Compliance Manager Health Services

Forestdale, Inc. is hiring a Compliance Manager for its Health Services Department. The role audits health services programs, monitors regulatory compliance and performance, and supports quality improvement and corrective action planning.

Responsibilities

• Provide compliance and data support to Health Services, including Article 29-I, Health Homes, and Children’s Health and Behavioral Health Services Transformation (CFTSS)
• Conduct case and chart record reviews for all programs
• Analyze data, records, and reports to monitor performance. Summarize findings for each program
• Prepare reports for monthly compliance check-in meetings and quarterly Quality Oversight Committee
• Conduct standing Compliance reviews including: + 29I new foster care placement review + Biannual medication monitoring audits + Quarterly Medical Audits + Health Homes Quarterly audits + CFTSS Quarterly Audits + Follow up with NYS OCFS Quarterly Health Assessment audits
• Assist in preparing for the ACS medical audit and responding support the team in drafting responses to any corrective action plans
• Draft corrective action plans from findings of internal audits completed and review progress at quarterly meetings
• Assist in the client satisfaction initiatives undertaken within the program
• Use ACS and OCFS reports to track regulatory performance
• Conduct focused reviews as requested by program
• Collaborate with other staff to analyze and report the results of QI work to improve the quality of healthcare services provided to clients
• Monitor and track incidents reported Health Homes Incident Reporting Management System and CFTSS New York State Incident Management and Reporting System (NIMRS)
• Co-Chair Incident Review Committee Quarterly meetings
• Follow up with medical and behavioral health requests related to NYC ACS Office of Special Investigations
• Assists in preparing for any accreditation audit health services should undertake
• Use PSYCKES to address health measures such as children on antipsychotic medications, ER visits, and others
• Maintain monthly dashboards of KPIs using Power Bi and refine the metrics to include policy updates/changes by regulatory oversight bodies
• Other duties as assigned

Preferred

• Master's
• in the area of Health Sciences or Human Services
• Experience with 29I and Health Homes audits and regulatory compliance
• Master’s Degree
• Health Sciences
• 29I Audits
• Health Homes Audits
• Regulatory Compliance

Benefits

• Four weeks’ vacation
• Medical/dental/vision/life/disability insurance
• 401(k), 7% employer contribution + 2% match
• Tax-deferred health care/dependent care/commuter plans
• Flexible Schedule
• Opportunities for educational scholarships

Company

• Human services agency helping children and families in child welfare
• Forest Hills, New York, USA
• https://www.forestdaleinc.org/
• Founded in 1854
• 201-500 employees

Qualifications

• Bachelor's with a minimum of three years experience
• 1-3 years' experience working in the area of health services provision to children, youth and families
• Skills and competencies including, but not limited to, oral and written communication, program evaluation, analytic and research methods, and project management
• Mandated reporter training
• Master's
• In the area of Health Sciences or Human Services
• Experience with 29I and Health Homes audits and regulatory compliance
• Bachelor’s with a minimum of three years experience
• 1-3 years’ experience working in the area of health services provision to children, youth and families.

Required skills

• Article 29-I and Health Homes Auditing, Health Services for Children, Youth, and Families, Program Evaluation, Research Methods

Preferred skills

• Master's, in the area of Health Sciences or Human Services

Experience

• 3+ years