Director of Medical Compliance & Quality
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Job Description
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Develop and manage compliance programs focused on clinical, medical, and patient privacy policies, including patient consent forms. Build SOPs to address relevant healthcare regulations including the requirements of 42 CFR Part 2.
- Raise the standard of care for all program levels: clinical research, outpatient, partial hospitalization (PHP), intensive outpatient (IOP), step-down, and acute/emergency department (ED) settings.
- Develop methods to track, audit, and mitigate potentially high liability incidents within our clinical services.
- Partner with the Chief Medical Officer and Billing Team to establish improved compliance procedures and billing best practices.
- Carefully review contracts to ensure the company meets all requirements, implementing changes and/or collaborating with other departments as needed.
- Guide and educate employees on compliance requirements, offering direction on ethical conduct, and providing training on relevant regulations and policies.
- Monitor changes in healthcare laws and contract requirements, ensuring that the organization's compliance program reflects these changes.
- Prepare reports for senior management on compliance activities and findings, and communicate compliance information to all levels of the organization.
- Collaborate with various departments to ensure the consistent application of compliance policies and procedures.
- Ensure proper documentation of compliance activities, including policies, procedures, training records, and audit results.
- Investigate and respond to compliance-related complaints or issues. Develop corrective action and prepare reports as required.
- Master’s degree in Healthcare Administration or a related field, Doctorate degree preferred.
- Minimum of 5-7 years of experience in healthcare compliance; mental health industry experience preferred.
- Strong knowledge of healthcare regulations.
- Familiarity with CA medical compliance and Medicaid/Medicare.
- Extensive experience developing SOPs, reviewing contracts, conducting audits, and risk assessments within the healthcare field.
- Excellent communication, leadership, and problem-solving skills.
- Certified in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP) or related certifications is a plus.
We are Pacific Neuropsychiatric Specialists (PNS) and our experience enables us to offer effective outpatient, individualized, psychiatry care. Our psychiatry team provides psychiatric treatments for children, adolescents, adults, and seniors, from multiple offices located throughout Orange County, we do accept patients from the entire United States as well. Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol and chemical dependency, and more. Our Psychiatry practice was founded on the principles of treating patients with care, compassion, and understanding.
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.