Director, Compliance & Risk Management
DescriptionTitle:
Director, Compliance and Risk Management Program/Dept:
Agency Administration Reports to:
Chief Clinical Officer Classification:
Regular, Full-Time, Exempt Salary Range:
$135,000 - $140,000/DOE
Full Benefit PackageAgency Description:
Founded in San Mateo, California in 1964, Caminar is a not-for-profit agency providing community-based support services for people with disabilities.
Caminar' s services are designed to enable adults and older adults with mental health, physical and developmental disabilities to live and work in their community in accordance with their ability and desire.
Our mission is to empower and support individuals and families to move toward resilience, wellness, and independence.
The agency employs approximately 450 of the most dedicated and professional staff serving the communities of San Mateo, Santa Clara, San Francisco, Solano, Contra Costa and Butte counties.
Position Description:
Reporting to the Chief Clinical Officer and serving as a member of the Executive Leadership Team (ELT), the Director of Compliance and Risk Management will oversee, develop, implement, coordinate, and facilitate the agency's privacy and compliance programs and develop/implement/oversee policies and procedures to support compliance with federal, state, and local regulatory, legal, and funder requirements.
The role also oversees Corporate Compliance, Safety, HIPAA compliance, and organizational practices related to the use and handling of protected health information, Agency Critical Incident Reporting (CIR), 42 CFR, CARF Accreditation and compliance, and Property/Casualty Insurance.
Supervisory
Responsibilities:
none at present; this role may have direct reports in the future depending on growth, potential structural realignment, etc.
Essential Duties &
Responsibilities:
Oversee agency risk management activities:
Manage annual Property/Casualty insurance policy renewal, claims management Participate in agency Safety Program structure changes and administration, in partnership with Human Resources Management, Information Technology Department and in compliance with agency certifications and accreditations.
Liaise with privacy attorneys, general counsel, and eviction attorneys to protect agency assets and prevent reputational harm.
Lead and oversee the development of policies and procedures that ensure that staff are informed and compliant with regulations, standards and rules.
Provide support to Supported Housing teams in the event of potential client evictions.
Liase with eviction attorneys and collaborate with Program teams to avoid evictions and encourage tenant compliance with lease rules.
Lead eviction actions until successfully resolved.
Site Certifications and licensing activities Prepare for site certifications and licensing activities in anticipation of new programs and services, and/or facility relocation.
Support the certification and credentialing activities by ensuring the timely renewal of business certifications, site use/occupancy certificates, current fire inspection certificates and certificates of insurance, and various corporate documents.
Obtain and maintain Agency MediCare-MediCal-NPI registrations.
Manage agency HIPAA compliance program Periodically review HIPAA Policies & Procedures with Privacy Attorney to ensure they are current and compliant.
Support the roll-out of updated P&Ps to Program teams.
Consult with Program teams on any HIPAA privacy matters of concern and liase with privacy attorneys to address subpoenas and problematic record requests.
Review all PHI breaches and submit annual reportable breach entries to the Office of Civil Rights and to other oversight bodies, depending on breach magnitude.
Serve as agency Privacy Officer Lead the agency CARF (Commission on Accreditation of Rehabilitation Facilities) Accreditation Lead and successfully execute the accreditation process.
Own all project plans and documentation requirements for accreditation.
Convene and partner with the CARF accreditation working group to prepare for the accreditation process.
Partner with clinical and quality management staff to monitor and support ongoing compliance with CARF (Commission on Accreditation of Rehabilitation Facilities) standards.
In partnership with Programs, HR, IT, Operations and Finance, drive activities and preparedness for periodic accreditation surveys.
Serve as agency Corporate Compliance Officer.
Perform other related duties, responsibilities and special projects as assigned.
Requirements, Qualifications, Skills & Abilities:
Bachelor's degree in healthcare administration, business administration or related field; master's degree preferred Certification in Healthcare Compliance (CHC, CHPC) strongly preferred At least 5 years of experience leading accreditation activities for a behavioral health organization or a community-based organization providing rehabilitation services for clients Experience with publicly funded health and human services organizations and knowledge of contract compliance is required Demonstrated success developing and monitoring systems to manage both operational and programmatic work that involve high levels of collaboration.
Ability to collaborate with others in a team setting; experienced leadership with a demonstrated ability to manage in a rapidly growing, dynamic and changing environment.
Must be systems oriented, organized and detail oriented, and able to work and communicate with a diverse set of employees at all levels and functions.
Personal qualities of integrity, credibility, and commitment to the mission of Caminar.
Flexible and able to balance competing priorities effectively; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
Must have excellent computer skills, including high proficiency in working with the full Microsoft Office Suite.
Ability to produce, disseminate, explain and implement organizational-wide policies and procedures.
Ability to maintain a high level of confidentiality, a professional demeanor and to represent the organization in a positive manner at all times.
Problem solving:
identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
Customer Service:
manages difficult customer situations, responds promptly to customer needs and solicits customer feedback to improve service.
Oral and written communication:
speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.
Completes written correspondence and other formal communications skillfully and professionally.
Quality management:
looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.
Planning/organizing:
prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
Adaptability:
adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
Dependability:
is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
Safety and security:
actively promotes and personally observes safety and security procedures and uses equipment and materials properly.
Must be a dynamic self-starter with demonstrated ability to work independently on special projects.
Physical, Environmental and Mental Requirements:
Physical:
Occasionally required to push/pull objects up to 50 lbs.
, and to lift/carry objects up to 25 lbs.
Frequently required to perform moderately difficult manipulative tasks such as typing, writing, etc.
Must be able to walk, stand, sit for extended periods.
Sensory:
Frequently required to read documents, written reports, and plans.
Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with residents and staff, etc.
Must be able to speak clearly and understand/be understood using the English language.
Cognitive:
Frequently required to concentrate on moderate detail with constant interruption.
Must be able to attend to a task/function for 20-45 minutes at a time.
Frequently required to understand and relate to specific ideas, several at a time.
Must be able to remember multiple tasks/assignments given to self and others over a period of several days.
Environmental Conditions:
Frequent exposure to varied office and mixed (residential/office) environments.
Occasional exposure to toxins and poisonous substances, dust, and loud noises.
Equipment:
Frequently required to use a computer, phone, and fax machine.
Special Requirements:
Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Caminar practices.
This position will require driving so maintaining a valid CA driver license, reliable personal automobile, a clean driving record, and current insurance as required by law are essential job requirements.
Post-offer, pre-employment drug screening required.
A personal cell phone with reliable service and, if applicable, a data plan to use for business purposes.
We've Got You CoveredMedical, Dental, and VisionHealth coverage choices to fit you and your family's needs.
A zero-cost option for employee only and generous contributions to employee and dependent premiums.
Flexible Spending AccountReceive tax savings on out-of-pocket health care costs.
Employee Wellness ProgramWe'll reimburse you for a portion of your gym/fitness dues.
Life, Long-term Disability, and AD&D InsuranceProvided at no cost to our full-time employees.
Includes an option to purchase additional life coverage for both employees and dependents.
Paid Time OffWe offer twelve paid holidays and a generous sick and vacation benefit.
401(K) Retirement Savings PlanWe offer options for both pre-tax and post-tax (Roth) contributions.
The plan also offers an employer match on eligible employee deferrals at one year of service.
Commuter BenefitsCommuting to work each day can be expensive.
Receive tax savings on your commuting costs!Employee Assistance Program For whatever issue you might face, our Life Assistance Program offers free, confidential assistance at no cost to you.
Caminar is a leader in providing innovative client-oriented mental health services.
We are an equal opportunity employer.
Please visit our web site at www.
caminar.
org Recommended Skills Adaptability Administration Attention To Detail Behavioral Medicine Business Administration Claim Processing Estimated Salary: $20 to $28 per hour based on qualifications.
Director, Compliance and Risk Management Program/Dept:
Agency Administration Reports to:
Chief Clinical Officer Classification:
Regular, Full-Time, Exempt Salary Range:
$135,000 - $140,000/DOE
Full Benefit PackageAgency Description:
Founded in San Mateo, California in 1964, Caminar is a not-for-profit agency providing community-based support services for people with disabilities.
Caminar' s services are designed to enable adults and older adults with mental health, physical and developmental disabilities to live and work in their community in accordance with their ability and desire.
Our mission is to empower and support individuals and families to move toward resilience, wellness, and independence.
The agency employs approximately 450 of the most dedicated and professional staff serving the communities of San Mateo, Santa Clara, San Francisco, Solano, Contra Costa and Butte counties.
Position Description:
Reporting to the Chief Clinical Officer and serving as a member of the Executive Leadership Team (ELT), the Director of Compliance and Risk Management will oversee, develop, implement, coordinate, and facilitate the agency's privacy and compliance programs and develop/implement/oversee policies and procedures to support compliance with federal, state, and local regulatory, legal, and funder requirements.
The role also oversees Corporate Compliance, Safety, HIPAA compliance, and organizational practices related to the use and handling of protected health information, Agency Critical Incident Reporting (CIR), 42 CFR, CARF Accreditation and compliance, and Property/Casualty Insurance.
Supervisory
Responsibilities:
none at present; this role may have direct reports in the future depending on growth, potential structural realignment, etc.
Essential Duties &
Responsibilities:
Oversee agency risk management activities:
Manage annual Property/Casualty insurance policy renewal, claims management Participate in agency Safety Program structure changes and administration, in partnership with Human Resources Management, Information Technology Department and in compliance with agency certifications and accreditations.
Liaise with privacy attorneys, general counsel, and eviction attorneys to protect agency assets and prevent reputational harm.
Lead and oversee the development of policies and procedures that ensure that staff are informed and compliant with regulations, standards and rules.
Provide support to Supported Housing teams in the event of potential client evictions.
Liase with eviction attorneys and collaborate with Program teams to avoid evictions and encourage tenant compliance with lease rules.
Lead eviction actions until successfully resolved.
Site Certifications and licensing activities Prepare for site certifications and licensing activities in anticipation of new programs and services, and/or facility relocation.
Support the certification and credentialing activities by ensuring the timely renewal of business certifications, site use/occupancy certificates, current fire inspection certificates and certificates of insurance, and various corporate documents.
Obtain and maintain Agency MediCare-MediCal-NPI registrations.
Manage agency HIPAA compliance program Periodically review HIPAA Policies & Procedures with Privacy Attorney to ensure they are current and compliant.
Support the roll-out of updated P&Ps to Program teams.
Consult with Program teams on any HIPAA privacy matters of concern and liase with privacy attorneys to address subpoenas and problematic record requests.
Review all PHI breaches and submit annual reportable breach entries to the Office of Civil Rights and to other oversight bodies, depending on breach magnitude.
Serve as agency Privacy Officer Lead the agency CARF (Commission on Accreditation of Rehabilitation Facilities) Accreditation Lead and successfully execute the accreditation process.
Own all project plans and documentation requirements for accreditation.
Convene and partner with the CARF accreditation working group to prepare for the accreditation process.
Partner with clinical and quality management staff to monitor and support ongoing compliance with CARF (Commission on Accreditation of Rehabilitation Facilities) standards.
In partnership with Programs, HR, IT, Operations and Finance, drive activities and preparedness for periodic accreditation surveys.
Serve as agency Corporate Compliance Officer.
Perform other related duties, responsibilities and special projects as assigned.
Requirements, Qualifications, Skills & Abilities:
Bachelor's degree in healthcare administration, business administration or related field; master's degree preferred Certification in Healthcare Compliance (CHC, CHPC) strongly preferred At least 5 years of experience leading accreditation activities for a behavioral health organization or a community-based organization providing rehabilitation services for clients Experience with publicly funded health and human services organizations and knowledge of contract compliance is required Demonstrated success developing and monitoring systems to manage both operational and programmatic work that involve high levels of collaboration.
Ability to collaborate with others in a team setting; experienced leadership with a demonstrated ability to manage in a rapidly growing, dynamic and changing environment.
Must be systems oriented, organized and detail oriented, and able to work and communicate with a diverse set of employees at all levels and functions.
Personal qualities of integrity, credibility, and commitment to the mission of Caminar.
Flexible and able to balance competing priorities effectively; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
Must have excellent computer skills, including high proficiency in working with the full Microsoft Office Suite.
Ability to produce, disseminate, explain and implement organizational-wide policies and procedures.
Ability to maintain a high level of confidentiality, a professional demeanor and to represent the organization in a positive manner at all times.
Problem solving:
identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
Customer Service:
manages difficult customer situations, responds promptly to customer needs and solicits customer feedback to improve service.
Oral and written communication:
speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills and conducts meetings.
Completes written correspondence and other formal communications skillfully and professionally.
Quality management:
looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.
Planning/organizing:
prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
Adaptability:
adapts to changes in the work environment, manages competing demands and is able to deal with frequent change, delays or unexpected events.
Dependability:
is consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.
Safety and security:
actively promotes and personally observes safety and security procedures and uses equipment and materials properly.
Must be a dynamic self-starter with demonstrated ability to work independently on special projects.
Physical, Environmental and Mental Requirements:
Physical:
Occasionally required to push/pull objects up to 50 lbs.
, and to lift/carry objects up to 25 lbs.
Frequently required to perform moderately difficult manipulative tasks such as typing, writing, etc.
Must be able to walk, stand, sit for extended periods.
Sensory:
Frequently required to read documents, written reports, and plans.
Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with residents and staff, etc.
Must be able to speak clearly and understand/be understood using the English language.
Cognitive:
Frequently required to concentrate on moderate detail with constant interruption.
Must be able to attend to a task/function for 20-45 minutes at a time.
Frequently required to understand and relate to specific ideas, several at a time.
Must be able to remember multiple tasks/assignments given to self and others over a period of several days.
Environmental Conditions:
Frequent exposure to varied office and mixed (residential/office) environments.
Occasional exposure to toxins and poisonous substances, dust, and loud noises.
Equipment:
Frequently required to use a computer, phone, and fax machine.
Special Requirements:
Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Caminar practices.
This position will require driving so maintaining a valid CA driver license, reliable personal automobile, a clean driving record, and current insurance as required by law are essential job requirements.
Post-offer, pre-employment drug screening required.
A personal cell phone with reliable service and, if applicable, a data plan to use for business purposes.
We've Got You CoveredMedical, Dental, and VisionHealth coverage choices to fit you and your family's needs.
A zero-cost option for employee only and generous contributions to employee and dependent premiums.
Flexible Spending AccountReceive tax savings on out-of-pocket health care costs.
Employee Wellness ProgramWe'll reimburse you for a portion of your gym/fitness dues.
Life, Long-term Disability, and AD&D InsuranceProvided at no cost to our full-time employees.
Includes an option to purchase additional life coverage for both employees and dependents.
Paid Time OffWe offer twelve paid holidays and a generous sick and vacation benefit.
401(K) Retirement Savings PlanWe offer options for both pre-tax and post-tax (Roth) contributions.
The plan also offers an employer match on eligible employee deferrals at one year of service.
Commuter BenefitsCommuting to work each day can be expensive.
Receive tax savings on your commuting costs!Employee Assistance Program For whatever issue you might face, our Life Assistance Program offers free, confidential assistance at no cost to you.
Caminar is a leader in providing innovative client-oriented mental health services.
We are an equal opportunity employer.
Please visit our web site at www.
caminar.
org Recommended Skills Adaptability Administration Attention To Detail Behavioral Medicine Business Administration Claim Processing Estimated Salary: $20 to $28 per hour based on qualifications.
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