Quality and Compliance Coordinator

Crossroads Community, Inc.; Maryland; On-site; USD 65,000 - 90,000; Full time

Job summary

Crossroads Community, Inc. is seeking a Quality and Compliance Coordinator to oversee agency-wide quality, compliance, and risk management, including CRMHS oversight.

The role collaborates with program teams to implement performance management and evaluation efforts and to respond to findings. Responsibilities include leading internal audits, serving as HIPAA Privacy Officer, policy reviews, licensing submissions, and maintaining a safe work environment.

Qualifications

• BA/BS required; 2 years positively referenced administrative and psychiatric rehabilitation, or related experience
• Analytical skills to evaluate systems and provide recommendations
• Knowledge of legal, regulatory, and accreditation requirements
• Mental health/psychiatric rehabilitation experience to understand agency needs

Responsibilities

• Oversee performance management and evaluation efforts for CCI and CRMHS
• Coordinate internal audits to identify deficits and ensure quality and compliance
• Inform and follow up on designated compliance areas; report to the Board as needed
• Serve as HIPAA Privacy Officer and train staff on HIPAA standards
• Review and revise policies, procedures and forms for compliance
• Submit licensing applications and monitor related processes
• Maintain a healthy and safe environment
• Maintain familiarity with policies and systems; participate on Leadership Team

Skills

Analytical skills

Regulatory knowledge

Interpersonal skills

Attention to detail

English proficiency

Data entry / reporting

Education

BA/BS required

Job description

Description

The Quality and Compliance Coordinator is responsible for the compliance oversight for CCI and implementation of the agency’s Performance Management and Evaluation efforts. The Quality and Compliance Coordinator works in conjunction with CCI’s teams and programs to identify, respond to, and establish processes for monitoring agency-wide quality, compliance and risks. Compliance oversight includes certain authority to ensure compliance when required. The Quality and Compliance Coordinator also fulfils these responsibilities for CCI’s subsidiary, Corsica River Mental Health Services (CRMHS).

ESSENTIAL DUTIES:

• Manage CCI’s and CRMHS’ Performance Management and Measurement Plan, including evaluation of performance.
• Coordinate and conduct a work plan of internal audits to identify and address deficits and ensure quality and compliance with all applicable standards.
• Inform, facilitate, and ensure follow-up on designated areas of compliance, including timely investigations of reports, holding individuals accountable when compliance issues warrant and reporting to the Board of Directors, as necessary.
• Serve as “Privacy Officer” for the Health Insurance Portability and Accountability Act (HIPAA), including training new staff on HIPAA standards and facilitating on-going HIPAA trainings, as needed.
• Manage the review and revision of policies, procedures and forms to ensure compliance with all applicable standards.
• Submit and monitor licensing and other necessary applications.
• Assume responsibility for a healthy and safe environment.

Additional Duties:

• Maintain familiarity with policies, procedures, systems, and general operations.
• Maintain knowledge of current ethical and accreditation standards, regulations, and laws pertaining to all positions and programs monitored under CCI’s Compliance Plan.
• Participate on CCI’s Leadership Team.
• Schedule annual and interim Risk Assessments and compile results for review and remediation.
• Monitor designated areas of compliance through evaluation of program reports and data to identify trends and make recommendations for improvement.
• Complete and present the annual Compliance Report.
• Train the Leadership team annually on standards being reviewed.
• Support programs when external audits and site reviews occur.
• Assist with the development and implementation of Program Improvement Plans (PIPs), as needed.
• Evaluate the effectiveness of CCI’s and CRMHS’ Training Plan to assess compliance with all applicable standards, define training needs, and make recommendations for improvement.

Requirements

EDUCATION & EXPERIENCE REQUIREMENTS: BA/BS required. Prefer 2 years positively referenced administrative and psychiatric rehabilitation, or related experience

REQUIREMENTS:

• Analytical skills sufficient to evaluate systems and procedures and provide recommendations.
• Knowledge and understanding of legal, regulatory, and accreditation requirements.
• Mental health and/or psychiatric rehabilitation experience sufficient to understand agency and program needs.
• Interpersonal skills sufficient to establish productive working relationships.
• Read, write, and speak English well enough to communicate with others and maintain documentation.
• Computer skills sufficient to enter and manage data and develop reports.
• Accuracy and attention to detail.
• Pass the agency’s background check.
• Valid driver’s license and clean driving record to support insurability by the agency’s insurance carrier.
• Work related use of a vehicle carrying minimum of 100/300/50 liability insurance