Director of Compliance – Nashville, TN

Director of Compliance & Accreditation

POSITION TYPE: Director

SPECIALTY UNIT: Compliance & Accreditation

LOCATION: Nashville, TN

SHIFT: Days

JOB TYPE: Full-Time Permanent

Job Summary:

We are in search of a professional Director of Compliance and Accreditation to coordinate and communicate all compliance activities and programs, as well as plan, implement and monitor the Corporate Compliance Program. Leads system wide activities to evaluate and improve adherence to Joint Commission accreditation standards, including ongoing readiness for accreditation surveys, as well as oversee inquiries and complaint investigations.

Responsibilities:

·      Educate leadership on actual, proposed or pending regulations that affect operations, identify obstacles to compliance and work with others to identify and implement solutions.

·      Institute and maintain an effective compliance program, including promoting heightened awareness of facility Code of Conduct and Ethics and an understanding of new and existing compliance issues and related policies and procedures, and use of the compliance hotline.

·      Annual review and periodic revision of Corporate Compliance Program based on agency needs, and changes in the statutes, rules, regulations, and requirements of Federal and State health care programs.

·      Develop, revise, and implement compliance policies and procedures to prevent illegal, unethical, or improper conduct.

·      Respond to alleged violations of rules, regulations, policies and procedures, code of ethics and conduct by evaluating the need for and/or initiating the investigative process. Develop and oversee a system for uniform handling of such violations. 

·      Conduct clinical audits to ensure compliance with state, federal, Joint Commission, and payer source requirements and regulations.

·      Coordinate annual review of agency policies and procedures and assist Directors with writing new policies.

·      Act as liaison for agency to State licensure, Joint Commission and/or payer sources, ensuring all requested documentation and licensure/accreditation renewals are completed timely.

·      Keep Program Directors informed of clinical care guideline changes as directed by Joint Commission, licensure and/or payer sources.

·      Leads annual gap analysis of compliance with Joint Commission standards.

·      Ensure leadership and staff training of Joint Commission requirements, maintain educational materials including Joint Commission SharePoint site.

Job Benefits:

·      Competitive salary

·      Direct Deposit

·      401K

·      Comprehensive Health, Dental, and Vision benefits

·      Employee discount program

·      Excellent room for growth and advancement

Requirements:

• Master’s Degree in Healthcare Administration required.
• Healthcare Compliance (CHC) certification required.
• Must be able to pass a Criminal Background Investigation.
• Must be a licensed driver with an automobile that is insured and in accordance with the state and/or organization requirements and in good working condition.
• Must provide a Motor Vehicle Report (MVR).