Director of Medical Compliance & Quality

Pacific Neuropsychiatric Specialists

Job Location:

Irvine, CA - USA

Yearly Salary: $ 140000 - 200000

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

The Director of Medical Compliance & Quality is a key leader responsible for ensuring that all clinical practices and business agreements adhere to all relevant regulations requirements and quality standards within a psychiatry and substance use treatment environment. The Director will manage compliance programs develop standard operating procedures (SOPs) to enhance compliance and quality of care review contracts and conduct regular audits. The Director will also serve as the PNS subject matter expert on compliance and act as a central resource for all compliance-related matters.

Responsibilities:

Develop and manage compliance programs focused on clinical medical and patient privacy policies including patient consent forms. Build SOPs to address relevant healthcare regulations including the requirements of 42 CFR Part 2.
Raise the standard of care for all program levels: clinical research outpatient partial hospitalization (PHP) intensive outpatient (IOP) step-down and acute/emergency department (ED) settings.
Develop methods to track audit and mitigate potentially high liability incidents within our clinical services.
Partner with the Chief Medical Officer and Billing Team to establish improved compliance procedures and billing best practices.
Carefully review contracts to ensure the company meets all requirements implementing changes and/or collaborating with other departments as needed.
Guide and educate employees on compliance requirements offering direction on ethical conduct and providing training on relevant regulations and policies.
Monitor changes in healthcare laws and contract requirements ensuring that the organizations compliance program reflects these changes.
Prepare reports for senior management on compliance activities and findings and communicate compliance information to all levels of the organization.
Collaborate with various departments to ensure the consistent application of compliance policies and procedures.
Ensure proper documentation of compliance activities including policies procedures training records and audit results.
Investigate and respond to compliance-related complaints or issues. Develop corrective action and prepare reports as required.

Qualifications:

Required: Masters degree in Healthcare Administration JD or a related field; Doctorate preferred.
Legal background required.
Minimum of 5-7 years of experience in healthcare compliance; mental health industry experience preferred.
Strong knowledge of healthcare regulations.
Familiarity with CA medical compliance and Medicaid/Medicare.
Extensive experience developing SOPs reviewing contracts conducting audits and risk assessments within the healthcare field.
Excellent communication leadership and problem-solving skills.
Certified in Healthcare Compliance (CHC) Certified Compliance and Ethics Professional (CCEP) or related certifications is a plus.

Location: In-office in Irvine CA

Salary range: $140000-$200000 per year

Compensation: $140000.00 - $200000.00 per year

We are Pacific Neuropsychiatric Specialists (PNS) and our experience enables us to offer effective outpatient individualized psychiatry care. Our psychiatry team provides psychiatric treatments for children adolescents adults and seniors from multiple offices located throughout Orange County we do accept patients from the entire United States as well. Our psychiatrists treat a number of mental health disorders including anxiety stress PTSD bipolar schizophrenia dementia depression ADD ADHD alcohol and chemical dependency and more. Our Psychiatry practice was founded on the principles of treating patients with care compassion and understanding.

Required Experience:

Director

Benefits:Dental insuranceHealth insurancePaid time offVision insuranceThe Director of Medical Compliance & Quality is a key leader responsible for ensuring that all clinical practices and business agreements adhere to all relevant regulations requirements and quality standards within a psychiatry an...