Director of Compliance

Salary Range : $70,000.00 To $95,000.00 Annually.

Overview :

Under the direction of the Senior Director of Quality, this position is accountable and responsible for designing and implementing systems to ensure a state of continual regulatory, licensure and accreditation compliance as well as oversight of patient safety programs and risk management. This individual will provide specific support and coordination for the agency during regulatory visits and surveys. This position supports the accreditation preparation process for the organization, including managing all mock surveys and internal audits, as well as maintaining the organization’s communication regarding changes and updates for regulatory compliance.

What You'll Do :

• Trains and coaches’ staff, sets clear expectations, monitors outcomes, creates a culture of open communication and helps team members solve complex problems through individual supervision and team meetings. Fosters a collaborative, supportive and collegial environment across departments.
• Reviews, interprets and assists various departments, leadership and staff in the implementation of applicable federal, state and local regulations as well as Joint Commission and HRSA standards and requirements.
• Leads all on site regulatory, licensure and accreditation surveys including but not limited to : Joint Commission, HRSA, OSHA, and MDH. Lead collaboration efforts with management, clinical staff and administration with information regarding current accreditation status and survey process. Provides input on service or process design to assure regulatory compliance.
• Oversees license and certification requirements for the health center including Behavioral Health licenses, CLIA, ORP and additional certification requirements as required by the health center
• Maintain a continual state of readiness through proactively assessing the health care environment and collaborate with health center staff to maintain a safe environment to support high-quality patient care.
• Develop, identify and conduct training for staff and leadership regarding compliance-related needs including the regulatory process, key regulatory needs (e.g. HIPAA), and annual training requirements for health center staff.
• Responsible for managing the process to ensure that policies and procedures are accurate and reflective of regulatory compliance and funder requirements. Develop and monitor review cycles, assisting management when changes are needed.
• Organizes and conducts internal audit process to measure regulatory compliance and ensure patient safety standards are being met (e.g. mock surveys, tracer activities and site visits). Collaborate with the facilities department to ensure drills, tabletops, and other preparedness activities are being completed.
• Manages the incident resolution process and system, including the completion of root cause analyses, implementation of corrective actions and communication to key stakeholders. Co-chairs and supports the Conduct Action Plan (CAP) committee in conjunction with the Director of Community Relations and Engagement to ensure client, staff and agency safety.
• Manage and develop Patient Safety, Infection Prevention and Control Program in coordination with the Medical, Operations and Behavioral Health leadership, Director of Dental, and Director of Facilities and Security. Serves as the Infection Control Lead ensuring compliance with applicable standards and regulations including respiratory protections, hand hygiene, and guiding the infection prevention and control activities of the Agency. Chairs the infection prevention and control workgroup and collaborates across sites to ensure Agency practices are reducing infection risks to staff and clients.
• In collaboration with the Senior Director of Quality, oversees the risk management planning and activities to reduce risks to the health center and collaborate with executive leadership to respond to and mitigate risks. Oversee risk assessments and annual risk management plan. Identifies and assesses quality and risk information to collaborate and prepare corrective action plans for health center compliance. Tracks and trends regulatory compliance issues and identifies resources to correct deviations from regulation. Serves as the risk manager for the organization.
• Serves as staff to the Compliance and Risk Management Committee of the Board of Directors, as well as relevant staff committees.

Formal Education and Training :

Experience :

Skills :

Key Agency Responsibilities :

In addition to role responsibilities, each staff member of Health Care for the Homeless has the following responsibilities as a part of their employment :

Why Join Us?

Read more and apply here : https : / / workforcenow.adp.com / mascsr / default / mdf / recruitment / recruitment.html?cid=301a5408-a748-42d5-9892-8deaccf9d270&ccId=19000101_000001&type=MP&lang=en_US&selectedMenuKey=CareerCenter&jobId=532223

About Health Care for the Homeless :

Locations :

Baltimore City – Downtown - 421 Fallsway, Baltimore, MD 21202

Baltimore City – West Baltimore - 2000 W. Baltimore St., Suite 3300 Baltimore, MD 21223

Baltimore County - 9150 Franklin Square Dr., Suite 301 Baltimore, MD 21237

Our Vision

Everyone is healthy and has a safe home in a just and respectful community.

Our Mission

We work to end homelessness through racially equitable health care, housing and advocacy in partnership with those of us who have experienced it.

Our mission : "...to prevent and end homelessness for vulnerable individuals and families by providing quality, integrated health care and promoting access to affordable housing and sustainable incomes through direct service, advocacy and community engagement."

Over 35+ years, we at Health Care for the Homeless have steadily grown and strengthened our approach to care to meet the needs of the vulnerable people we served. We are driven by a single and unwavering goal : to improve access to care for clients, and to provide them with the highest possible quality of care. Continuing in that spirit, we are now implementing a care model that takes quality and access to a new level.

A health home delivers person-centered, whole-person care that is evidence-based, uses data and listens to clients to continuously improve the care we deliver. We have been person-centered and focused on the whole person since the first client walked through our clinic doors in 1985. We’ve also always applied evidenced-based standards to our work and used data to inform our care.

What’s changed is how much we’ve grown over the years : We have more disciplines, staff members and sites. Coordinating all of our activity today requires a more powerful and standardized way of delivering care.

We are a health home.

Five areas of focus

As a health home, we apply five (5) clinical areas of focus to the care we deliver.

ACCESS FOR THOSE WHO NEED US

People should be able to reach us easily when they need help. So we ensure 24 / 7 access to clinical advice; make our appointment schedules and hours flexible and accommodating; and enable clients to access their health records electronically. We also are increasing our presence throughout the community. We have clinics in dowtown Baltimore, West Baltimore and Baltimore County. And we are continually expanding our street outreach and reaching more people with our mobile clinic.

TEAM-BASED CARE

Whole-person care requires the expertise of many different providers. Done well, it demands collaboration and constant communication among these providers. We are integrating our care providers into multidisciplinary care teams, each with a “panel” of clients, so they can develop care plans that span the range of treatment and services with clients.

CARE MANAGEMENT

Not only are we committed to providing clients with the best possible care; we are committed to positioning them to manage their own care. To that end, we make sure we know which client groups have the highest needs; we share clients' care plans with them and across their care teams; we provide clients with the tools to care for themselves and we make sure they are part of all decisions relating to their care; and we help them manage their medications.

BETTER MANAGE AND COORDINATE CARE

People experiencing homelessness often have complex conditions that require intensive care coordination. Our providers specialize in identifying these particularly vulnerable individuals. They provide them with the multi-disciplinary support that keeps them out of hospital emergency rooms, and they help them develop reasonable, healthy goals for themselves. This coordinated and comprehensive care includes helping individuals put a roof over their heads.

IMPROVE THE HEALTH OF THE LARGER POPULATION

As a population, people without homes have higher rates of chronic disease, such as diabetes, than their housed counterparts. We are using evidence-based guidelines to standardize and expand our assessments for these conditions. And we are continuously seeking ways to help our clients manage and treat their conditions.

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Person-centered, whole-person care

We provide person-centered, whole-person care, combining health care services and supportive services with advocacy.

We provide whole-person care in a safe, respectful environment with acute sensitivity to clients’ life experiences. All have endured trauma; many engage in behaviors that pose a risk to their health. Through a trauma-informed and harm reduction approach, we meet individuals where they are, engage them in care with dignity and work to engage them fully in their own overall wellness.

TRAUMA-INFORMED CARE

Trauma is central to the homeless experience. People without homes often experience life trauma before they end up on the street, and living on the street is, in itself, traumatic. Trauma affects everything from our ability to trust others and build relationships to our brain development. For these reasons, we at Health Care for the Homeless are committed to providing trauma-informed care, a best practice that recognizes the impact of violence on an individual’s well-being, and that helps heal the social and psychological wounds violence leaves in its wake.

HARM REDUCTION

Total adherence or abstinence doesn’t work for all who engage in behaviors harmful to their health, like substance use. Harm reduction leverages the relationship between the care provider and the individual to lower the individual’s health risks. Our providers work with individuals to set goals that both reduce harm and are realistic to achieve.

Our model of care is known in the health care industry as a patient-centered medical home. Because we provide comprehensive care that goes beyond medical care, we call ourselves a health home.

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Health Care for the Homeless is Participating in the Maryland Primary Care Program (MDPCP)

Our practice is participating in the MDPCP, a state-wide initiative to improve primary care. To help us provide you with the best care, Medicare will share some of your personal health information with HCH and the State Designated Health Information Exchange (CRISP), to share with other health professionals providing care to you. This will provide us with a more complete picture of your health and allow us to better coordinate your care.

For further information and to opt out of data sharing, read more here.

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Health Care for the Homeless is accredited for quality : Health Care for the Homeless is an FTCA-deemed facility and is accredited by the Joint Commission for ambulatory care and behavioral health, and as a patient-centered medical home.

We invite you to apply and join a welcoming team.