Director Of Compliance (2001647)

The Director of Compliance works with Beacon of Hope (BOH) staff to ensure programs remain in compliance with applicable regulatory standards set forth by the New York State Office of Mental Health (OMH) and provides supervision to the Quality Improvement Manager. Major areas of responsibility include serving as a liaison with external regulatory entities, assessing the quality of program services, facilitating staff development, ensuring HIPAA and Corporate Compliance, and performing Administrative and/or program related duties as directed. The salary for this position is: $115,000 - $120.000 annually. Location: 2510 Westchester Avenue, Bronx, NY Essential Duties and Responsibilities include the following: Department and Systems Lead the Quality Improvement Department and supervise the Quality Improvement ManagerServe as BOH's representative and gatekeeper for regulatory entities and external provider support systems to fulfill compliance requirements, support care coordination, submit reports and maintain operationsManage BOH's electronic health record by serving as an internal Help Desk for staff and communicating with the vendor to troubleshoot issues and plan for changesOversee BOH's participation in Regional Health Information Organizations, provide training to staff around such, and ensure all required documentation is available and currentPopulate and analyze data for the quarterly BOH Divisional Board ReportDevelop, implement and analyze Consumer Satisfaction Surveys and Program Evaluation StudiesMonitor the provision of services to Identify operational improvements and recommend plans for suchCreate new forms for implementation consistent with operational needs and requirementsPrepare and update policies and procedures consistent with regulatory requirements Concerns And Incidents: Client Concerns and Grievances:Receive and track client concerns and grievances, investigate when indicated, recommend a course of action, provide a response, and prepare related reportsIncident Management:Maintain communication with the New York State Office of Mental Health, The Justice Center, and/or NIMRS/WSIR regarding all reportable incidentsIncident Review Committee:Prepare the agenda, as well as tracking and trending reports for internal incidents. Facilitate the committee meeting and write-up the minutesSpecial Investigations:Conduct investigations under the direction of BOH leadership and/or in coordination with The Justice Center Operations And Audit: Utilization Reviews:Audit client case records, prepare findings reports, conduct findings review meetings, and provide follow-up training to staff as neededMedicaid Billing:Audit documentation for submission, prepare related reports and resolve client issues impacting billing. Work in coordination with the Finance Department around such, as neededAudit Preparation:Train staff in compliance with audit requirements, conduct environmental assessments, coordinate peer audit reviews, and perform mock licensing and monitoring auditsAudits:Participate in Licensing audits and Monitoring Reviews. Assist in the preparation of Corrective Action Plans as needed HIPAA And Corporate Compliance: Maintain and update HIPAA policies and procedures to ensure consistency with requirements for suchInvestigate HIPAA & Compliance related concerns, make notifications as required and prepare reportsManage requests for Protected Health Information and prepare responsesMonitor and evaluate the Corporate Compliance risk areas and develop plans to mitigate suchAnnually draft and update the Compliance Work Plan, including training, monitoring, auditing, and responding to compliance issuesUpdate policies and procedures designed to ensure Corporate ComplianceParticipate in training of Board members, staff and contractors regarding Corporate ComplianceRespond to concerns regarding Corporate Compliance and investigation as directed by agency leadershipPrepare the Corporate Compliance quarterly reports, facilitate the bi-annual Compliance meetings, and write up meeting minutes for the Divisional and CCCS Board Meetings Property Management: Builds and maintains a comprehensive understanding of laws and regulations for property managementReviews and reports on the status of all lease-related documentation to ensure such is currentReviews and tracks housing inspection documentation including photographs to promote safe environments and accountability in apartment programsEngages in scheduled and unscheduled program visits, including community-based apartments, and prepares reports summarizing visitsPrepares reports on clients' benefits and entitlements to identify residents in need of additional supportParticipates in the non-payment and/or holdover eviction process to ensure compliance with internal policies and procedures as well as legal requirements for suchTracks the status of outstanding property management related activities to provide checks and balances on apartment repair issues Training: Develop an annual staff training schedule in consultation with BOH leadershipWorks with BOH leadership to secure consultants for training and provide support as neededFacilitates ongoing employee training during times that are consistent with program and staff needs General: Adhere to personnel and residential policies and procedures as outlined in the CCCS Personnel Policies and Procedures Manual and BOH Policies and Procedures ManualPerform other duties consistent with the goals and objectives of the department and its programs, as assigned by Beacon of Hope Administrators Position Type and Expected Hours of Work: This is a full-time position. Generally, works 9:00 AM - 5:00 PM. Management positions must be available 24 hours daily by cell phone. Working conditions and physical demands: The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Travel to sites throughout New York City to at least 5% of the time using transportation, traversing streets, ascending/descending stairs, and exposed to outside weather conditions. Traverse neighborhoods that may require a high level of alertness and awareness of surroundings. Assess and work in varied environmental conditions. Work with clients who require consistent and comprehensive support. Remain stationary at a workstation and use a computer and sit in meetings at least 75% of the time. Walk site (s) to inspect the environment, stand in place, and bend and lift small items, 20% of the time. Requirements Qualifications: Education and/or experience: Master's degree in a mental health discipline is preferredSeven years of experience working in complianceFive years of experience working in and/or with a government contracted program preferredFive years of experience working with a special needs population preferred. Catholic Charities and Catholic Charities Community Services is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristics protected by law.