COMPLIANCE OFFICER

Job DetailsJob Location: Avow Hospice - Naples, FL 34105Salary Range: $115,000.00 - $130,000.00 Salary/yearJob Summary:    The Compliance Officer is responsible for the overall direction and oversight of the organizations compliance & ethics plans/programs, and oversees the Avow compliance professionals for all Avow clinical companies.  The Compliance Officer is responsible for the overall direction and oversight of compliance, quality initiatives, performance improvement, policies and procedures, education, and infection control.

This position, reports dotted line to the CEO and Board Chair to identify and mitigate organizational high risk issues or incidents. The position reports directly to the Chief Operating Officer.

Responsible for providing vision and leadership in creating a best-practice environment and in conjunction with executive clinical operations leaders a superior, compliant patient care delivery system through quality management. Manages multiple projects and demands with shifting priorities, initiative, decision making skills, independent judgments and critical thinking skills, group facilitation skills to promote multidisciplinary collaboration and lead groups, resolve conflict, remain flexible and facilitate teamwork.

Job Responsibilities: 

Compliance Officer    

Implements, oversees and manages the corporate compliance program including a direct reporting relationship on compliance matters to the CEO and the Board Chair.
 Provides for investigations into any identified high risk areas or reported potential breaches and recommends to the CEO and Board Chair and involved executive leaders, any corrections or changes leading to mitigation of those risks. Assists leaders and monitors the risk mitigation process to ensure it is implemented.
Keeps current with and communicates relevant information from the Office of the Inspector General (OIG), Florida Agency for Healthcare Administration (AHCA) regulations, fraud alerts and advisory opinions. Plans and manages Avow’s compliance and audit programs in accordance with directives and priorities of these governing bodies.

Encourages all employees and volunteers to report any suspected compliance or ethical breaches for investigation without fear of retaliation. Investigates all reports and presents findings to appropriate parties. Utilizes external resources such as regulatory attorneys and compliance consultants to assist with guidance related to follow up on reported issues.
Reads, analyzes, summarizes, reports and recommends to organizational leaders any proposed and new federal and state regulations and regulatory standards and other pertinent specialty accreditation requirements to provide direction for the company response.
Reviews compliance activities and oversees the quality management activities, in collaboration with the clinical operations leaders, in developing action plans for areas identified as non-compliant.
Recommends to the Executive Leadership Team methods to improve efficiency and quality of services to reduce vulnerability to fraud, abuse and waste. 
Serves as key contact person to directors responsible for compliance and assigned standards and other regulatory requirements.
Conducts on a regular basis the Enterprise Risk Management process with the Executive Leadership Team and reports results to the Board annually.
Designs and implements an annual Audit plan for the organization in conjunction with the operations leaders to focus on areas of concern or priority elicited from previous audits, compliance concern reports/investigations, OIG Workplan, ERM Tools, staff education and documentation learning need trends, new regulations and high risk areas.
Sits on the Board Quality and Compliance Committees and reports regularly to them; the organization’s trends and outcomes. Ensures recommendations by the Board Quality and Compliance committees are implemented and reported on for follow up.

Quality Assurance and Performance Improvement     

Oversees and monitors the implementation of the quality assessment & performance improvement programs and processes
Leads the development and implementation of all clinical policies, procedures and protocols and ensures alignment with regulations, ERM system integration and organizational objectives. 
Works with all disciplines from front line staff to executive leaders to impart an understanding of regulatory and compliance requirements and prepares staff across the organization to imbed regulatory requirements into daily operations through mock tracers, survey readiness rounds, training and regulatory audits.
Leads the organization’s survey processes including survey readiness and assists with the activities of on-site and remote auditors, surveyors and consultants to ensure they receive requested information and follow up
Ensures the QAPI processes and program are fully implemented, monitored and lead to quality and performance improvement across t