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Quality Assurance- Compliance Officer

The Compliance Officer functions as the agency’s Quality Assurance lead, HIPAA Privacy Officer, and HIPAA Security Officer. The position is responsible for coordinating the activities of Continuous Quality Improvement process with various administrative and program personnel.  The role oversees activities related to the development, implementation, maintenance of, and adherence to HIPAA privacy and security practices.  The position oversees processes for maintaining client charts (physical and electronic) within each program.  Responsible for remaining current on all federal, state, and contractual guidelines pertaining to the confidentiality and security of protected information.  Works in conjunction with other cross agency staff to ensure training regarding documentation standards and contracted best practice Fidelity plans are maintained and current. 
 

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Specific Activities
Quality Assurance
  • Coordinate, schedule, and support management for all County, State and Federal licensing, certification and site audits and evaluations.
  • Successful candidate will be well versed in Medi-Cal documentation preferably in the San Diego Behavioral Health system of care.
  • Coordinate and partner with all appropriate agency personnel on a Continuous Quality Assurance plan.
  • Audit subcontracted entities to ensure compliance with specific contractual outcomes and model fidelity requirements.
  • Responsible for operation flow of the Internal Quality Assurance process such as scheduling internal audits, tracking audit timelines and distributing audit outcome reports, ensuring action items are cued for follow-up.
  • Ensure that all processes for internal chart audits of client documentation are followed.
  • Partner with program managers to ensure an open and inclusive culture regarding QA/compliance is fostered.   
  • Ensure that all Fidelity plans regarding best practices and program models have current training logs and have met certification standards spelled out in each contract.  Provide statistical data to Directors with practical and actionable options for improving accuracy and compliance in their respective departments.    
    HIPAA Privacy & Security
  • Serve as HIPAA Privacy Officer and HIPAA Security Officer on all HIPAA-related matters.
  • Identify, implement, and maintain HIPAA privacy and security policies and procedures in accordance with federal and state laws.
  • Review, update, document, implement, and monitor compliance with the organization’s privacy and security policies and procedures.
  • Amend privacy and security policies & procedures in agency handbooks as appropriate.
  • Review all system-related information security plans to ensure alignment between security and privacy practices, and liaise with the IT department personnel.
  • Train staff on HIPAA Privacy & Security laws and compliance.
  • Submit routine articles about HIPAA privacy and security to the agency newsletter for publication.
  • Monitor state and federal HIPAA changes to ensure ongoing compliance; implement revisions and re-educate staff as needed.
  • Maintain and publish the Notice of Privacy Practices to the general public as required under federal and state law.
  • Manage HIPAA-related privacy and security incident reporting and any breach issues according to best practices and legal requirements.
  • Cooperate with the Office for Civil Rights, Health & Human Services, other legal entities and organization managers in any compliance reviews or investigations.
  • In collaboration with the agency’s IT Manager, prepare disaster recovery and business continuity plans for information system breakdowns (major and minor).
  • Perform periodic risk assessments or “security audits” and conduct related ongoing compliance monitoring activities in collaboration with IT Manager.
  • Address any weaknesses in physical and technical privacy and security issues.
  • Examine changes in federal and state legislation and contractual standards that affect information privacy and security.
  • Other duties as assigned.
Qualifications/Requirements
Required Education and Experience
Master’s degree in social service related field and Registered ASW, Registered Associate MFT. LMFT, LCSW or Licensed Psychologist preferred. Other related degrees with commensurate experience may qualify as long as the candidate has sufficient knowledge of Medi-Cal documentation and regulations.  An affinity for Quality Assurance, monitoring contracts, compliance, and risk management. Advanced documentation skills with Medi-Cal a must.  Knowledge and experience in HIPAA information privacy and security laws, access, release of information, and related technologies.  Demonstrated organization, facilitation, communication, and presentation skills
 
Knowledge, Skills, and Abilities Required:  
Possesses advanced knowledge that is primarily intellectual in character and includes exercising discretion and independent judgment
Establish and maintains effective working relationships while showing open mindedness and a collaborative spirit. Compatibility with agency purpose, goals, philosophy, and approach. Demonstrates enthusiasm and passion for their work. Utilizes a creative approach to problem solving. Interactions with others reflect a spirit of honesty, humbleness, and self-awareness. Accepts constructive criticism with a positive attitude and willingness to implement change. Ability to work well independently and demonstrate appropriate initiative. Must demonstrate knowledge of trauma Informed, client driven, and culturally competent care.  
 
Other Requirements
Reliable transportation. Must have a California driver license and good driving record. Willing to use own, properly insured, reliable vehicle for the job (mileage reimbursed). Employment subject to clearances, including background finger printing checks, driving record, tuberculosis testing, and drug testing.
 
Compensation and Benefits
Your well-being matters at North County Lifeline!
  • Paid vacation
  • Paid sick time
  • Paid holidays (13 days)
  • Exceptional medical, dental, vision, chiropractic and acupuncture coverage
  • Free health and wellness programs
  • Free Life Insurance
  • Employee Assistance program
  • Great employee incentive award programs
  • Training and education assistance
  • Matched 403b retirement plan
  • Flexible Spending Account
  • Menu of optional benefits, including short term disability, critical illness, accident, hospitalization and cancer policy
Salary will commensurate with experience and education. Differential pay offered for bilingual skills. EOE
Physical Demands/Work Environment
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee may occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work is performed primarily in a climate controlled, indoor environment and may involve prolonged period of work at a computer terminal. The employee may be exposed in an extremely stressful environment where there are considerable mental and emotional demands. Travel is required to the schools and multiple work sites. Employee may be exposed to weather conditions prevalent at the time. The employee will be required to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer.
 
Work Schedule
Exempt position- M-F some weekends and evenings as needed
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