Compliance Specialist-Must have Management experience, LPC, LCSW, Resident in Counseling or Supervis

Description

Job Description

Job Title: Compliance Specialist

Classification: Exempt

Reports to: Executive Director

Supervises: None

Overview

The Compliance Specialist plays a critical role in ensuring that the organization adheres to the highest standards of quality, compliance, and operational excellence. This position is responsible for conducting comprehensive audits of employee and member records, evaluating internal controls, and ensuring compliance with regulatory requirements and company policies.

Qualifications

Must have graduated from an accredited College or University and possess a bachelor’s degree in human services or a related field with at least (3) years of documented mental/behavioral health work experience. Employee must receive a satisfactory background and Central Registry check. Additional qualifications include having a valid driver’s license and an approved driving record.

Key Responsibilities

Audit Planning & Execution:

Develop and implement audit plans and schedules, focusing on high-risk areas.

Conduct thorough audits of employee and member records to ensure accuracy, completeness, and compliance with applicable regulations (including DBHDS) and company policies.

Evaluate the effectiveness of internal controls and identify areas for improvement.

Compliance Monitoring:

Monitor compliance with federal, state, and local regulations, as well as industry standards and internal policies.

Ensure that the organization's processes align with relevant standards, including data protection and privacy laws.

Stay current with changes in legislation and industry regulations, providing updates and training to staff as needed.

Data Analysis & Reporting:

Analyze audit findings and prepare detailed reports outlining observations, risks, and recommendations.

Present audit results to senior management, providing actionable insights to support decision-making and process improvement.

Track and follow up on the implementation of corrective actions to address identified issues.

Quality Assurance:

Develop and maintain quality assurance processes to ensure consistent and high-quality service delivery.

Collaborate with various departments to implement best practices and standard operating procedures.

Conduct regular reviews of service delivery, identifying opportunities for enhancing quality and efficiency.

Training & Development:

Provide training and guidance to staff on compliance and quality assurance best practices.

Assist in the development and updating of training materials and programs to enhance staff knowledge and compliance awareness.

Duties

• Responsible for conducting and reporting quality assurance reviews on all client records and operational procedures and manuals on a continuing basis to ensure proactive compliance
• Responsible for developing, coordinating, implementing, and evaluating quality compliance improvement for assigned population according to documentation requirements of DBHDS and the Office of Licensing.
• Responsible for scheduling regular record reviews with site management in preparation for upcoming audits and reporting the findings to site management, as well as suggestions for corrections/improvements.
• Responsible for offering training and information around appropriate client record maintenance to site management team.
• Required to present weekly comprehensive reports for management, Director of Clinical Services, and the Executive Director that reflect compliance and productivity.
• Ensures business/clinical operations and physical environment follow confidentiality standards and regulations.
• Participates in site team meetings and management meetings in each site monthly to improve sustainable staff outcomes related to compliance and clinical appropriateness.
• Assists in defining opportunities for improvement identified through analysis of trends.
• To perform other duties as needed per the Executive Director.

Requirements

Qualifications

Must have graduated from an accredited College or University and possess a bachelor’s degree in human services or a related field with at least (3) years of documented mental/behavioral health work experience. Employee must receive a satisfactory background and Central Registry check. Additional qualifications include having a valid driver’s license and an approved driving record.

Key Responsibilities

Audit Planning & Execution:

Develop and implement audit plans and schedules, focusing on high-risk areas.

Conduct thorough audits of employee and member records to ensure accuracy, completeness, and compliance with applicable regulations (including DBHDS) and company policies.

Evaluate the effectiveness of internal controls and identify areas for improvement.

Compliance Monitoring:

Monitor compliance with federal, state, and local regulations, as well as industry standards and internal policies.

Ensure that the organization's processes align with relevant standards, including data protection and privacy laws.

Stay current with changes in legislation and industry regulations, providing updates and training to staff as needed.

Data Analysis & Reporting:

Analyze audit findings and prepare detailed reports outlining observations, risks, and recommendations.

Present audit results to senior management, providing actionable insights to support decision-making and process improvement.

Track and follow up on the implementation of corrective actions to address identified issues.

Quality Assurance:

Develop and maintain quality assurance processes to ensure consistent and high-quality service delivery.

Collaborate with various departments to implement best practices and standard operating procedures.

Conduct regular reviews of service delivery, identifying opportunities for enhancing quality and efficiency.

Training & Development:

Provide training and guidance to staff on compliance and quality assurance best practices.

Assist in the development and updating of training materials and programs to enhance staff knowledge and compliance awareness.