Field Compliance Manager

About the Role

The Compliance Manager works with operational and clinical staff across all lines of business (Home Health, Hospice, and Personal Care). This position monitors and supports adherence to compliance standards, policies, and regulatory requirements. The role may also assist in designing and implementing corrective actions through participation in functional committee meetings, conducting investigations, reviewing medical and business records, and interacting with field personnel.

Responsibilities

• Conducts investigations of compliance issues arising from the compliance hotline, exit interviews, direct referrals, or personal observation.
• Creates reports supporting compliance investigations.
• Interviews individuals with knowledge relevant to compliance investigations, including current and former employees and third parties.
• Conducts audits and reviews of clinical records, business records, and other documentation relevant to compliance investigations.
• Serves as a liaison with other investigative resources as needed.
• Collaborates with internal and external department staff, including legal counsel, to investigate compliance issues.
• Assists with monitoring the Compliance hotline.
• Multi-tasks and prioritizes multiple compliance investigations, ensuring corrective action plans and mitigation plans are fully implemented.
• Supports compliance audits, with a focus on Risk Mitigation Audits (RMA), including remedial education and implementation of corrective action plans.
• Provides educational support to staff based on identified compliance issues and key compliance risk areas.
• Maintains confidentiality of all information related to patients, employees, integrity issues, audits, and other sensitive data.
• Interfaces with patients and/or legally responsible parties in response to adverse clinical events.
• Performs other duties as assigned.

Requirements

• Bachelor’s degree with 2–6 years of experience in healthcare compliance or a related field.
• Experience performing investigations is required.
• Degree in nursing, therapy, or a related field, and knowledge of healthcare laws and regulations (particularly home health and hospice regulations) is preferred.
• Certification in healthcare compliance (CHC) is preferred.