Compliance Director

Position Summary:

Reporting to the Chief Operating Officer this position is responsible for developing and coordinating compliance programs that monitor operational and programmatic compliance. This position for the development of clinical standards and training programs.

Primary Responsibilities:

• Direct the development, implementation and evaluation of department goals, objectives, policies, procedures, and standards of practice; contributing to the delivery of care. 
  • Define, implement, and maintain program and operational indicators that support program compliance.
  • Develop and implement tools to conduct effective program evaluation.
  • Establish accreditation/regulatory preparation process and implement to ensure all areas achieve successful accreditation.
  • Perform and coordinate performance audits to identify areas of concern and ensure uniformity of practice standards.
  • Collaborate and coordinate with the Director of QI/Compliance to ensure regulatory standards are met and maintained.
• Coordinate, develop and present educational/training programs to maintain, enhance, and assess job performance and competencies of staff.
  • Develop and implement a training curriculum, programs and training programs materials that promotes educational events and presents programs based on employee and management request and needs assessments.
  • Conduct and arrange for educational training sessions.
  • Conduct competency testing by collaborating with staff and management to determined competencies and the method of assessing those competencies through skill demonstration and/or written assessment.
  • Provide review of job descriptions and competencies in conjunction with Human Resources for nursing and other designated clinical staff.
  • Provide feedback regarding staff skills, reassessing specific needs, creating action plans and conducting or making provision for the affiliated health care agencies.
• Direct activities related to the development and maintenance of administrative and clinical policies and procedures.
  • Perform annual review and update of policies and procedures.
  • Serve as clinical liaison on various internal and external committees involved in establishing policies and procedures.
  • Coordinate with the clinical leadership in the development of new procedures.
  • Act as a resource to the community, outreach programs and other health-care organizations.
  • Supervise Compliance Specialist.
  • Manage special project activities.
  • Other duties and/or other locations as assigned.

Qualifications and Skills:

• BSN, an allied health field or management.
• Experience with staff and program development.
• Knowledge of accreditation standards, federal guidelines, and health care organizational standards.
• Strong written and verbal communication skills.

CODMAN SQUARE HEALTH CENTER MISSION, VISION, AND VALUES

Mission:              To serve as a resource for improving the physical, mental, and social well-being of the community.

Vision:                 Codman Square Health Center is our community’s first choice for comprehensive, holistic, and integrated serviced, and empowers individuals to lead healthy lives and build thriving communities.

Values:               

                              Patients:             Our patients are the center of our care team.

Community:      The well-being of the individuals is deeply connected to the health of our community.

Advocacy:           We advocate for responsive policies and resources to address health disparities and promote healthy equity.

Staff:                    We are a diverse, empowered, compassionate and prepared workforce.

Innovation:        we promote a culture of innovation that has measurable and sustainable impact.

Partnership:      We build and sustain diverse partnerships

Codman Square Health Center is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.