Medical Center Compliance Director - RUHS - County of Riverside
Riverside, CA 92501
About the Job
Riverside University Health System (RUHS) is currently recruiting for a Medical Center Compliance Director. The incumbent will have primary responsibility to plan, organize, coordinate, and direct the regulatory, privacy and health information security compliance programs at Riverside University Health System-Medical Center (RUHS-MC). This is a crucial role within County of Riverside leadership and the incumbent will work closely with the County Privacy Officer in driving the development and implementation of a countywide strategic and comprehensive compliance and ethics program that sets the standard for consistent and effective practices across all county departments, divisions, and programs.
The Medical Center Compliance Director is a single-position classification reporting to the RUHS Compliance & County Privacy Officer regarding hospital-wide compliance to Joint Commission, federal and state regulations related to healthcare, and privacy and management of patient health information. This class is characterized by the responsibility for ensuring full adherence to the RUHS-MC's corporate compliance plan and programs. The incumbent is responsible for the planning, organization, monitoring, and coordination of the medical center's regulatory, privacy, and health information security compliance activities through direct, effective interactions and communication with all levels of management and supervisory classes.
A Certified Healthcare Privacy Compliance (CHPC) certificate or certification in Health Care Compliance at time of application is required.
Work Schedule: 9/80, with one day per week telecommuting
Work Location: 7898 Mission Grove Pkwy, Riverside
MEET THE TEAM!
Riverside University Health System consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region.
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For questions regarding this recruitment contact the recruiter, Angela Levinson :
alevinson@rivco.org/ 951-955-5562
EXAMPLES OF ESSENTIAL DUTIES
• Coordinate the implementation of regulatory, privacy, and health information security compliance programs within the RUHS-MC; develop and implement policies, standards, and procedures to ensure compliance with applicable federal and state laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) and those pertaining to Medicare and Medi-Cal.
• Document and retain all complaints received as required by HIPAA/HITECH; establish and maintain a mechanism for tracking and reporting the investigation and resolving such complaints.
• Direct activities for RUHS-MC-wide audits established to investigate and monitor compliance with federal and state laws, regulations, and standards; ensure timely dissemination of audit findings and appropriate corrective actions and sanctions; review inquiries regarding reports of non-compliance and direct staff in areas needing corrective actions.
• Provide timely and accurate reports/information to the RUHS-MC Chief Executive Officer or to the RUHS-MC COO, and to members of the medical center executive management team about compliance issues and corrective actions.
• Develop and implement orientation and in-service training programs to explain RUHS-MC compliance policies and procedures, as well as the consequence of non-compliance throughout the RUHS-MC.
• Directly and through supervisory staff, select, assign, and direct the work of subordinates; review employee progress and efficiency reports, discussing findings and evaluations with appropriate department managers; make recommendations and implement as required.
• Responsible for all regulatory body surveys (i.e., Joint Commission, State Licensing Review, and CMS Validation surveys); review and monitor reports of new compliance developments within the healthcare industry
• Advise and guide department managers in interpreting and enforcing RUHS-MC policies, rules, regulations, and procedures related to regulatory, privacy, and health information security compliance.
• Manage RUHS-MC HIPAA compliance hotline.
• Keep abreast of federal and state healthcare laws and regulations; ensure that the organization is updated with changes in compliance regulations and standards.
• Attend, participate in, and conduct staff meetings, committee meetings, and conferences; attend professional meetings to represent the organization, as directed.
MINIMUM QUALIFICATIONS
OPTION I :
Education: Graduation from an accredited college or university with a bachelor's degree,
preferably with a major in nursing, nursing administration, business, healthcare, public health
administration, or a closely related field to the assignment. (A master's degree from an accredited college or university in healthcare, hospital, or nursing administration, or a closely related field to the assignment is preferred.)
Experience:Three years of regulatory compliance administration in the field of healthcare, which must have included two years of management experience directing an organization's compliance program. (Possession of a master's degree from and accredited college or university in nursing, hospital or healthcare administration, or closely related field to assignment may substitute for one year of the required non-management experience.)
OPTION II:
Education:Graduation from an accredited college or university with a bachelor's degree,
preferably with a major in nursing, nursing administration, business, healthcare, public health administration, or a closely related field to the assignment. (A master's degree from an accredited college or university in healthcare, hospital, or nursing administration, or a closely related field to the assignment is preferred.)
Experience:
Five years in an administrative capacity in the field of healthcare, which included responsibility for the development and implementation of compliance programs related to privacy and management of patient health information and compliance to regulations and standards of accrediting/regulatory agencies.
Other Requirements:
License/Certificate: Possession of a valid California Driver's License.
Possession of a current, valid license to practice as a registered nurse in the State of California or certification in Health Care Compliance is preferred.
ALL OPTIONS
Knowledge of: The principles of healthcare compliance program administration and organization, business, and personnel administration; modern principles, methods and procedures of healthcare delivery; principles and techniques of effective supervision and staff utilization; development, applications, and uses of medical center or healthcare compliance records, reports, and statistics; principles of in-service training for healthcare personnel; current trends in healthcare legislation and compliance and its impact on the organization; Joint Commission, federal and state regulatory standards (e.g., HIPAA, Medicare, Medi-Cal, HITECH, Stark Law, False Claims Act, Anti-Kickback Statute, CMS Deficit Reduction Act, OIG Fraud Waste and Abuse) regarding security, privacy, and/or healthcare practices in an acute care medical center.
Ability to: Plan, organize, coordinate, develop, and direct the regulatory compliance program for an acute care medical center; research and respond to regulatory compliance issues; establish and maintain effective relations with staff from other departments and agencies, and other individuals and groups; prepare clear and comprehensive written reports; evaluate the quality and effectiveness of regulatory, privacy, and security compliance programs and improve areas requiring attention; develop and deliver regulatory related training programs; analyze organization, administrative and personnel problems and effectuate sound solutions; comprehend, interpret, and apply laws, rules, regulations, and procedures affecting organizational regulatory compliance; demonstrate effective oral communication and/or presentation skills.
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APPLICATION INFORMATION
Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference.The Veterans Preference Policy, C-3 is available here: https://rivcocob.org/board-policies
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.
If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.
Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.
Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.
Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com .
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL INSURANCE: A Flexible Benefit Credit is provided on a monthly basis as governed by the Management Resolution or applicable bargaining unit. Vision coverage is provided through Vision Service Plan (VSP) at no cost to employee or eligible dependents.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here.
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
- Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
- Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
- Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013.Effective July 1, 2023, the employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.
A new member is defined as any of the following:
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
401(a) MONEY PURCHASE PLAN: County contribution of $50 per pay period towards choice between two 401(a) plan providers.
ANNUAL LEAVE (Bi-Weekly Accrual):
0 < 36 months = 8.92 Hours
36 to <108>108 or more months = 12.00 Hours
Maximum Annual Leave accumulation is 1,800 hours. Employee may receive pay in lieu of up to 80 hours per calendar year. Agency/Department Head may approve an additional 80 hours.
-Annual Leave for Unrepresented Management Attorneys:
Maximum Annual Leave accumulation is 2,000 hours. Refer to Article 22 of the Management Resolution for a list of job classifications included.
HOLIDAYS: Normally 12 paid holidays per year.
BEREAVEMENT LEAVE: 5 days (3 days are County paid; 2 days can be taken through use of accrued leave balances).
BASIC LIFE INSURANCE: $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
LONG-TERM DISABILITY (LTD): Benefit pays 66.67% of earnings to a maximum of $10,000 per month; 30-day waiting period; pays to age 65. Benefit can be coordinated with other available leave balances to provide up to 100% of pay.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the Management Resolution or applicable bargaining unit.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding, Management Resolution, or Salary Ordinance. Please contact the recruiter listed on the job posting directly for more information..
