Corporate Director of Clinical Compliance

  • Job Reference: 00001880-1
  • Date Posted: 16 November 2021
  • Company: Aventine Hill Communities
  • Location: San Antonio, Texas
  • Salary: On Application
  • Sector: Healthcare & Medical
  • Job Type: Permanent

Job Description

Corporate Director of Clinical Compliance Position Summary

As the compliance leader and subject matter expert, the Corporate Director of Clinical Compliance is responsible for coordinating those systems necessary for identification, evaluation, monitoring, reduction and/or elimination of professional and general liability risk exposure. Provide counseling and education to clinical staff, community leadership and staff members related to resident safety, risk exposures including risk prevention and risk reduction. Establishes standards and implements procedures to ensure that the compliance programs throughout the organization are effective and efficient in identifying, preventing, detecting, and correcting noncompliance with company policies. The successful candidate will possess a thorough knowledge of memory care, programing, assisted living regulations, nurse practice acts, and company policies with sound judgment and strong business acumen.

 

Qualifications Required for Corporate Director of Clinical Compliance

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

  • 5-10 years as a Registered Nurse with an unencumbered license required
  • Must have knowledge of Texas and Georgia assisted living regulations 
  • 3-5 years of experience in senior living industry with a comprehensive background in quality improvement and management
  • Ability to travel to all states within the company
  • Expert knowledge of Microsoft Excel, Word and Outlook
  • Ability to manipulate large amounts of data and to compile the data into detailed, effective reports
  • Proven knowledge of auditing standards and procedures, laws, rules and regulation. High attention to detail and excellent analytical skills with sound independent judgment.
  • Excellent communication skills and a compassion for older adults
  • Must possess and maintain a valid driver's license and current auto insurance

 

Primary Responsibilities for Corporate Director of Clinical Compliance

  • Oversee and monitor the implementation of the compliance program and provide guidance to Executive leadership, the board of directors, staff, and employees on appropriate compliance
  • Maintain current knowledge of laws, regulations, and nurse practice acts
  • Develop the annual compliance work plan that reflects the Company's highest risks that will be monitored by the compliance function
  • Assure operational integration of clinical functions to achieve program success, high customer satisfaction, excellent resident care and safe operations
  • Initiate and facilitate changes to improve resident care and program performance through effective communication, collaboration, and interdisciplinary problem solving
  • Assists with licensing & compliance for new development communities
  • Provide leadership for safety policies and practices including OSHA, worker's compensation, and medical and hazardous waste disposal
  • Develop policies and programs that encourage employees to report suspected misconduct, fraud, abuse or misappropriate of property without fear of retaliation
  • Perform and control the full audit cycle including risk management and control management over operations' effectiveness, clinical, and compliance with all applicable directives and regulations
  • Engage in continuous knowledge development regarding rules, regulations, best practices, tools, techniques, performance standards, and the company's fields of business, and advise other departments regarding necessary changes to policies, procedures, and practices
  • Perform compliance audits including, but not limited to, policies, procedures, records management/retention, employee files, risk, programming and quality care
  • Develop, coordinate and participate in multifaceted educational and training programs that focuses on the elements of the compliance program and seeks to ensure all employees and leadership are knowledgeable of and comply with applicable federal laws, state regulations, standards of practice and company policy and procedures
  • Ensure compliance with all regulatory agencies and accrediting bodies. Minimize liability to the company by anticipating problems, evaluating magnitude of the problem and taking actions to correct problem and/or reduce risk. Independently investigate the action matters related to compliance, including the ability to design and coordinate internal investigations (e.g., responding to reports of problems, Hotline calls or suspected violations) and any resulting corrective actions with all departments, providers, agents and if appropriate independent contractors
  • Monitor external audit review process; maintain awareness of compliance issues. Prepare and present reports that reflect audit and compliance results and document process
  • Act as an objective source of independent advice to ensure validity, legality, and goal achievement
  • Maintain open communication, conduct follow up audits to monitor communities' interventions. Ensure company follows best practices implemented by Company
  • Practices and promotes an open exchange of ideas. Addresses important and difficult issues; solicits others' opinions and inquires as to how they arrived at their conclusions; listens deeply to others' point of view and intent; suspends judgment; practices free and creative exploration of topics; advances conversation; is passionate and unguarded in discussion of issues; voices opinion even at the risk of causing disagreement
  • Plans for and uses resources effectively. Always looks for ways to reduce costs, creates accurate and realistic budgets, tracks and adjusts budgets, contributes to budget planning
  • Perform other duties as may be assigned

 

Other Skills and Abilities

  • High degree of interpersonal relationship skills 
  • Strong organization and time-management
  • Considerable initiative, judgment, and leadership
  • Problem solving and reasoning abilities 

Physical and Mental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.

  • Ability to regularly stand, talk, bend, stretch, pull or push and lift items
  • Specific vision abilities required by this job include close vision, depth perception, and the ability to adjust focus

 

IDENTIFIED CORE COMPETENCIES FOR SUCCESS IN THIS ROLE

  1. Customer Focus
  2. Situational Adaptability
  3. Business Insight
  4. Decision Quality
  5. Drives Results
  6. Ensures Accountability
  7. Instills Trust
  8. Cultivates Innovation
  9. Interpersonal Savvy
  10. Plans and Aligns
  11. Drives Vision and Purpose
  12. Nimble Learning