Compliance Director - Healthcare jobs in South Carolina

ABOUT US:

Careteam Plus, located in and serving the Grand Strand Myrtle Beach/Georgetown/Pawleys Island and Conway, SC area, is a primary medical and specialty care healthcare organization offering services for the entire family, from newborn to the elderly. We provide convenient access to exceptional healthcare services, when and where our patients need it regardless of their ability to pay.

POSITION SUMMARY:

The Director of Quality and Compliance is responsible for ensuring data integrity and assisting staff with data analysis to help ensure quality of service delivery and enhancing data/services to meet the organizational mission. Provides direction to Careteam departments/areas in identifying appropriate strategies and outcomes for overall improving quality and efficiency. Serves as a point person for the organization as it relates to quality management, program compliance and overall corporate compliance. The position works closely with the Senior admin team to participate in discussions, projects and to provide professional input.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Provides direction to Careteam departments/areas in identifying appropriate strategies and outcomes for overall improving quality and efficiency of patient and client services and other objectives of Careteam Plus.
• Leads staff development criteria and reporting by which opportunity areas may be identified, assessed and resolved/improved.
• Coordinates and collaborates with organizational representatives internally and externally to ensure systems are meeting organizational QM needs and functioning and delivering as needed and targeted.
• Ensured at least once monthly departmental/area quality meetings occurred.
• · Represents the Quality department at monthly Board meetings, Board retreats and other special meetings and presentations.
• · Overall monitors organizational departments/area KPI and other targets for reporting compliance.
• · Reviews department/area work/reports to ensure focus areas are properly identified and progress is occurring or action steps/plans for improvement are in place otherwise.
• Ensures accurate data collection and documentation as it relates to QM and ability to extract/report as systematically determined to meet regulatory, grant and internal reporting specs.
• Ensures data extractions and reports to funders is accurate and assists with the oversight of report development, including but not limited to annual Ryan White Data Reporting, general QM data reporting, Centers for Medicaid & Medicare Services and more.
• Monitors Centers for Medicare and Medicaid Services, SC DHEC and HRSA reports on a scheduled basis for accuracy, errors, omissions, and corrections and proactively develops plans to meet reporting requirement needs.
• Maintains expertise and knowledge pertaining to internal EHR, Pharmacy systems, lab systems, case mgt and Outreach and Prevention systems and any other company systems in the network.
• Ensures Departmental/staff education and training on systems and tools used in data collection such as Athena and Azara.
• Assists organization leadership in learning quality improvement concepts, how/where to document quality improvement initiatives and steps to run area reports, survey implementation and other related functions.
• Keeps CEO, Board and other key stakeholders appraised of CM and compliance related activities and initiatives.
• Assumes responsibility for understanding and creating QM and compliance objectives that contribute to the organization mission.
• Responsible for the creation and implementation of organizational annual quality plan and implements continuous quality improvement processes.
• Responsible for agency compliance with all federal and state laws (those not already under the direction of HR and Pharmacy)
• Responsible for ensuring agency compliance with all program and grant requirements.
• Responsible for assisting departments and areas with coaching and maintenance of up-to-date policies and procedures manuals for all programs, departments, and grants.
• May participate in conjunction with area leader with annual HRSA onsite Pharmacy audit.
• Establishes as a resource for staff to bring forward corporate complaints or concerns without fear of reprisal.
• Conducts general staff education on QM and corporate compliance topics.
• Serves as the point person for internal incident reports to triage and ensure proper documentation and action and trend analysis.
• May represent Careteam Plus at educational sessions, DHEC conferences, trainings as well as any other pertinent QM trainings as may be determined.
• Develops and maintains compliance focused policies and procedures.
• Tracks, implements, maintains, and audits to ensure compliance with regulatory compliance standards.
• Develops risk management strategies and processes and refers more complex matters to legal counsel or other individuals who can assist.
• Careteam staff work together as a team and help each other and patients/clients by performing other duties as assigned.

QUALIFICATIONS:

Education

• Bachelor’s or Master’s Degree in related field required.

Experience

• A minimum of 3 years experience in healthcare QM and Compliance required.
• Prior experience with Provide Enterprise and/or Athena electronic health record preferred.

Special Skills

• Strong servant leader with a laser customer service focus required.
• Effective verbal and written communication skills to make complex topics understandable to others required.
• Ability to work in a high-performance work environment and lead efficient processes independently required.
• Organized, flexible and able to time manage competing priorities required.
• Evidence of sound decision-making, judgment and resourcefulness in problem solving required.
• Able to identify and lead pathways for successful task and project completion required.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public required.
• Ability to define problems/opportunities, collect data, establish facts, and draw valid conclusions required.
• Able to understand and implement system programming to facilitate data report needs required.
• High level proficient PC skills, including but not limited to, Microsoft Office software required.

Other

• Valid and in good standing SC driver’s license
• Personal transportation to travel varying locations throughout the tri-county service region required.
• Meets Careteam Plus Employee Health Tuberculosis screening program requirements.

The Planned schedule to start is as below , but might adapt and change if different work hours are needed:

M, W and Th 8a to 5

Teus 8a to 6p

Fri 8a to 1p

EOE and very encouraging and inviting for applicants and our staff diversity to reflect the diverse population of patients we serve.

Job Type: Full-time

Pay: $62,000.00 - $79,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Day shift
• No nights
• No weekends

Supplemental pay types:

• Bonus opportunities

Work Location: In person