Compliance Specialist II

Rogers Behavioral Health; Town of Oconomowoc (WI); On-site; USD 65,000 - 90,000; Full time

Job summary

Rogers Behavioral Health is seeking a Compliance Specialist II to manage incident investigations and conduct program audits to ensure compliance with State, Federal, and Joint Commission standards. The role includes chart audits, preparing findings, tracking actions, and supporting surveys.

The position requires education in a related field and 3–5 years of regulatory agency experience, with travel up to 50% to Rogers locations as needed.

Qualifications

• Bachelor's degree in related field required.
• 3 to 5 years' experience with regulatory agencies.
• Experience conducting audits with Joint Commission or state agencies preferred.
• Knowledge of State, Federal, and Joint Commission standards.
• Ability to travel up to 50%.

Responsibilities

• Manage daily incident investigations in assigned programs.
• Complete chart audits to support documentation compliance.
• Perform program audits to ensure compliant outcomes.
• Prepare findings reports and track corrective actions.
• Assist during Federal, State and Joint Commission surveys.
• Promote Rogers Operating System for action plans.
• Utilize metrics and reporting tools.
• Interact with staff to provide education on standards.

Skills

Incident investigations

Audit management

Regulatory compliance

Communication

Education

Bachelor's degree in related field

Job description

Summary:
The Compliance Specialist II is responsible for managing incident and investigation reporting events and will complete internal audits of each program to monitor and ensure compliance with State, Federal, and Joint Commission Standards.

Job Duties & Responsibilities:

• The Specialist II will be responsible to manage daily assigned incident or other serious event investigations that occur within the assigned programs they are responsible for.
• They will support program documentation compliance by completing chart audits.
• They will complete program audits to ensure processes the organization implements compliant outcomes. If the outcomes are not compliant, recommend making appropriate changes to the issues giving rise to non-compliance.
• Perform quarterly (four per year) program audits within all assigned programs they are responsible for. These surveys may occur in Rogers Inpatient Hospital, Residential and Outpatient settings.
• The program audits will require the Specialist to:
• Interview staff, discuss regulations, standards and Roger's policies.
• Provide education to staff when needed in all areas related to compliance with these standards.
• Prepare findings report.
• Track action items for follow up and revisit on follow up surveillance rounds to ensure resolution.
• They will assist during Federal, State and Joint Commission surveys as needed, conducting tours and providing necessary documents as appropriate.
• Participate in the Rogers Operating System to ensure action plans and follow-up projects to address any regulatory deficiencies identified are addressed.
• Utilize key metrics and reporting tools related to all department functions.

Promote a team atmosphere by treating individuals with respect and honesty and by using direct communication and active listening skills.

• Be open to change and actively support change.
• Be open to others' ideas and points of view.
• Facilitate change in a positive and agile atmosphere.

Conduct self in a professional manner.

• Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
• Communicate with all individuals in a positive and professional manner.
• Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solutions.
• Communicate concerns and provide solutions for the same.
• Attend outside seminars and/or educational classes to promote professional growth.
• Demonstrate a positive and professional attitude toward parties outside the hospital (provider relations representatives, managed care contractors, visitors, vendors, etc.).
• Comply with the hospital's policies and procedures, including Human Resources, Infection Control, and Employee health policies and programs.
• Project a professional image by wearing appropriate, professional attire.

Perform other duties as assigned.

Ability to travel up to 50% of the time.

Additional Job Description:

Physical/Mental Demands:

• Ability to be flexible regarding work area and assignments.
• Ability to write/type accurately to effectively communicate information and ideas.
• Detail-oriented with strong organizational skills.
• Possess integrity and initiative. Be tactful, helpful, courteous, dependable, flexible, efficient, cooperative, and be able to follow instructions and need minimal supervision.
• Ability to maintain confidentiality.
• Possess a positive attitude toward work and Rogers Memorial Hospital and be able to accept constructive criticism.
• Work takes place inside the building at a desk, with some walking and standing. Reaching, handling and fingering are necessary to operate various office machines. Talking and hearing are necessary to record minutes, take dictation, transcribe and communicate.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operate a computer.
• Tact required to interact effectively with employees and professional staff. Logical thinking and discretion required to make decisions in initiating and implementing policies and procedures and standards.
• Must be able to read and communicate through written, verbal, and auditory skills and abilities.
• Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment physical.
• Ability to travel to Rogers locations to conduct surveillance rounds.

Education/Training Requirements:

• Bachelor's degree in political science, social services, business, healthcare or related field required.
• Experience conducting audits with joint commission or state agency preferred.
• 3 to 5 years' experience with regulatory agencies.
• Demonstrate an understanding of Joint Commission, State and Federal regulatory requirements and risk management responsibilities.
• Must hold a valid driver license and must be granted insurable status by the Rogers Memorial Hospital insurance policy.

Drivers License - Cert

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family
• 401(k) retirement plan
• Employee share program
• Life/disability insurance
• Flex spending accounts
• Tuition reimbursement
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com).