Compliance Manager Health Services

Job Description

Job Description

Job Summary

The Compliance Manager Health Services Department will perform routine audits of all health services programs, ensuring that all regulatory mandates are met as well as identifying areas of             improvement, trends, and performance.

Major Responsibilities/Activities

• Provide compliance and data support to Health Services, including Article 29-I, Health Homes, and Children’s Health and Behavioral Health Services Transformation (CFTSS)
• Conduct case and chart record reviews for all programs.
• Analyze data, records, and reports to monitor performance. Summarize findings for each program. 
• Prepare reports for monthly compliance check-in meetings and quarterly Quality Oversight Committee.
• Conduct standing Compliance reviews including: 
  • 29I new foster care placement review 
  • Biannual medication monitoring audits
  • Quarterly Medical Audits
  • Health Homes Quarterly audits
  • CFTSS Quarterly Audits
  • Follow up with NYS OCFS Quarterly Health Assessment audits
• Assist in preparing for the ACS medical audit and responding support the team in drafting responses to any corrective action plans.
• Draft corrective action plans from findings of internal audits completed and review progress at quarterly meetings.
• Assist in the client satisfaction initiatives undertaken within the program.
• Use ACS and OCFS reports to track regulatory performance. 
• Conduct focused reviews as requested by program.
• Collaborate with other staff to analyze and report the results of QI work to improve the quality of healthcare services provided to clients. 
• Monitor and track incidents reported Health Homes Incident Reporting Management System and CFTSS New York State Incident Management and Reporting System (NIMRS)
• Co-Chair Incident Review Committee Quarterly meetings. 
• Follow up with medical and behavioral health requests related to NYC ACS Office of Special Investigations
• Assists in preparing for any accreditation audit health services should undertake. 
• Use PSYCKES to address health measures such as children on antipsychotic medications, ER visits, and others.
• Maintain monthly dashboards of KPIs using Power Bi and refine the metrics to include policy updates/changes by regulatory oversight bodies. 
• Other duties as assigned.

Minimum Requirements 

• Bachelor’s with a minimum of three years experience required, Master’s preferred, in the area of Health Sciences or Human Services.
• Experience with 29I and Health Homes audits and regulatory compliance strongly preferred 
• 1-3 years’ experience working in the area of health services provision to children, youth and families. 
• Skills and competencies including, but not limited to, oral and written communication, program evaluation, analytic and research methods, and project management. 
• Compliance with:
  • Required background checks, including: NYS Statewide Central Register of Child Abuse/Maltreatment, NYS Sex Offender Registry, NYS Division of Criminal Justice Services fingerprinting, NYS Justice Center Staff Exclusion List, NYS OMIG Medicaid Exclusion List.
  • Mandated reporter training.
  • Applicable provisions of the NYS Education Law with respect to hiring and retaining licensed professionals.

Salary: $80,000 - $90,000

Location: 67-35 112th Street Forest Hills, NY 11375 

Benefits: Join the Forestdale Team and Enjoy Excellent Benefits :

• Four weeks’ vacation
• Medical/dental/vision/life/disability insurance
• 401(k), 7% employer contribution + 2% match
• Tax-deferred health care/dependent care/commuter plans
• Flexible Schedule
• Opportunities for educational scholarships

 

Additional Information

Forestdale Inc. is an equal opportunity employer that is proudly committed to becoming an anti-racist and multicultural organization that stands up for justice and equity. We welcome prospective employees from diverse backgrounds, for administrative support and direct service and leadership roles, who will join us on that journey, uphold our values and approach, and believe in our mission. Additionally, we aim to have a racially representative leadership and workforce that is reflective of the communities we work in partnership with.

Forestdale Inc. is committed to providing an inclusive and welcoming environment for all members of our staff, participants, volunteers, subcontractors, and vendors. We do not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of our activities or operations. These activities include, but are not limited to, hiring and termination of staff, selection of volunteers and vendors, and provision of services.