Regional Medical Services Compliance Associate

Position Summary:
The Regional Medical Services Compliance Associate is responsible for ensuring congruity of organization policies and procedures within the medical services of Catholic Charities. The Regional Medical Services Compliance Associate works under the direction of the Compliance Officer and collaboratively with the Director of Clinical Practice and positions responsible for administrative infrastructures including Information Systems and Human Resources as well as the site Directors Chief Operating Officer and Clinical Services. This position has the option to be based in our Yakima or Wenatchee offices and is responsible for compliance activities for medical services across the whole organization.

Responsibilities:

Facilitate care of clients served in an Integrated Health Care environment

• Provide consultation and assists the Catholic Charities clinical team as needed in medical crisis and outpatient services
• Coordinates and/or consults with primary care physicians to monitor compliance standards for psychiatric or medical management.
• Assists with the compliance education and training of clinical staff regarding diagnoses treatment planning use and abuse of medications health maintenance CPR and First Aid and any procedural changes that are identified and require training and support to staff to meet compliance

Provides Support to Catholic Charities medical services in an integrated behavioral health and primary care environment

• Assists psychiatric staff providing compliance information HIPAA standards and industry recommended assessments prescribing and medication management.
• Facilitates opportunities for compliance consultation among Catholic Charities medical providers.
• Assists with daytoday operations of medical services as needed when staffing shortages are identified
• Audits for assurance of all medical services are input into the Electronic Medical Record (EMR) and meet integrated healthcare standards.
• In partnership with the Clinical Utilization Manager use the EMR to develop implement and maintain a process for concurrent documentation for physical health and behavioral health providers to have access to each others documentation.
• Reports to the Compliance Officer regarding the operations of the physical and integrated healthcare programs benefits of client participation in integrated care monitoring and management as necessary to assure optimal benefit to consumers.
• Disseminates information to the team regarding physical and integrated behavioral healthcare.

Provides ongoing Quality Improvement

• Sets benchmarks and targets related to healthcare quality efficiency and outcomes.
• Collaborates with key staff and plays a pivotal role in achieving healthcare transformation.
• Collaboratively implements changes that improve service delivery leverages innovative practices and adapts to evolving healthcare landscapes.
• Supports team members through compliance measures regarding physical and integrated healthcare services.
• Offers expertise training and mentorship to ensure staff members are equipped to deliver highquality care.
• Explores ways to improve care through information technology and collaborates with information technology specialists to improve service delivery.

Adheres to Compliance and Regulatory Standards

• Ensures compliance with all relevant healthcare regulations including HIPAA state licensing requirements and other healthcare standards.
• Establishes and implements policies and procedures that align with regulatory guidelines to maintain a high standard of care and legal compliance.
• Conducts regular audits and assessments to proactively identify and address any compliance gaps or issues.
• Ensures that all medical documentation adheres to regulatory standards and best practices.
• Implements and monitors compliance with healthcare policies procedures and legal requirements ensuring accuracy and completeness in clinical documentation.
• Keeps abreast of changing healthcare regulations policies and compliance standards.
• Participates in policy development or revision process to ensure services align with legal and regulatory requirements while promoting best practice.

Provides staff onboarding and training

• May be involved in candidate interviews assessments and discussions to ensure alignment with the healthcare facilitys vision mission and quality standards.
• Provide ongoing training to staff as needed on medical procedures and protocols.

Establishes a respectful culture that integrates best medical and behavioral health practices

• Analyzes current healthcare trends community needs and gaps in services to anticipate future demands.
• Stays abreast of advancements in medical technology treatment modalities and healthcare practices.
• Researches and evaluates emerging therapies digital health solutions and innovative treatments to improve patient care and outcomes.
• Anticipates and provides input to the Compliance Officer and Behavioral Health leadership around resource requirements such as staffing funding equipment or infrastructure.
• As requested conducts needs assessments and advocates for necessary resources to support envisioned healthcare initiatives.

Perform other duties as assigned

Job Requirements:The following requirements are those that are normally required for performance of this position. Any disabled applicant or incumbent who does not meet one or more of the physical requirements but who can perform the essential function of the job (with or without reasonable accommodations) shall be deemed to meet these requirements.

Physical Requirements:This position normally requires the physical demands of standing walking bending lifting or performing other work requiring low physical exertion talking and hearing on a regular basis to perform the job requirements. These physical demands are required up to 80 of the time. Position also requires ability to drive with adequate vision.In emergency situations could be exposed to unpredictable and ive clients. Exposure to communicative disease/illness could occur. Travel will be required as well as occasional evening or weekend hours.

NonPhysical Requirements:

Education

• Bachelors degree in nursing (BSN) required
• Masters degree innursing (MSN) or related field preferred

Experience

• 3 to 5 years experience in psychiatric client care and/or administrative & medical management required
• Experience within an integrated behavioral and physical healthcare clinic preferred

Licensure Registration Certification

• RN license in Washington State
• Valid Washington State Drivers License and minimum required liability insurance for WA State
• Must be deemed insurable as determined by Catholic Charities insurance liability provider

Special Skills

• Conceptual and program development skills
• Excellent oral and written communication abilities
• Demonstrated skills in psychiatric assessment prescribing and medication management
• Excellent judgment relationship building and interpersonal skills
• Ability to provide culturally relevant medical services
• Ability to provide professional consultation with colleagues
• Ability to document in an Electronic Medical Record

Employment is conditional upon being cleared by criminal background check and fingerprinting when required

Wage:$85000 $95000 per year depending on experience
Bonus: $10000 sign on bonus paid in 3 installments with 39month service commitment
Schedule:Monday Friday 8 am to 5 pm
Benefits:

• 13 paid holidays 12 days of vacation 12 days of sick leave per year
• Health insurance including medical & prescription coverage with optional dental and vision insurance plans. Majority of premiums paid by Catholic Charities
• Retirement 403(b) Plan: employee contributions commence upon employment; Catholic Charities contributes 2 of monthly income and matches up to 4 of employee contributions following 6 months of employment
• Basic Life Insurance paid 100 by Catholic Charities
• Flexible Spending Account eligibility following 6 months of employment
• Education Assistance Program reimbursing up to $5250 per year for approved continuing education after 6 months of employment
• Additional voluntary insurances including supplemental life accidental death & dismemberment (AD&D) critical illness long term disability accident and ID theft
• Employee Assistance Program includes 3 counseling sessions per year legal consultations financial coaching and other wellbeing tools
• Annual longevity awards begin at 5 years of employment

It is the practice of Catholic Charities to ensure equal employment opportunity without discrimination or harassment on the basis of race color national origin sex age disability citizenship status marital status creed genetic predisposition or carrier status sexual orientation gender expression or any other characteristic protected by applicable law. Applicants from underrepresented backgrounds are encouraged to apply. We gladly offer reasonable accommodations to individuals with disabilities to support participation in the hiring process and employment.

#WorkForHope