Hospital Compliance Officer

About the role

The County of Monterey is accepting applications for a full-time, permanent Hospital Compliance Officer at Natividad. This position plans, organizes, and coordinates various functions, operations, and activities pertaining to compliance at Natividad.

Responsibilities

• Plans, organizes, directs, and coordinates departmental compliance program activities to help ensure that hospital practices, policies, and procedures comply with County, State and Federal law as well as hospital standards and ethics.
• Develops, implements, and audits program processes.
• Develops, initiates, maintains, and revises policies and procedures for the general operation of the hospital compliance program and its related activities to prevent illegal, unethical or improper conduct.
• Manages the day-to-day operations of the program; identifies the necessary participants in the compliance plan development and administration process; estimates resources necessary to accomplish the implementation of the program.
• Maintains an organization Code of Conduct.
• Works collaboratively with hospital management and staff to design systems and processes to assist them in addressing and preventing potential compliance issues.
• Develops and maintains an organization Code of Conduct.
• Ensures appropriate screening is conducted to ensure that Natividad does not hire or conduct business with individuals or entities that have been debarred from participation in federal programs.
• Acts as an independent reviewer to ensure that departmental compliance issues/concerns within the hospital are being appropriately evaluated, investigated, and resolved; develops/implements corrective action plans for resolution of problematic issues.
• Stays abreast of legislation, trends, and issues pertaining to assigned areas; reviews court decisions, proposed legislation, and new program/policy; confers with legal counsel regarding impacts of legislation and court decisions; recommends and implements hospital strategies.
• Responds to concerns and/or complaints from patients, the public, medical staff, and/or other hospital managers pertaining to assigned areas in order to maintain positive customer relations; researches and investigates issues; prepares written or oral responses as needed.
• Participates in organizational strategic planning activities; serves on committees and task forces to address specific issues and/or represent the department as assigned; attends meetings and conferences as assigned; participates on task forces and committees as assigned.
• Prepares and administers assigned budgets; monitors, evaluates, and approves operational expenditures within limits of authority; performs cost/benefit analyses as appropriate; plans and estimates future costs including capital expenditures as appropriate; justifies requests for new equipment and/or personnel.
• Conducts meetings and gives presentations.
• Conducts special studies and projects as assigned; researches and analyzes information; prepares statistical and narrative reports and documents as needed.

Requirements

• Thorough Knowledge Of Local, State and Federal laws, rules, regulations, and ordinances pertaining to acute care hospital operations.
• The Joint Commission requirements and standards for acute care hospitals.
• Principles, practices, and techniques of compliance management, including program planning, fiscal/financial analysis, basic accounting, program implementation, administration and evaluation.
• Best practices in developing and administering compliance programs.
• Principles, practices, and techniques of policy development.
• Report writing and basic statistics.
• Principles and practices of business administration, including planning and organizing work, fiscal management, administrative problem solving, strategic planning and goal setting, and the implementation of effective solutions.
• Working knowledge of: The organization and functions of County government.
• Principles and practices of project management, including planning, organizing, coordinating, scheduling, and oversight of project progress.
• Computer-based business applications, including those commonly used for word processing, database management, spreadsheets, e-mail communication, and Internet access.
• Some knowledge of: Typical acute care hospital practices and routines.
• Medical terminology.

Skills and Abilities

• Plan, organize, direct, and coordinate compliance activities within an acute care hospital.
• Read, understand, and apply relevant County, State and Federal statutes, rules, ordinances, codes, regulations, administrative orders, and other governing regulations.
• Evaluate the quality and effectiveness of the compliance programs and activities and make necessary improvements.
• Collect, interpret, and evaluate narrative and statistical data pertaining to administrative functions; prepare complex reports, memoranda, and other written materials.
• Establish and control an operating budget.
• Utilize standard business equipment.
• Analyze and resolve problems and complaints.
• Assess and prioritize multiple tasks, projects, and demands.
• Assess and investigate sensitive and complex administrative and operational issues, evaluate alternatives and make logical recommendations based on findings.
• Communicate clearly and concisely, both orally and in writing; effectively present information to groups and individuals.
• Establish and maintain cooperative working relationships with others including physicians, nurses, administrators, attorneys, managers, and insurance carriers.
• Maintain excellent public relations and provide courteous customer service.