Compliance Specialist II

Job Duties & Responsibilities:

• The Specialist II will be responsible to manage daily assigned incident or other serious event investigations that occur within the assigned programs they are responsible for.
• They will support program documentation compliance by completing chart audits.
• They will complete program audits to ensure processes the organization implements compliant outcomes. If the outcomes are not compliant, recommend making appropriate changes to the issues giving rise to non-compliance.
• Perform quarterly (four per year) program audits within all assigned programs they are responsible for. These surveys may occur in Rogers Inpatient Hospital, Residential and Outpatient settings.
• The program audits will require the Specialist to:
• Interview staff, discuss regulations, standards and Roger's policies.
• Provide education to staff when needed in all areas related to compliance with these standards.
• Prepare findings report.
• Track action items for follow up and revisit on follow up surveillance rounds to ensure resolution.
• They will assist during Federal, State and Joint Commission surveys as needed, conducting tours and providing necessary documents as appropriate.
• Participate in the Rogers Operating System to ensure action plans and follow-up projects to address any regulatory deficiencies identified are addressed.
• Utilize key metrics and reporting tools related to all department functions.
  

Promote a team atmosphere by treating individuals with respect and honesty and by using direct communication and active listening skills.

• Be open to change and actively support change.
• Be open to others' ideas and points of view.
• Facilitate change in a positive and agile atmosphere.

Conduct self in a professional manner.

• Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
• Communicate with all individuals in a positive and professional manner.
• Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solutions.
• Communicate concerns and provide solutions for the same.
• Attend outside seminars and/or educational classes to promote professional growth.
• Demonstrate a positive and professional attitude toward parties outside the hospital (provider relations representatives, managed care contractors, visitors, vendors, etc.).
• Comply with the hospital's policies and procedures, including Human Resources, Infection Control, and Employee health policies and programs.
• Project a professional image by wearing appropriate, professional attire.

Perform other duties as assigned.

Ability to travel up to 50% of the time.

Additional Job Description:

Physical/Mental Demands:

• Ability to be flexible regarding work area and assignments.
• Ability to write/type accurately to effectively communicate information and ideas.
• Detail-oriented with strong organizational skills.
• Possess integrity and initiative. Be tactful, helpful, courteous, dependable, flexible, efficient, cooperative, and be able to follow instructions and need minimal supervision.
• Ability to maintain confidentiality.
• Possess a positive attitude toward work and Rogers Memorial Hospital and be able to accept constructive criticism.
• Work takes place inside the building at a desk, with some walking and standing. Reaching, handling and fingering are necessary to operate various office machines. Talking and hearing are necessary to record minutes, take dictation, transcribe and communicate.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
• Tact required to interact effectively with employees and professional staff. Logical thinking and discretion required to make decisions in initiating and implementing policies and procedures and standards.
• Must be able to read and communicate through written, verbal, and auditory skills and abilities.
• Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment physical.
• Ability to travel to Rogers locations to conduct surveillance rounds.

Education/Training Requirements:

• Bachelor's degree in political science, social services, business, healthcare or related field required.
• Experience conducting audits with joint commission or state agency preferred.
• 3 to 5 years' experience with regulatory agencies.
• Demonstrate an understanding of Joint Commission, State and Federal regulatory requirements and risk management responsibilities.
• Must hold a valid driver license and must be granted insurable status by the Rogers Memorial Hospital insurance policy.

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family
• 401(k) retirement plan
• Employee share program
• Life/disability insurance
• Flex spending accounts
• Tuition reimbursement
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)