Compliance Generalist
Reports to: Senior Compliance and Privacy Officer. FLSA Status: Exempt.
About the role
Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for older Ohioans to receive needed home and community services and supports; and to age successfully in their own homes and communities. WRAAA's core values: Quality, Efficiency, Collaboration, Safety.
Self-motivated and compassionate individuals looking to be part of a Best-in-Class organization; Team players who are committed to providing superior service to all they serve; Enthusiastic professionals excited to grow with an organization.
Position Summary: The Compliance Generalist is a Registered Nurse, or Licensed Social Worker who uses clinical knowledge to determine, through case reviews, the agency’s compliance with program and regulatory requirements. The Compliance Generalist also compiles and analyzes data related to assessment, care management and other services to assist with identifying and resolving areas of potential compliance risk.
Responsibilities
- Serves as clinical and compliance subject matter expert.
- Evaluates cases for compliance with contract and regulatory requirement as well as standards of care and sound clinical judgment.
- Develops, initiates, maintains and revises policies and procedures related to general operation of Compliance Program for assigned programs.
- Provides post audit findings and recommendations to ensure contractual program and compliance standards.
- Identifies potential areas of compliance vulnerability and risk.
- Works with Compliance Officer and other departments (e.g. Case Management) to develop corrective action plans for resolution of issues and provides general guidance on how to avoid or deal with similar situations in the future based on regulatory requirements and clinical experience.
- Provides reports on a regular basis, and as directed or requested to keep the Compliance Officer, Compliance Committee and/or senior management informed of the operation and progress of compliance efforts.
- Ability to effectively manage multiple priorities simultaneously by maintaining established time frames, adhering to deadlines and communicating changes effectively.
- Maintain minimum proficiency in all requisite computer applications and software.
- Maintain consumer confidentiality according to agency policy.
- Participate in trainings, meetings, in-services and continuing education opportunities requested by supervisor or manager.