Compliance Specialist

Compliance Specialist

The Compliance Specialist's primary function is the responsibility of overseeing Ocean View Psychiatric Health Facility's policies, procedures, processes, and standards to ensure all departments follow the required rules and regulations. This includes performing audits, developing procedures, and assessing potential risks.

Make a difference by providing quality care alongside us at Ocean View!

Key Responsibilities

• Develop relationships with all regulatory agencies.
• Demonstrates familiarity, understanding, and implementation of all applicable laws, codes, rules, and regulations of the Department of Health Care Services (DHCS), Joint Commission (JC), Centers for Medicare and Medicaid Services (CMS), Los Angeles County Department of Mental Health (LADMH), Long Beach Public Health (LBPH), San Bernardino Department of Behavioral Health (SBDBH), National Fire Protection Association (NFPA), and California Mental Health Laws (CMHL).
• Develops, manages, initiates, and maintains a compliance program for OVPHF in an organized manner.
• Interacts with surveying agencies.
• Ensures company follows all ethical and legal requirements by enforcing regulations, company policies and codes of conduct to comply with rules.
• Works conjointly with training specialist to ensure each department and all employees are trained, competent, and can fulfill required job duties.
• Communicate with leadership, managers, clinical staff, and all other employees to ensure OVPHF processes and procedures are followed to maintain OVPHF's facility compliance.
• Stay up to date on relevant laws and regulations and apply them to company practices to minimize potential risks.
• Completes additional duties, responsibilities, assignments, or projects as determined for the Chief Clinical and Compliance Officer, Chief Operating Officer & Hospital Administrator, Chief Executive Officer, Infection Preventionist, Medical Director, and Chief Administrative Officer.
• Works closely with the Facilities Manager and Regulatory Manager in the areas of Emergency Management, Life Safety, and Environment of Care.
• Conduct quarterly and annual reviews to monitor adherence to rules and regulations.
• Develop compliance strategies or programs for the company based on state and federal laws.

• Evaluate team members' knowledge of policies and educate them on regulatory standards applicable to OVPHF.
• Consults with the intake, utilization review, and quality assurance departments as needed.
• Maintains compliance documents in accordance with applicable regulations, per CMS, joint commission, DHCS, and patients' rights.
• Prepares and modifies compliance documents including, but not limited to, correspondence, reports, drafts, memos, and emails.
• Resolves compliance problems and inquiries and prepares written responses to routine inquiries if needed.
• Works with management to address potential risks and develop plans to minimize or eliminate them, and to address ethical violations or compliance issues and find solutions.

Minimum Qualifications

• Bachelor's degree is preferred, high school degree and regulatory/compliance experience required.
• Minimum of two (2) years of experience in a behavioral health, healthcare, or hospital setting.
• Demonstrated ability to remain calm, composed, and effective in high-stress or crisis situations.
• Strong teamwork and collaboration skills across disciplines and departments.
• Demonstrated sound professional judgment; clinical judgment where applicable to licensure/role.
• Proficiency in the use of computers and standard keyboard functions for data entry and electronic documentation.
• Effective verbal and written communication skills.
• Ability to read, write, and communicate fluently in English.
• Current CPR, BLS, and First Aid certification, or ability to obtain within 90 days of employment.

Preferred Qualifications

• Minimum of five (5) years of experience in a behavioral health, healthcare, or related human-services setting (role-specific equivalent acceptable)
• Prior experience using Electronic Health Records (EHR) systems for documentation and coordination of care
• Proficiency with Microsoft Office Suite (Word, Excel, Teams) and/or cloud-based communication platforms (e.g., Slack, Zoom)
• Bilingual in English and Spanish, or other languages commonly spoken by the patient population
• Crisis prevention/intervention training (e.g., HWC, CPI, PMAB) or de-escalation certification
• Knowledge of HIPAA, Title 22, and other applicable regulatory standards
• Demonstrate understanding and be compliant with Patients' Rights, LPS Statutes, and Seclusion and Restraint Protocols.

Benefits

• Comprehensive medical, dental, and vision insurance for qualifying employees
• 401(k) retirement savings plan
• Supportive, team-oriented work environment
• Opportunities for professional growth, training, and advancement within the organization

Physical & Environmental Requirements

• Frequent walking, standing, sitting, twisting, and bending are required.
• Must possess adequate auditory capacity to communicate clearly and follow verbal instructions.
• May be required to lift and carry objects weighing up to 25 pounds.
• Ability to sit or stand for extended periods of time.
• Must be able to operate standard office and/or clinical equipment requiring repetitive hand movements, manual dexterity, and fine finger coordination, including the use of computers, telephones, and related devices.

Special Conditions

• Employment is contingent upon successful completion of Live Scan fingerprinting, background check clearance, and verification of required licenses, certifications, and education
• Satisfactory completion of professional reference checks
• Must be legally authorized to work in the United States; Ocean View does not provide visa sponsorship for certain roles unless otherwise specified
• Compliance with all applicable federal, state, and local regulations, including California Department of Health Care Services (DHCS), The Joint Commission, and HIPAA standards
• Compliance with all required health screenings and immunizations in accordance with regulatory guidelines and facility policy, which may include tuberculosis (TB) testing, N95 fit testing, annual trainings, and proof of vaccination for certain communicable diseases
• Availability to work evenings, weekends, holidays, or variable shifts as needed, based on operational or patient care needs