Location: Pueblo,CO, USA
Director of Administrative Services
Starting Pay Range: $85,571.20 - $100,672.00, annually.
Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more per week.
Benefit opportunities presently available to employees are listed below:
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Long-Term Disability Insurance
* Short-Term Disability Insurance
* Life Insurance
* 403(b) Tax-Sheltered Annuity Plan
* Cafeteria 125 Flexible Spending Account
In addition to the benefits available for purchase through the Cafeteria 125 plan, Pueblo Community Health Center offers supplemental insurances and generous paid time off benefits including holidays and personal time off (PTO). The organization also contributes to the employee's tax-sheltered annuity plan after one year of service.
Job Summary: This position is responsible to develop, maintain, implement, and provide program oversight for an effective Compliance Program. Compliance areas include, but are not limited to HRSA (FQHC, 340B, FTCA) OCR (HIPAA privacy and security), CMS (emergency preparedness and business continuity), OSHA (environment of care), and OIG effective compliance. This position provides guidance and collaborates extensively with Executive and Leadership Staff to achieve the objectives of an effective compliance program and works with legal counsel when appropriate. This position is responsible for the efficient operations of the Health Information Management (Records) and Navigation (Referrals) Departments.
Reports to: Chief Operations Officer
Supervision Exercised: Yes
Education/Experience/License/Certification:
* Bachelor's Degree from an accredited college or university in Business, Health Information Management or related field required. Master's degree preferred.
* Five (5) years supervisory and administrative experience required.
* A combination of education and substantial experience may be substituted
* Experience in regulatory, ethics, compliance, risk management and/or privacy experience related to health care.
* Experience managing projects, including development and implementation of policies, procedures, and workflows.
* Experience in nonprofit organizations preferred.
* Experience working with FQHC and/or HRSA funded entities preferred.
* Previous experience with JCAHO, AAAHC, HRSA or similar agency preferred
* HIPAA Privacy Certification desired.
* Valid driver's license and auto insurance as required by law
Required Travel: Occasional travel may be required including day-to day local travel.
Knowledge/Skills/Abilities: The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Demonstrated administrative, organizational, and supervisory skills.
* Excellent written and oral communication skills are required.
* Ability to interpret AAAHC guidelines and implement criteria needed to meet standards.
* Ability to assess departmental needs and problem solve.
* Ability to work independently with little or no supervision.
* Advanced computer skills required with HRSA Electronic Handbook software experience preferred.
* Knowledge of HRSA Compliance Manual preferred.
* Knowledge of grant proposal preparation and reporting for government and private funders is preferred.
* Ability to comprehend written materials and to compose precise written information/instruction required.
* High ethical standards and an appropriate professional demeanor.
* Excellent interpersonal skills to work effectively with all levels of employees, management, regulators and vendors.
* Ability to maintain confidentiality and navigate sensitive matters.
* Collaborative leadership skills and ability to influence and work well with others to build an effective compliance program.
* Ability to focus on detail and explain detailed information in a manner understandable to various target audiences.
* Excellent communication, assessment, and problem-solving skills.
* Thorough knowledge of and ability to reinforce HIPAA Privacy requirements.
* Understanding of healthcare revenue coding and reimbursement systems, risk management, and performance improvement.
Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ensure the function and activities of this department to embrace the philosophy, mission, values and Communicate with Heart service model supported by the Board of Directors of Pueblo Community Health Center, Inc.
* Adhere to the guidelines and procedures of Pueblo Community Health Center, Inc.
* COMPLIANCE
* Ensure the function and activities of the Operations team embrace the philosophy, mission, values and Communicate with Heart service model supported by the Board of Directors of Pueblo Community Health Center, Inc. (PCHC) and PCHC Foundation.
* Assure required policies, procedures, documentation, and administrative systems are in place to support PCHC's various federal, state, and local regulatory requirements.
* Assures continuous compliance through effective monitoring and auditing activities.
* Responsible to create and implement an effective compliance program. Key partnerships for this work include Executive and leadership staff.
* Serve in a consultant role for compliance issues to all staff, including leadership, Executive staff and Board of Directors.
* Report and respond to reports of alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develop and oversee a system for uniform handling of such violations.
* Monitor the effectiveness of the Compliance Program, taking appropriate steps to improve its effectiveness. In collaboration with the COO, report to the BOD annually on the effectiveness of the Compliance Program. Provide compliance training to BOD related to HRSA grant requirements and other state and federal compliance.
* Ensure written policies and procedures for the organization are kept in alignment with all governing agencies within the FQHC setting. Develop, initiate, and maintain policies and procedures for the general oversight of the compliance program and its related activities to prevent illegal, unethical, or improper conduct and ensure an effective compliance program.
* Assist in Federal and HRSA related updates; including but not limited to FQHC, 340B and FTCA.
* Provide oversight of the Risk Management Program, including annual updates to the Risk Management Plan and related procedures and quarterly BOD reporting.
* Ensure continuous compliance and HRSA Operational Site Visit readiness.
* Oversee PCHC Compliance Committee including completion and submission of FTCA (Federal Tort Claims Act) Deeming applications, Credentialing and Privileging Plan, Annual Compliance Work Plan, and associated compliance activities.
* Maintain current knowledge of and assure compliance requirements of funding sources are met and communicated to other staff as appropriate.
* In collaboration with the Quality Director and Risk Manager, draft quarterly Quality and Risk Management Reports for the health center board.
* Serves as the organization's HIPAA Privacy Officer.
* Supervise and direct Health Information Manager in all aspects of securing, protecting and release of Personal Health Information and their duties as Privacy Officer. (PHI).
* Ensure compliance with HIPAA privacy and security practices and consistent application of sanctions when necessary.
* Consult with legal counsel as deemed appropriate by CEO/COO for compliance and risk management support/concerns and to resolve related difficult legal issues.
* Participate in special projects/work groups as assigned.
4. HEALTH INFORMATION MANAGEMENT AND NAVIGATION
* Ensure the function and activities of the HIM and Navigation Departments meet the needs of the organization.
* Develops and oversees departmental policies, procedures and workflows that ensures timely and accurate exchange of information to and from healthcare facilities.
The above duties are not all inclusive and are not intended to limit or define the duties that may be assigned.
Company's website: Pueblo Community Health Center
Closing Date: Open until filled.
Pueblo Community Health Center is a tobacco and drug-free workplace. EOE