Compliance & Accreditation Specialist - Phoenix, AZ (Corporate)

Looking to build a lasting career?  Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?

• Top-level compensation packages
• Exceptional health, dental, and disability benefits
• Career and compensation advancement programs
• Student loan forgiveness programs
• 401k company match
• Bilingual pay differential
• Holiday, PTO and employer paid life insurance
• Clinical licensure supervision and reimbursement
• Evidence-based treatment approaches, training, and supervision
• One of the first fully vaccinated COVID-19 workplaces in Arizona

Intermountain Centers and its statewide affiliates, Community Partners Integrated Healthcare, Pinal Hispanic Council, Intermountain Health Center, Intermountain Foster Care, Behavioral Consultation Services and MHRI Housing are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.

General Summary:  The Compliance Specialist leads and/or assists the Quality Improvement Director in system wide activities to evaluate and improve adherence to accreditation standards and compliance activities.  The Compliance Specialist is responsible for leading and/or participating in quality improvement tasks such as conducting site assessments and mock surveys, maintaining the policy and procedures, fielding questions about policy and procedures, conducting investigations related to program compliance and acting as an internal consultant in matters of accreditation of programs in the organization.

JOB RESPONSIBILITIES:

• Create strategic plan for onboarding all programs for accreditation and continued compliance to standards.
• Conduct site assessment of compliance to standards using Survey Prep Workbook; use this information to strategically plan areas in need of more focus & assignments.
• Manage the survey technical work: application, creation of folders/ uploading files in CARF Connect, Drafting survey schedule for survey team and IC staff.
• Work with sites to complete the QIP post survey and audit for standards cited and other areas as determined.
• Perform audits on sites for ongoing compliance – developing systems for monitoring fidelity to standards.
• Work with sites and applicable departments for survey prep and guidance -following plan and established timelines/project management.
• Meetings post survey to review compliance activities with programs.
• Work with sites to conduct an annual assessment to standards using the Survey Workbook.
• Maintain current knowledge of standards and demonstrate ability to train staff in a consultative manner.
• Assist with EHR template modifications as needed.
• Assist with policy and procedure reviews and updates and participate in related committees or meetings as needed.
• Serve as lead for the oversight of the P&P manual, TOC, with crosswalk with standards, regulations, contractual requirements.
• P&P manual, TOC, with crosswalk with standards, regulations, contractual requirements.
• Conduct annual HIPAA, Risk, Cultural Competency Assessments.
• Assist with annual assessment of accessibility plan assessment.
• Assist with Safety Committee functions and Culture of Safety Program.
• Participate in health plan, regulatory, accreditation meetings and communicate upcoming changes in processes as applicable.
• Assist an/or lead process for preparing QI Plan for the Board annually, along with data summary.
• Serve on CQI Committee and assist with quarterly reports for all sites as needed.
• Respond to staff/sites with daily questions related to compliance and policies.
• Assist with, and/or conduct investigations related to compliance complaints and grievances, providing written summaries and maintaining data for trending and process improvement.
• Review sentinel events, complete mortality review, and participate in mortality reviews as required.
• Visit sites as needed.
• Performs other duties as assigned or necessary as they relate to the general nature of the position.

ICHD is an equal opportunity employer.  ICHD does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.