Job Description
Position Description Application materials will be reviewed in an ongoing basis until position is filled. Please allow up to (2) two weeks for processing of application materials. (Postmarks and faxes not accepted.) The eligible list established by this recruitment may be used to fill current and future position as they arise. Exam# 24/14M44/11SS Position Description Natividad is accepting applications for a full-time, permanent Hospital Compliance Officer to plan, organize, and coordinate various functions, operations, and activities pertaining to compliance at Natividad. This incumbent will develop, coordinate, and administer systematic hospital compliance programs; develop and administer goals, objectives, policies, and procedures, participate in hospital-wide strategic development and planning processes. The County of Monterey is committed to honoring the service and sacrifice of veterans and eligible military spouses and awards veterans’ preference points for this recruitment. To learn more about the eligibility requirements and the process, be sure to read the Hiring Preference for Veterans and Eligible Military Spouses section located towards the end of this job flier. Examples of Duties The Significant Duties Of The Position Are As Follows Plans, organizes, directs, and coordinates departmental compliance program activities to help ensure that hospital practices, policies, and procedures comply with County, State and Federal law as well as hospital standards and ethics Identifies and establishes Natividad’ s departmental standards to which employees will be held and the types of conduct which the compliance program is designed to eliminate; develops systems and methods for program implementation and evaluation; develops, implements, and audits program processes Develops, initiates, maintains, and revises policies and procedures for the general operation of the hospital compliance program and its related activities to prevent illegal, unethical or improper conduct; manages the day-to-day operations of the program; identifies the necessary participants in the compliance plan development and administration process; estimates resources necessary to accomplish the implementation of the program Monitors the legal compliance of hospital policies and procedures and recommends corrective actions as appropriate; investigates and resolves compliance violations and complaints; identifies policy and compliance issues and proposes solutions Coordinates the communications of compliance standards to all hospital employees; works with hospital department managers as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers Directs the preparation of special and recurring departmental reports and analytical studies on complex compliance-related issues; monitors and conducts periodic audits and activities at greatest risk to ensure proper compliance Provides ongoing support, coaching and advice to hospital executive and management staff regarding compliance matters; works collaboratively with hospital management and staff to design systems and processes to assist them in addressing and preventing potential compliance issue Develops and maintains an organization Code of Conduct Manages channels for reporting problems and concerns without fear of retaliation Ensures appropriate screening is conducted to ensure that Natividad does not hire or conduct business with individuals or entities that have been debarred from participation in federal programs Acts as an independent reviewer to ensure that departmental compliance issues/concerns within the hospital are being appropriately evaluated, investigated, and resolved; develops/implements corrective action plans for resolution of problematic issues Stays abreast of legislation, trends, and issues pertaining to assigned areas; reviews court decisions, proposed legislation, and new program/policy; confers with legal Counsel regarding impacts of legislation and court decisions; recommends and implements hospital strategies Ensures that all assigned functions comply with The Joint Commission standards as well as the requirements of other regulatory agencies Responds to concerns and/or complaints from patients, the public, medical staff, and/or other hospital managers pertaining to assigned areas in order to maintain positive customer relations; researches and investigates issues; prepares written or oral responses as needed Participates in organizational strategic planning activities; serves on committees and task forces to address specific issues and/or represent the department as assigned;