Job Description Job Description Plans, organizes, oversees and assists assigned facilities with maintaining compliance with applicable laws, regulations and policies. Job Responsibility
- Chairs meetings and coordinates monthly Facility Compliance Committee for their respective sites.
- Provides advice and acts as a resource to Facility management for compliance issues.
- Advises the Facility's employees, contractors and vendors as appropriate, agents and any applicable governing Board members on issues of regulatory compliance.
- Maintains the Facility's compliance program structure to reasonably ensure adherence to applicable federal and state rules and regulations.
- Assists in the coordination of the investigation of suspected violations received through the Alert Line and other channels.
- Oversees, follows-up and implements correction actions to investigations and other issues generated by the compliance program.
- Assists in the coordination of any internal and external compliance audits at the Facility.
- Provides liaison between facility specific compliance efforts and System-wide compliance efforts.
- Supports activities of the Corporate Compliance Office and Northwell's Corporate Compliance Program including:
- Monitoring of exclusions screening process within the facility;
- Distributing, implementing, and communicating new and revised compliance policies;
- Implementing and monitoring annual compliance training and education;
- Disseminating compliance related information;
- Assisting in organizing and attending Facility compliance awareness events;
- Using the reporting system and monitoring at the facility; and
- Monitoring and tracking other performance parameters, as requested.
- Participates in the periodic compliance self-assessments, as needed.
- Ensures all facility staff receives the Code of Conduct and signs any appropriate attestations.
- Provides periodic reports to the Corporate Compliance Office and Facility Executive Directors on the status of facility compliance efforts.
- Participates in developing and implementing internal controls capable of preventing and detecting significant instances or patterns of illegal, unethical, or improper conduct.
- Participates on various Facility committees to ensure compliance objectives are being met.
- Participates in Corporate Compliance projects.
- Performs related duties, as required.
Job Qualification
- Bachelor's Degree required, or equivalent combination of education and related experience. Masters Degree, Juris Doctorate, or healthcare related certification(s), preferred.
- 8-12 years of relevant compliance experience and 7+ years of leadership / management experience, required.
- Minimum of seven (7) years related healthcare experience, strongly preferred
- Maintains current knowledge of compliance trends, issues and regulations
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).