Job Location:
ARIZONA STATE HOSPITAL
Address: 501 N. 24th Street Phoenix, AZ 85008
Posting Details:
Salary: $70,634.30
Grade: 22
Closing Date: Open Until Filled
Job Summary:
The Compliance Manager coordinates with the Chief Compliance Officer (CCO) and other Compliance Managers to track the regulatory requirements for each licensed facility operated by the Arizona State Hospital. Conducts performance audits and mock surveys to evaluate ASH’s compliance with regulatory standards. Develops audit tools, collaborates with subject matter experts to conduct mock surveys, compiles findings and deficiencies, and presents results to the ASH Compliance Committee.
Researches hospital regulations, including state licensing rules, The Joint Commission accreditation standards, and Centers for Medicare & Medicaid Services (CMS) regulations. Supports ASH departments by providing research findings, feedback from mock surveys, and technical assistance to maintain regulatory compliance.
Participates in hospital committees and meetings, including the Environment of Care Committee, Quality Department committees, and the Complaints, Grievances, and Appeals Committee. Conducts routine rounds throughout the ASH campus and patient units to assess compliance and address staff questions.
Provides backup support to the CCO by serving as a point of contact for CMS, The Joint Commission, and state licensing surveyors. Assists the CCO in developing plans of correction in response to survey findings. Conducts focused audits at the request of the Executive Management Team and other departments.
Facilitates annual contract and performance evaluations for ASH contractors and vendors. Participates in periodic meetings with ADHS Procurement to provide feedback on contract monitoring and enforcement. Reviews ASH policies, guides, and manuals to ensure alignment with regulatory requirements.
Job Duties:
What will I be doing in this job?
− Conducts performance audits/mock surveys to evaluate ASH's compliance with regulatory requirements. Develops audit tools, collaborates with subject matter experts to conduct mock surveys, compiles survey findings and deficiencies, and reports findings to the ASH Compliance Committee.
− Researches hospital regulations, including state licensing rules, The Joint Commission accreditation standards, and Centers for Medicare and Medicaid (CMS) regulations. Supports other departments at ASH by providing research findings, feedback from mock surveys, and technical assistance to sustain compliance with regulatory requirements. Reviews ASH policies, guides, and manuals for consistency with regulatory requirements.
− Participates in hospital committees/meetings, including the Environment of Care Committee, Quality Department committees, and Complaints, Grievances, and Appeals Committee.
− Conducts periodic rounds throughout the ASH campus and patient units to evaluate compliance and address staff questions.
− Provides backup support to the CCO by serving as a point of contact for CMS, The Joint Commission, and state licensing surveyors. Coordinates with the CCO in the development of plans of correction in response to survey findings.
− Conducts focused audits, as requested by the Executive Management Team and other hospital departments.
− Facilitates contract evaluations/performance evaluations of ASH contractors/vendors, which must be completed at least annually. Participates in periodic meetings with ADHS Procurement to provide feedback on contract monitoring and enforcement
− Other duties as assigned as related to the position (typically 5% - 10%)
Knowledge, Skills & Abilities (KSAs):
Knowledge of:
− Health care policy review and development.
− Joint Commission standards, Medicare regulations, and State licensing rules.
− Audit practices.
− Health records, including electronic health records.
− Contract development, oversight, and enforcement.
− Performance Management (PM), and Continuous Quality Improvement (CQI) and Lean methodologies.
Skill in:
− Developing audit tools.
− Researching and interpreting health care regulations.
− Communicating effectively with other departments regarding deficient practices/non-compliance.
− Presenting findings in an oral and written format.
Ability to:
− Apply hospital rules, regulations, and standards to ASH policies and procedures.
− Draft plans of correction.
− Collaborate with other departments in implementing plans of correction.
− Represent ASH during surveys with regulatory entities.
− Objectively evaluate contract performance.
− Support a diverse multi-cultural workforce that reflects the community, promotes equal opportunity at all levels of public employment, and creates an inclusive work environment that enables all individuals to perform to their fullest potential free from discrimination.
Selective Preference(s):
The ideal candidate will have:
− Bachelor's degree in health related field and 4 years’ experience working with regulatory agency rules, regulations, and standards. A Master's degree in a field appropriate to the assignment may substitute for one year of the required experience.
Pre-Employment Requirements:
- A State Hospital employee must be able to obtain a valid Level One Fingerprint Clearance Card pursuant to A.R.S. § 41-1758.07.
Driving is required for State Business.
- Employees who drive on state business require possession of and the ability to retain a current, valid state-issued driver’s license appropriate to the assignment. Employees who drive on state business are subject to driver’s license checks, must maintain acceptable driving records and must complete any driver training (See Arizona Administrative Code R2-10-207.11).
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
The State of Arizona provides an excellent comprehensive benefits package including:
− Affordable medical and dental insurance plans
− Paid vacation and sick time
− Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program)
− 10 paid holidays per year
− Wellness program and plans
− Life insurance
− Short/long-term disability insurance
− Defined retirement plan
− Award winning Infant at Work program
− Credit union membership
− Transit subsidy
− ADHS Student Assistance Pilot Program
Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will make a contribution to the ASRS in an amount equal to your contribution. In other words, you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27 week wait period for contributions to begin.
Contact Us:
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 220-6462. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.
