Analysis Skills, Auditing, Behavioral Health, Communication Skills, Contract Requirements, Corrective Action, Cross-Functional, Data Entry, Data Processing, Documentation, Driver's License, HIPAA (Health Insurance Portability and Accountability Act), Health Science, Healthcare Administration, Healthcare Quality, Human Resources, Identify Issues, Incident Management, Leadership, Liability Insurance, Licensing, Licensing Compliance, Maintain Compliance, Microsoft Excel, Microsoft Office, Microsoft Word, Organizational Skills, Performance Reviews, Physical Demands, Presentation/Verbal Skills, Psychology, Public Health, Quality Assurance, Quality Management, Regulations, Regulatory Compliance, Regulatory Requirements, Risk Analysis, Risk Management, Social Work, Staff Training, State Laws and Regulations, Strategic Planning, Systems Administration/Management, Systems Maintenance, Team Player, Time Management, Writing Skills
Description
Position Summary:
The Behavioral Health Compliance System Manager is responsible for supporting and implementing Behavioral Health specific compliance, risk management, and quality improvement activities at Catholic Charities Serving Central Washington. This position works in close collaboration with Behavioral Health leadership to ensure compliance with licensing, certification, contractual, regulatory requirements, and Washington State laws applicable to Behavioral Health programs.
The Behavioral Health Compliance System Manager serves as the HIPAA Security Officer for the organization.
Responsibilities:
Behavioral Health Policies and Procedures
- Maintain, review, update, and develop Behavioral Health specific policies and procedures required for licensure, certification, and operations, in coordination with Behavioral Health leadership.
- Ensure Behavioral Health policies align with agency wide compliance frameworks and applicable regulatory requirements.
- Maintain organized and current electronic files of Behavioral Health compliance documentation and policies.
Compliance Concerns, Client Complaints, and Critical Incidents
- Receive reports of Behavioral Health related compliance concerns, client grievances, and critical incidents.
- Coordinate, conduct, and document investigations into reported concerns or incidents in collaboration with Behavioral Health leadership or Human Resources when appropriate. Recommend corrective actions to address findings and reduce future risk. Track implementation of corrective actions.
- Ensure appropriate documentation, reporting, and follow up consistent with licensing and contractual requirements.
Incident Reporting and Investigation Management
- Manage Behavioral Health incident reporting processes, including data entry, tracking, and documentation within designated systems.
- Monitor trends in incident data and assist with identifying opportunities for quality improvement.
- Support timely review and closure of incidents and related investigations.
Licensing Reviews, Audits, and Corrective Action Plans
- Assist in preparation for Behavioral Health licensing reviews, audits, and monitoring visits, including coordination of documentation, policies, and records.
- Track Behavioral Health corrective action plans (CAPs) resulting from audits or reviews and assist with documentation demonstrating full implementation.
- Support communication of audit outcomes and corrective actions to appropriate leadership.
Quality Improvement Activities
- Participate in Behavioral Health quality improvement initiatives related to compliance, incident review, and risk management.
- Assist with analysis of incident and audit findings to identify systemic issues and support development of improvement strategies.
- Participate in Quality Improvement/Quality Assurance meetings and assist with documentation and follow up as assigned.
- Conduct an annual review of employee access and permissions to use 3rd party systems and update as indicated.
Training Management and Support
- Manage and maintain training management system(s) related to Behavioral Health compliance and regulatory training.
- Track completion of required Behavioral Health trainings and support follow up for overdue requirements.
- Assist with coordination and facilitation of Behavioral Health compliance related training for staff and supervisors.
Perform other duties as assigned.
Qualifications
Job Requirements:
Physical Requirements:
This position normally requires the physical demands of standing, walking, bending, lifting, talking, and hearing required to perform job duties. These physical demands are required up to approximately 80% of the time.
Non Physical Requirements:
Education
- Bachelor's degree in Healthcare Administration, Public Health, Behavioral Science, Psychology, Social Work, or a closely related field from an accredited college or university.
Experience
- Minimum of two (2) years of experience in healthcare compliance, quality assurance, human services, Behavioral Health, licensing, or a related field required.
- Experience with Behavioral Health licensing, regulatory standards, incident reporting, or quality improvement is strongly preferred.
- Experience conducting audits, risk assessments, and compliance training preferred.
- Experience in behavioral health settings and their unique regulatory and operational environments preferred.
Special Skills
- Strong written and verbal communication skills.
- Ability to work collaboratively with Behavioral Health leadership and multidisciplinary teams.
- Demonstrate integrity, initiative, organizational skills, and sound judgment.
- Proficiency in Microsoft Office applications (Word, Excel) and ability to learn other software systems.
- Ability to conduct thorough investigations and manage sensitive and confidential information with discretion.
Licenses, Registration, or Certification
- Valid Washington State driver's license and minimum required liability insurance for Washington State
- Must be deemed insurable as determined by Catholic Charities' insurance liability provider
Employment is conditional upon:
- Being cleared by criminal background check and fingerprinting when required
- Being cleared by criminal background check and fingerprinting when required
Work Schedule: Monday-Friday,
... For full info follow application link.
Excited about this role, but don't meet 100% of the expected qualifications listed above? We'd still love for you to apply! Catholic Charities Serving Central Washington is committed to building a diverse and inclusive workforce where unique experiences are valued and everyone has the opportunity to contribute. Research has continuously shown that women and people of color are less likely to apply to jobs unless they meet all the listed qualifications. We want to help overcome this trend and seek to make space for unique and relevant skills and attributes. So, when applying to Catholic Charities Serving Central Washington, rest assured that your application is reviewed by a living, breathing human being, and evaluated based on key competencies needed for success in the position. Questions or concerns? Contact recruiting@catholiccharitiescw.org, we'd be happy to connect!You can do the work you love, be your authentic self, and make an impact in the lives of thousands. We believe in a culture rooted in community, collaboration, and growth. As an agency we are inspired by our Mission of bringing hope to life, especially those most in need