Title: Compliance Officer

State Role Title: Health Care Compliance Spec I

Hiring Range: $59,508 - $82,121

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Hiram Davis Medical Center

Agency Website: https://dbhds.virginia.gov/facilities/hwdmc/

Recruitment Type: General Public - G

Job Duties

• Performance Management (for employees who supervise others)
• Expectations are clear, well communicated and relate to the goals and objectives of the department or unit.
• Ensures that staff receive frequent, constructive feedback and coaching, including interim evaluations as appropriate.
• Ensures that staff have the necessary knowledge, skills, and abilities to accomplish goals and are evaluated for competency throughout the evaluation cycle.
• The requirements of the performance planning and evaluation system are met and evaluations are completed by established deadlines with proper documentation.
• Performance issues are addressed and documented as they occur in accordance with the Standards of Conduct.
• Assists with organizing, conducting and participating in Internal Audit Programs and Tracer Methodology to identify gaps and opportunities for improvement.
• Conducts internal audits including medical record reviews and other compliance assessments.
• Coordinates the needs of the audit program (i.e., participating in audits as assigned, training auditors, other duties as required to maintain and evaluate the effectiveness of the audit program).
• Plans, organizes and effectively manages audits. Conducts audits and submits audit reports within the agreed upon timelines and as scheduled.
• Oversees the Corporate Compliance Program, including maintaining policies, procedures and mechanisms for reporting and addressing potential noncompliance.
• Develops and maintains a risk-based annual compliance work plan, tracks completion of planned activities and reports progress to leadership.
• Maintains credible, organized evidence of compliance activities, including audit records, training documentation, investigation files and corrective-action follow-up, for regulatory and accreditation reviews.
• Coordinates timely, impartial investigations of patient and family grievances involving compliance concerns, documents findings and tracks appropriate follow-up and responses.
• Works with department leaders to identify compliance risks, clarify requirements and implement corrective actions, monitoring completion and effectiveness.
• Represents the agency in employee grievances as a compliance resource, coordinating with Human Resources and leadership while maintaining appropriate confidentiality and neutrality.
• Monitors relevant regulatory and accreditation requirements affecting hospital and long-term care operations and communicates significant changes to responsible leaders.
• Provides compliance education to employees, supervisors and medical staff, including guidance on reporting concerns, confidentiality and non-retaliation expectations.
• Oversees the intake, triage and follow-up of compliance reports and concerns, ensuring they are documented, appropriately escalated and resolved.

Minimum Qualifications

• Demonstrates experience with excellent facilitation, relationship skills, and verbal and written communication skills.
• Must possess the ability to exhibit excellent interpersonal skills, tact & diplomacy.
• Requires critical thinking, conceptual thinking and decision-making skills. Must have strong analytical, problem-solving, and data management skills.
• Must demonstrate knowledge of basic computer technology and web-based programs and medical terminology.
• Prior knowledge of accreditation and regulatory standards and clinical process improvement concepts is required.

Additional Considerations

N/A

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Contact Information

Name: HWDMC HR

Phone: 804-524-7600

Email: hiramhr@dbhds.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.