, medical compliance, quality or equivalent experience

oA minimum of 5 years experience in quality assurance, regulatory compliance, and medication administration.

oA minimum of 3 years supervisory or management experience

oExtensive knowledge of the Medicaid SCL waiver program and regulatory compliance.

oExtensive knowledge of medication administration

oExperience with internal auditing practices

oComfortable with using computers including Microsoft Outlook, Sharepoint, Excel, and online electronic health record portals

oProven ability and experience to supervise, train, and motivate staff.

oMust be able to work independently, take initiative and be self-motivated.

oExcellent written and verbal communication skills.

PREFERRED QUALIFICATIONS:

oPrevious experience with persons who have intellectual disabilities and an interest in working with people in community-based setting

oExperience with using Oasis

oExperience with Tarrytown Expocare

oValid driver's license required

EMPLOYMENT EXPECTATIONS:

oImpeccable integrity and accountability practices

oDemonstrates dependability with follow-through on tasks and strict deadlines

oDemonstrates leadership

oProfessional appearance and written/verbal communication skills

oAppropriate use of supervision and consultation

oMaintain clear and accurate records and documentation

oCompliance with personnel policies set forth by the Board of Directors

oMonitor and advocate for the rights and welfare of residents

oReport non-compliance issues to the CEO upon discovery

oProvide crisis prevention training and risk mitigating strategies to current and new staff

oMust be able to work independently, take initiative and be self-motivated

oExceptional time management and organizational skills

oStrong data entry skills

oExcellent verbal and written communication skills

oAttention to detail to ensure accuracy

oFamiliarity with medical terminology

oExcellent problem-solving skills

oStrict confidentiality is expected

oWillingness to learn

oAttendance at required meetings and trainings

oCommitment to the mission of Day Spring

RESPONSIBILITES:

oUpholds the values and mission of Day Spring at all times.

oProvide direct supervision to members of the Compliance Team with commitment to weekly coaching and leadership to drive results.

oProvide oversight to the compliance team to ensure action items are completed in a timely manner.

oMonitor all medication and compliance tracking documents to ensure compliance and accountability of team members.

oProvide consistent monitoring of Tarrytown portal and Oasis to ensure resident medications, protocols, and scripts are in compliance at all times with state regulations at all times.

oAbility to monitor expiration dates for doctors orders and other related medical protocols to ensure the continuity of residential care.

oMonitor the submission of all medical paperwork following all doctors appointments to identify needs related to medication changes and delegate next steps for implementing changes to compliance team members.

oConduct monthly med audits in all on-site residential settings and conduct unplanned home audits of the Family Home Provider program, ensuring consistency between eMAR, scripts, and medication labels.

oAudit eMARs for all residential locations monthly, in addition to auditing Family Home Provider eMARS monthly.

oMonitor HRST online portal to ensure all medication information is accurate and complete for all onsite residents and FHP program residents.

oOversee annual audit preparation and collaborate with Chief Program Officer on audit responses.

oMaintain audit findings spreadsheet and delegate tasks with clear deadlines for correction.

oConsistently investigate operational procedures to identify systemic deficiencies and areas of non-compliance related to quality of care, medication administration, and compliance.

oMaintain med error protocol spreadsheet.

oMonitor HRST portal for correct information and to ensure documentation is entered on time for onsite residential and FHP programs.

oConduct all APS investigations and critical incident reports and submit findings to MWMA in collaboration with the IR/Medical Records Coordinator by the assigned deadline.

oEvaluate agency processes for improvement opportunities to reduce the frequency of incidents and mitigate other related errors.

oSchedule, coordinate, and conduct quarterly fire drills at all onsite residential locations by their required deadlines.

oAudit Emergency Kits and First Aid Kits for all residential locations on an annual basis.

oFrequently monitor residents information and audit internal agency processes to reduce the frequency of incident reporting.

oSchedule and conduct quarterly safety and fire drills at all onsite residential locations.

oIdentify issues in a timely manner, notify departmental supervisors, and provide guidance and deadlines for the remediation of all tasks.

oAssist in resolving crisis events across agency departments.

oUtilize crisis prevention strategies to anticipate potential non-compliance problems.

oConsult with team leaders on areas of improvement, providing collaboration towards improving processes and overseeing implementation.

oWorks collaboratively with other departments within the organization to accomplish organizational goals.

oWorks collaboratively with and interacts professionally with Case Managers and other related service providers.

oLeads compliance trainings during new hire orientation.

oParticipates in the agency on-call Helpline rotation.

oFacilitates internal communications and trainings for current and new staff as needed.

oPrepares reports and/or surveys as directed.

oMonitors compliance of tasks associated with the Billing & Occupancy Specialist, including intermittent attendance at BIC meetings and the assurance of compliance with Memorandums of Understanding with participating agencies.

oParticipates in meetings as assigned by the Chief Executive Officer.

oDemonstrates support of the Chief Executive Officer, demonstrating a united front at all times.

oProvides direct care support if needed.

oAvailable remotely for support outside of normal business hours.

oOther duties as assigned.

PHYSICAL DEMANDS OF THE POSITION:

1. Be healthy and physically fit including the physical requirements of lifting individuals, standing for long periods, crouching, twisting/turning, weight bearing, walking and other physical activities as required.

2. Be able to lift up to 50 pounds.

3. Exhibit abilities to see, hear and speak to individuals under their care.

4. Must possess a valid drivers license to operate and drive a vehicle.

WORK ENVIRONMENT FOR THIS POSITION:

Work is normally performed in an office or residence. While performing the responsibilities of the position, these working environment characteristics are representative of the environment the CCO will encounter.

The employee is occasionally exposed to moving mechanical parts and vehicles; the noise level in the work environment is usually quiet to moderate. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the position.

This position may occasionally require longer work days or varied schedules. This may include work on nights, weekends or holidays.

• Additionally, individuals will need to protect themselves from possible work-related hazards, during the course of resident care, since they may be exposed to infectious diseases, body fluids, radiation, chemicals, etc.

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