Compliance Manager

Arizona Department of Health Services; Phoenix (AZ); On-site; USD 64,000 - 78,000; Full time

Benefits offered by this job

Affordable medical and dentalinsurance

Paid vacation and sick time

Paid Parental Leave

Transit subsidy

ADHS Student Loan Assistance Program

Job summary

The Arizona State Hospital, part of the Arizona Department of Health Services, seeks a Compliance Manager to coordinate with the Chief Compliance Officer and lead audits to ensure regulatory compliance across ASH facilities.

You will develop audit tools, conduct mock surveys, study CMS and Joint Commission standards, prepare findings for the Compliance Committee, and support departments with corrective action plans and technical assistance to sustain compliance.

Qualifications

• Bachelor's degree in health related field and 4 years’ experience with regulatory agency rules and standards.
• A Master’s degree may substitute for one year of experience.

Responsibilities

• Develops audit tools and conducts mock surveys with SME input.
• Researches state licensing rules, Joint Commission standards and CMS regulations.
• Supports departments with findings, feedback from mock surveys, and technical assistance.
• Participates in hospital committees and rounds to assess compliance.
• Backups the CCO and coordinates plans of correction with surveyors.
• Conducts focused audits as requested by management and departments.
• Assists in contract/performance evaluations and feedback to procurement.

Skills

Health policy review

Regulatory standards

Audit practices

Health records

Contract oversight

PM/CQI/Lean

Education

Bachelor’s degree in health-related field

Job description

DEPT OF HEALTH SERVICES The Arizona State Hospital (ASH) provides inpatient psychiatric care to persons with serious mental illness who need long-term behavioral health care. ASH promotes hope and wellness for our patients and creates opportunities to participate in planning, delivering and evaluating services that assist with recovery. Treatment is individualized with goals that focus on education about an illness, instilling hope and improving one's overall quality of life. The Arizona State Hospital has a wide range of positions available, from our direct care staff, Nurses and Behavioral Health Technicians to Social Workers, Rehabilitation Specialist and Security to name a few. The Arizona State Hospital also offers 12 hour shifts for our Direct Care staff as well as some alternative work schedules, flexible hours for non-direct care staff. We offer a robust benefit package, including the ADHS Student Loan Assistance Program where eligible employees can receive up to $437.50 per month for their outstanding student loans. Come check us out and see how you can make a difference in the lives of all Arizonans.

Job Location

ARIZONA STATE HOSPITAL

Address: 501 N. 24th Street Phoenix, AZ 85008

Posting Details

Salary: $70,634.30

Grade: 22

Closing Date: Open Until Filled

Job Summary

The Compliance Manager coordinates with the Chief Compliance Officer (CCO) and other Compliance Managers to track the regulatory requirements for each licensed facility operated by the Arizona State Hospital. Conducts performance audits and mock surveys to evaluate ASH’s compliance with regulatory standards. Develops audit tools, collaborates with subject matter experts to conduct mock surveys, compiles findings and deficiencies, and presents results to the ASH Compliance Committee.

Researches hospital regulations, including state licensing rules, The Joint Commission accreditation standards, and Centers for Medicare & Medicaid Services (CMS) regulations. Supports ASH departments by providing research findings, feedback from mock surveys, and technical assistance to maintain regulatory compliance.

Participates in hospital committees and meetings, including the Environment of Care Committee, Quality Department committees, and the Complaints, Grievances, and Appeals Committee. Conducts routine rounds throughout the ASH campus and patient units to assess compliance and address staff questions.

Provides backup support to the CCO by serving as a point of contact for CMS, The Joint Commission, and state licensing surveyors. Assists the CCO in developing plans of correction in response to survey findings. Conducts focused audits at the request of the Executive Management Team and other departments.

Facilitates annual contract and performance evaluations for ASH contractors and vendors. Participates in periodic meetings with ADHS Procurement to provide feedback on contract monitoring and enforcement. Reviews ASH policies, guides, and manuals to ensure alignment with regulatory requirements.

Job Duties

What will I be doing in this job?

• Conducts performance audits/mock surveys to evaluate ASH's compliance with regulatory requirements. Develops audit tools, collaborates with subject matter experts to conduct mock surveys, compiles survey findings and deficiencies, and reports findings to the ASH Compliance Committee.
• Researches hospital regulations, including state licensing rules, The Joint Commission accreditation standards, and Centers for Medicare and Medicaid (CMS) regulations. Supports other departments at ASH by providing research findings, feedback from mock surveys, and technical assistance to sustain compliance with regulatory requirements. Reviews ASH policies, guides, and manuals for consistency with regulatory requirements.
• Participates in hospital committees/meetings, including the Environment of Care Committee, Quality Department committees, and Complaints, Grievances, and Appeals Committee.
• Conducts periodic rounds throughout the ASH campus and patient units to evaluate compliance and address staff questions.
• Provides backup support to the CCO by serving as a point of contact for CMS, The Joint Commission, and state licensing surveyors. Coordinates with the CCO in the development of plans of correction in response to survey findings.
• Conducts focused audits, as requested by the Executive Management Team and other hospital departments.
• Facilitates contract evaluations/performance evaluations of ASH contractors/vendors, which must be completed at least annually. Participates in periodic meetings with ADHS Procurement to provide feedback on contract monitoring and enforcement.
• Other duties as assigned as related to the position (typically 5% - 10%).

Knowledge, Skills & Abilities

Knowledge Of

• Health care policy review and development.
• Joint Commission standards, Medicare regulations, and State licensing rules.
• Audit practices.
• Health records, including electronic health records.
• Contract development, oversight, and enforcement.
• Performance Management (PM), and Continuous Quality Improvement (CQI) and Lean methodologies.

Skill In

• Developing audit tools.
• Researching and interpreting health care regulations.
• Communicating effectively with other departments regarding deficient practices/non-compliance.
• Presenting findings in an oral and written format.

Ability To

• Apply hospital rules, regulations, and standards to ASH policies and procedures.
• Draft plans of correction.
• Collaborate with other departments in implementing plans of correction.
• Represent ASH during surveys with regulatory entities.
• Objectively evaluate contract performance.
• Support a diverse multi-cultural workforce that reflects the community, promotes equal opportunity at all levels of public employment, and creates an inclusive work environment that enables all individuals to perform to their fullest potential free from discrimination.

Selective Preference(s)

The ideal candidate will have:

Bachelor's degree in health related field and 4 years’ experience working with regulatory agency rules, regulations, and standards. A Master's degree in a field appropriate to the assignment may substitute for one year of the required experience.

Pre-Employment Requirements

• A State Hospital employee must be able to obtain a valid Level One Fingerprint Clearance Card pursuant to A.R.S. 41-1758.07.

Driving Is Required For State Business

• Employees who drive on state business require possession of and the ability to retain a current, valid state-issued driver’s license appropriate to the assignment. Employees who drive on state business are subject to driver’s license checks, must maintain acceptable driving records and must complete any driver training (See Arizona Administrative Code R2-10-207.11).

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits

• Affordable medical and dental insurance plans
• Paid vacation and sick time
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program)
• 10 paid holidays per year
• Wellness program and plans
• Life insurance
• Short/long-term disability insurance
• Defined retirement plan
• Award winning Infant at Work program
• Credit union membership
• Transit subsidy
• ADHS Student Assistance Pilot Program

Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement

To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will make a contribution to the ASRS in an amount equal to your contribution. In other words, you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27 week wait period for contributions to begin.

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