Purpose:
Responsible for organization wide coordination of compliance activities with an emphasis on improving the policy management system, contracts management system, emergency preparedness administration and maintenance of key planning documents that relate to safety, compliance, and exposure/infection control program(s).
Responsibilities:
- Demonstrates knowledge of quality assurance standards, regulatory requirements, accrediting body standards along with federal, state, and local laws that apply to the organization. Interprets and distributes information on regulatory matters and updates that inform leaders of compliance and changes that are necessary for ensuring compliance.
- Coordinates an effective policy management system that meets the needs of the organization and in collaboration with the Integrity Coordinator.
- Coordinates an effective contract management system that meets the needs of the organization and in collaboration with the Integrity Coordinator.
- Collaborates with emergency preparedness leaders to ensure effective administration of key documents for meeting compliance requirements and capturing lessons learned.
- Supports ethics consultation service as requested by the Quality Management Director.
- Handles incidents that pertain to HIPAA privacy violations and follow up. Serves as the designated HIPAA Privacy Officer and fulfills this role organization wide.
- Follows up on complaints/incidents that require formal investigation. Ensures reporting documents are concise, clear, and timely for gathering necessary documentation.
- Researches situations/incidents for determining regulatory and/or compliance requirements that need corrected and/or modified by policy or procedure.
- Writes policy and/or reviews policy as assigned. Capability to teach others related to policy writing and policy revisions.
- Consistently demonstrates capability for confidentiality and reliable follow-up on situations that arise pertaining to gaps in compliance and actions taken for correction.
- Maintains key compliance related planning documents: Exposure Control Plan, EveryStep Compliance Plan, Emergency Preparedness Plan, OSHA ETS, Respiratory Protection Plan, etc.
- Coordinates the management of the compliance hotline and any whistle blower items.
- Stays informed about changes in the fields of public health, home health, and hospice and share information with appropriate EveryStep staff.
- Purposefully conducts all aspects of the job with integrity and in an ethical manner.
- Supports and promotes a culture of compliance and ethical business conduct.
- Stays visible and present with leaders and/or teams organization wide as a resource and support for compliance.
Qualifications:
- Bachelor's Degree required in Business Administration, Law, Compliance, Public Health Administration or related field
- At least 5 years or more working in public health, a health care system and/or home health care/hospice preferred; Minimum of 3 years working in healthcare setting required
- A minimum of 3 years working in health care for supporting compliance required
- Strong communication skills required for written and verbal methods for building strong positive working relationships, driving accountability of self and others, teaching others
- Able to solicit feedback and input from others for promoting a working environment in which everyone is accountable for compliance and quality
- Experience with contract management required
- Experience with policy and procedure management preferred
- Ability to plan, organize, prioritize, make timely decisions, and exercise sound independent judgment
- Ability to apply financial, regulatory, and management information systems technology to clinical practice and/or compliance standards
- Ability to meet and work effectively with clinical staff, public health staff and officials, medical staff and leadership staff
- Ability to demonstrate self-direction, time management and problem-solving skills
- Demonstrated organization, facilitation, communication and presentation skills; Enjoys educating and training others
- Excellent collaboration and teamwork capability required
- Ability to work effectively with diverse populations
- Ability to remain current with changes in legislation and accreditation standards that affect health information and privacy
- Strong keyboarding and computer skills and ability to learn work-related software
- Must have valid driver's license, auto liability insurance and reliable transportation if driving is required
- Successful completion of pre-employment physical, drug screen, 2-step TB test and background check
Working Conditions:
- Physical requirements: Sedentary work exerting up to 10 pounds occasionally, and/or a small amount of force frequently to move objects, including the human body
- Physical activities: Reaching, Standing, Walking, Pushing, Pulling, Lifting, Talking, Fingering (picking, pinching, typing, etc.) Hearing, Grasping (applying pressure with fingers and palm), Repetitive motions, Feeling (perceiving size, shape, texture, temperature by touching), Visual acuity (field of vision for analyzing data, viewing computer, using measurement devices, operating machines, determining accuracy or neatness, and/or making general observations)
- Environment: Work is primarily performed in a climate-controlled environment with minimal safety/health hazard potential
- Time: Ability to be flexible with a varying schedule and programmatic requirements
- Travel: Required between locations
These characteristics are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Note: This job description is not intended to be all-inclusive. You may be required to perform other duties to meet the on-going needs of the organization.
EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.
About EveryStep
One of Iowa's oldest nonprofits, EveryStep has provided health care and community services since 1908. Our team of experts are driven by a single purpose - to care for people and connect them with support at every step of their journey. Each year, we help thousands of Iowans cope in times of crisis and move forward with stability, dignity, and hope.
The diversity and breadth of our programs ensure that we can meet a variety of needs at once and provide ongoing assistance over time. More than 30 programs and services:
- Deliver in-home care to people who are ill, injured, or facing the end of life
- Offer compassionate support to families experiencing grief and loss
- Assist new and expecting parents and support the healthy development of young children
- Help Iowans navigate complicated health care and social systems
- Walk alongside refugees and immigrants arriving in our community
- Bring wellness services to places where people are
Serving Iowa from 11 locations, nearly 400 employees and hundreds of volunteers are committed to EveryStep's mission: We empower individuals, support families, and strengthen communities. There is at least one EveryStep program available to residents in every Iowa county. Every program is important and contributes to our mission.
EveryStep is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.