Vice President of Compliance

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Reporting to the Chief Operating & Business Innovations Officer, the Director of Compliance is responsible for administering and managing the Gulfside Healthcare Services Corporate Compliance, Risk and Ethics Programs. Additional oversight of our Quality, Health Information Management, Environmental Services and Clinical Education will be considered.

This is a position is based in our Land O’ Lakes, Florida location. Candidates must be able to meet onsite requirements. Relocation assistance is not provided for this position.

EDUCATION AND QUALIFICATIONS:

• A bachelor’s degree is required in Healthcare or Management field. Correlating Master’s degree preferred.
• Active "Certified in Healthcare Compliance" (CHC) certification through HCCA is required. Alternative compliance, privacy, auditing, risk, or quality certifications do not replace this requirement.
• A minimum of five years of experience in one or more of the following fields: compliance management, healthcare risk management, quality assessment & performance Improvements (QAPI), healthcare administration, or business administration, including at least two years in a related Executive level position.
• Knowledge of federal and state laws and regulations and accreditation standards including The Joint Commission, Agency for Healthcare Administration and Centers for Medicare and Medicaid Services.
• Excellent interpersonal communication and problem-solving skills.

ESSENTIAL JOB RESPONSIBILITIES:

• Develops and implements the organization’s compliance, quality, and safety programs.
• Facilitates the Gulfside Compliance Committee.
• Ensures compliance with federal CMS, The Joint Commission and the Agency for Healthcare Administration regulations, the Florida Statutes and all other applicable laws, regulations, and requirements.
• Knowledge of statistics, data collection, analysis, and data presentation.
• Excellent interpersonal communication and problem-solving skills.
• Knowledge of federal and state laws and regulations and accreditation standards.
• Provide strategic direction for our compliance, quality and HIIM teams
• Work closely with department heads and other management-level staff to establish compliance priorities and update policies
• Plan and execute compliance programs to ensure that company operations are adhering to relevant federal, state, and local laws
• Develop guidelines for internal compliance audits of various company operations to see whether proper protocols and procedures are followed, identify problems, and suggest ways for improvement
• Stay up to date on the latest regulatory changes within the industry and update our compliance procedures accordingly
• Create and maintain a library of compliance-related documentation
• Facilitate collaborations with external legal experts and auditors when performing audits and creating new compliance policies
• Promote an effective compliance culture in our workplace by organizing training workshops to educate employees on the best compliance practices
• Oversee compliance with NFPA 101 & 99, and all applicable environment of care laws, regulations, and requirements.
• Leads and actively participates in the Quality Assessment & Performance Improvement (QAPI) program.
• Directs all departments in The Joint Commission accreditation requirements and develops systems and processes to maintain compliance.
• Investigates and analyzes root causes, patterns, trends or program functions to identify, initiate and implement performance improvements. Manages the Adverse Event System.
• Educates and trains the leadership and staff, as to the compliance management program, and their respective responsibilities in carrying out the compliance management program.
• Management of all reporting staff within oversight departments.

SKILLS AND COMPETENCIES:

• Deep understanding of best risk management practices
• Extensive knowledge of compliance standards and protocols
• Excellent verbal and written communication skills
• Keen attention to detail and excellent problem-solving skills
• Compliance certifications (CCEP, CRCM, IACCP, or another relevant certification)
• Knowledge of compliance with all regulatory agencies governing health care deliver and the rules of accrediting bodies
• Strong interpersonal skills, communication, collaboration, and conflict resolution
• Ability to effectively manage multiple priorities
• Ability to work independently exercising discretion and independent judgment
• Ability to work in collaboration with other disciplines within the organization
• Ability to travel to off-site locations

COMPANY STANDARDS:

• Demonstrates courtesy, respect, sound judgment, and professionalism.
• Listens with patience and respect for the other person.
• Takes responsibility for own actions and decisions.
• Demonstrates honesty and integrity in all dealings.
• Maintains a positive attitude and caring spirit.
• Makes effective use of work time to accomplish tasks, keeping personal business, breaks and socializing to a minimum.
• Dependable, trustworthy, and demonstrates appropriate attendance pattern.
• Demonstrates concern for the rights, opinions, privacy and confidentiality of others.
• Willingly seeks new assignments, assumes additional duties when necessary, and takes independent action to identify problems.
• Seeks management involvement when necessary.
• Demonstrates prudent use of company resources.
• Practices Gulfside’s Mission Statement, Vision Statement, and Core Philosophy in both words and actions.

PHYSICAL DEMAND:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to stand, walk, sit, use hands to finger, handle or feel objects/tools/controls, reach with hands/arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk, hear, taste, or smell. This employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required for this position include close vision, distance vision, color vision, depth perception, and the ability to adjust focus.

EEO Statement:
Gulfside Healthcare Services, Inc. is committed to Equal Employment Opportunity (“EEO”) and complies with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation.

NOTE: This Gulfside Healthcare Services position requires an AHCA Level 2 Fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse. Please refer to this link for more information on this: https://info.flclearinghouse.com