Compliance Specialist

$70,000 - 80,000 /Yr.
Schedule: Monday - Friday; 8:00 am - 4:30 pm
Location: Rogers Park
Hybrid Schedule: 3 days in-office; 2 days remote

 

Compliance is the shield that protects Trilogy staff and clients as we walk the road to Recovery together.

The Compliance Specialist is responsible for project implementation duties for compliance related projects.

This staff will provide support during accreditation survey preparation and follow-up activity and will be the go-to staff deployed to address compliance-related issues with clinical teams.

This staff will serve as an investigator/coordinator for external and mandated reports, including to OIG.

This specialist will manage the client feedback program, including investigations of complaints and grievances, and will conduct education and training for compliance-related issues including ethical behavior and code of conduct.

The Compliance Specialist is also responsible for monitoring and improving clinical record compliance in accordance with federal, state, local, certifying, and licensing guidelines.

They will execute internal audits, present trending and summary reports regarding their findings, and make recommendations regarding improvements to processes or results.

The Compliance Specialist must demonstrate an aptitude for data management and information systems, and a well-rounded clinical knowledge base.

Responsibilities

Quality Improvement


* Deploy to individual teams/sites as needed to conduct targeted investigations, ensure follow-up on compliance-related tasks, or to serve as a subject matter expert on compliance issues.

Create back-and-forth communication about high-risk processes and improvement opportunities.

Help the Director maintain a living inventory of compliance risks.


* Serve as the Director’s primary partner in the preparation, execution, and follow-up for accreditation and certification surveys/audits.

Keep on top of new standards and regulations, prioritizing them by risk to the company.


* Manage the client feedback program under supervision of the Director.

Conduct initial investigations into client complaints/grievances and help leadership staff navigate the complaint escalation process within our PHP reporting software.


* Serve as a liaison with OIG and mandated reporting agencies.

Coordinate investigations, interviews, and document submissions under supervision of Director.

Assist Director in compliance investigations and follow-up activity for other regulators.


* Participate in projects to improve compliance with policies, procedures, regulations, etc.

Help staff to close the gaps that you identify.

Practice improvement science and change management skills.


* Review client health records and clinical documentation (utilization reviews, clinical note reviews, residential reviews, SUPR reviews, employment service reviews, etc.) pertaining to state regulations, including assessing the quality of clinical documentation, level of care, an...