Ensure programs are compliant with Community Care Licensing
(CCL), federal, state and departmental standards and regulations; provide statistical analysis of agency's contract compliance
in order to develop risk management strategies to ensure compliance.
- Develops compliance divisional strategies by contributing information, analysis, and recommendations to strategic thinking and direction; establishing functional objectives in line with divisional objectives.
the efficiency of controls and improve them continuously.
procedures, reports etc. periodically to identify hidden risks or
- Review the work of employees when necessary to identify compliance issues
and provide training.
- Prepare reports for senior leadership and external regulatory bodies as
- Supports departments by collecting and
coordinating internal compliance data with auditors and
various departments. Provides administrative support by implementing systems, procedures,
- Conducts internal reviews of program compliance related to federal, state and departmental standards and regulations; assesses review results for trends and training needs and reports findings, complies quarterly reports of division overall compliance to Senior Leadership.
- Integrate the findings of external review processes,
including licensing reviews,
information related to compliance with federal,state,and department
governmental audits,accreditation,and other reviews into the program review process, where appropriate.
- Works collaboratively and
maintains continuous communication with the
program administration to analyze review findings;
identifying trends and making system recommendations where appropriate.
- Coordinate with different department supervisory staff to review all departmental compliance policy.
- Keep abreast of regulatory developments within or outside of the agency as well as evolving best practices in compliance.
- Attends and actively participates in all team and staff meetings.
- Maintains confidentiality regarding information about children, families and operations of the Agency.
- Exercises good judgement in the performance of duties and responsibilities.
- Performs related duties as required.
The incumbent has no supervisory responsibility. However, they provide support and guidance to less experienced staff on documentation requirements and the database system.
The incumbent is in a non-confined setting in which they are free to move about at will. The environment for this position is mostly clean and comfortable but may include some minor annoyances such as noise, odors, drafts, etc. In addition, the incumbent is in a group residential and/or school facility for severely emotionally disturbed children/adolescents and will be exposed to potentially volatile and emotional clients and their families.
In the course of performing this work, the incumbent:
- Will spend substantial time standing, sitting, speaking and listening.
- May lift up to 10 lbs. periodically.
- Will be required to travel via personal vehicle or public transportation to various Five Acres' facilities and within the community for meetings and other purposes.
- Participates in physical interventions as necessary, in accordance with Agency policies and procedures.
EQUIPMENT & SOFTWARE
The individual in this position may operate any or all of the following:
- Telephone, cellular telephone /fax
- Computer, printer and related equipment
- Copy machine
- Personal automobile, Agency-owned vehicle
Computer software may include any or all of the following:
- Microsoft Office including Word, Excel, PowerPoint
- Welligent software for maintaining required client records preparing reports
The incumbent in this position must be able to accommodate to any/all of the following: constant distractions, interruptions; uncontrollable changes in priorities/work schedules.
HIPAA Privacy Standards Compliance
(While not all staff have access to or involvement with clients or their families, any who do must comply with HIPAA regulations. All items listed below are a condition of continued employment):
The incumbent will:
- Not use or disclose protected health information about any member or other party in compliance with Five Acres' policies related to state or federal laws such as Health Insurance Portability and Accountability Act (HIPAA).
- Use appropriate safeguards to protect the confidentiality of such information.
- Report to Five Acres' management any use or disclosure of protected health information not permitted by Five Acres' policies related to state or federal laws such as HIPAA.
- Participate in Five Acres' training or briefings on HIPAA information as scheduled.
- Consult with supervisor on any issues or questions about compliance under Five Acres' policies related to state or federal laws such as HIPAA.
To perform effectively in this position, the incumbent must have:
- Bachelor's degree in
Psychology,Social Work,or related field.
- In depth
knowledge and understanding of Community Care Licensing, Title 22, Group Home
Administrator requirements, Department of Mental Health, and other relevant
governmental audits and accreditation, preferred.
- Prior experience as a
compliance manager/director or related employment, preferred.
- Excellent knowledge of reporting procedures and
- Methodical and diligent with outstanding
- Analytical with the
ability to comprehend the complexities of procedures and regulations
- Strong computer skills
Microsoft Office; knowledge of comprehensive
and complex databases.
- Effective organizational skills and close attention to details.
- Excellent communication and general offices kills.
- Must have a valid California Driver License, proof of automobile insurance and meet the Agency's safe driver guidelines.
- Ability to maintain FirstAid/CPR Certification.
- Sensitivity to the different cultures represented among the clients,families and staff.