The MACT Health Board, Inc., in Angels Camp, California, is searching for a Compliance Officer to ensure that all health services meet or exceed Federal, State and Corporate Compliance requirements/standards, including HIPAA and Accreditation Association for Ambulatory Health Care (AAAHC). The successful candidate will ensure that all policies and procedures related to quality assurance are maintained and updated, as needed using continuous quality improvement techniques. The incumbent will develop and maintain an organization-wide Continuous Quality Improvement Program, and serve as chairperson of the Continuous Quality Improvement Committee.
Applicant must be a Registered Nurse, BSN desired. Successful candidate will have a thorough understanding of State and Federal regulations related to ambulatory health care compliance, and the ability to network and foster relationships with appropriate government agencies. This position requires excellent verbal and written communication skills including the ability to facilitate group processes leading outcomes to a common goal. Experience with Electronic Health Records Systems required.
The position requires an awareness and keen appreciation of American Indian traditions, customs, and socioeconomic needs and the ability at all times to meet and deal effectively in contacts with Indian health organizations which requires tact, courtesy, discretion, resourcefulness and good judgment in handling functions of a sensitive nature.
1. Assists all MACT Departments in establishing and or updating policies and procedures to ensure they are meeting or exceeding all regulatory agency standards/requirements.
2. Develops standards following accreditation requirements to ensure quality improvement techniques meet or exceed AAAHC standards and other regulatory agencies having an impact on accreditation.
3. Serves as a member on the MACT Safety/Risk Management Committee.
4. Serves as the Chairperson of the Utilization Review Committee.
5. Supervises the Health Information Technologists (Medical Records).
6. Provides support and assistance to all MACT departments in developing goals and objectives for department quality improvements.
7. Conducts special studies related to quality improvements and assists in community-wide surveys, as directed by the Board of Directors or Executive Director, as well as conducting mock surveys.
8. Tracks and coordinates responses to patient suggestions for improvements and complaints.
9. Assists in locating consultants when needed or conducts special training sessions related to continuous quality improvements.
10. Responds to requests from the Board of Directors on Continuous Quality Improvement issues.
11. Ensures clear and open communication on policies and procedures, issues and other quality indicators related to continuous quality improvement/accreditation standards.
12. Submits monthly board reports as requested.
13. Review all after hours call reports weekly.
14. Serves as the Privacy Officer, investigating and responding to potential HIPAA privacy violations and breaches.
15. Working with the Director of IT, serves as the Chief Security Officer for the organization to ensure administrative, physical, and technical safeguards are compliant with HIPAA security regulations.
16. Acts as the administrative partner to the Medical Director.
17. Ensures communication between the clinics, the Medical Director, Executive Director, and Board of Directors.
18. Recommends and develops processes for increasing Providers’ productivity.
19. Recommends and develops processes for improving the timeliness and completeness of Providers’ charting .
20. Develops and implements clinical and EHR workflows.
21. Develops and implements continuity planning related to clinical functions, e.g. prescription refills, tasking, appointments, etc. when Providers are out of office, e.g. sick, vacation, resignation, termination.
22. Assists with Provider on boarding, training, and development, as appropriate.
23. Serves as the liaison between Providers and the Credentialing Specialist to ensure applications, appointments, privileges, and credentialing are received and completed.
24. Comply with MACT policy and procedure at all times.
25. Other duties as assigned.
1. Registered Nurse required, BSN desired.
2. Certified in Healthcare Compliance (CHC), required within 12 months of employment.
3. Certified in Healthcare Privacy (CHPC), required within 18 months of employment.
4. Certified in Healthcare Privacy and Security (CHPS), desired.
5. Certified Professional Medical Services Management (CPMSM), desired.
6. A minimum of four years experience in Quality Management and/or accreditation.
7. A thorough understanding of State and Federal regulations related to health care compliance, as well as AAAHC.
8. Ability to network and foster relationships with appropriate government agencies.
9. Excellent verbal and written communication skills including the ability to facilitate group processes leading outcomes to a common goal.
10. Knowledge and experience in public speaking to small and large groups.
11. Proficient in the use of Excel, Word and WordPerfect.
12. Knowledge in management information systems (MIS).
1. Must pass Occupational Health Screening.
2. Possesses a valid form of identification as listed on the U. S. Department of Justice I-9 form and processed/authorized using E Verify.
3. Must adhere to the MACT Health Board, Inc. Corporate Code of Conduct.
4. Valid CA Driver’s license and automobile insurance.
MACT Health Board, Inc. is a qualified employer under the federal Public Service Loan Forgiveness program.
Preference in filling of a vacancy will be given to qualified American Indian applicants in accordance with the Preference Act (Title 25, U.S. Code, Sections 472 & 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment. Other than the aforementioned requirement, the MACT Health Board, Inc. is an Equal Opportunity Employer.
MACT Health Board, Inc. is required to implement the Drug-Free Workplace Act of 1988, 45 CFR Part 79, Subpart F. As such it is unlawful for employees to manufacture, distribute, dispense, possess, or use a controlled substance on the job site. Employees who are reasonably suspected of violating this act may be subject to drug testing as a condition of employment. Employer required fitness examinations shall include drug.
Internal Number: 1221
About MACT Health Board, Inc.
If you’re looking to start a rewarding career with the opportunity to make a difference in the lives of others and improve the overall well-being of the American Indian/ Alaskan Native population, MACT Health Board Inc. may be right for you. We value integrity, skill, and cultural compassion and are always looking for candidates that will help us fulfill our mission and continue to grow.