Join us at New Directions Mental Health, a member of Transformations Care Network (TCN), as we embark on an exciting journey to empower individuals like you to make a difference in the field of behavioral health. We are committed to improving accessibility while raising the standard of care.
The Quality & Compliance Manager is responsible for assisting the Regional Director of Operations with the oversight of the organization’s compliance and quality program to ensure adherence to OMHSAS, Medicaid, other related regulatory requirements.
Key Responsibilities:
Work closely with the Operations Manager to develop and maintain a data driven compliance program that ensures adherence to state licensing regulations, Medicaid requirements, Fraud Waste and Abuse requirements and other regulatory/payor source requirements.
Establish a system for ongoing monitoring and results reporting of compliance and quality metrics
Perform regular compliance audits to identify risks and set priorities for correction
Develop and implement staff education regarding regulatory and quality requirements
Remain up to date on regulations related to OMHSAS licensed clinics and state Medicaid requirements. Recommend updates to policies/procedures and workflows accordingly.
Communicate audit information to Clinic Director and other organizational leadership
Assist in development and implementation of corrective action plans
Coordinate response to internal departments and oversight bodies for patient complaints
Ensure reporting requirements to OMHSAS and Medicaid MCOs are met (ie: critical incident reporting)
Qualifications:
Bachelor's degree in mental health related field or Healthcare Administration
3+ years of experience in Healthcare Compliance, Management, or Operations
Thorough knowledge of PA psychiatric outpatient regulations, behavioral health Medicaid requirements, and best practices
Possess collaborative skills and be open to suggestions from team members
Superior attention to detail in order to identify and correct non-compliant practices
A clear understanding of the financial aspects of the healthcare industry, including Fraud, Waste, and Abuse
Explore the Advantages of Joining Our Team:
Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize patient care.
Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
Play a pivotal role in reshaping behavioral health, with your efforts directly improving patient lives.
Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents and assure your triumph in your role.
New Directions Mental Health is committed to fair and equitable compensation practices. The annual compensation for this role is $60,000 - $65,000. Actual compensation may vary based on licensure, experience, market-driven enhancements, and incentive opportunities available for this role. These ranges represent our current standard compensation practices and may be adjusted over time to remain competitive and aligned with organizational needs.
Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.