It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
The Compliance Program Manager is responsible and accountable to assist in the implementation, evaluation and monitoring of the Corporate Compliance Program & Plan across the Organization. Provides support to affiliate leadership and clinical staff to meet regulatory requirements and manages risk situations.Qualifications:
- Bachelor’s degree in nursing/health care or related field, or an equivalent combination of work experience and education; Master’s Degree in healthcare field preferred
- Current Florida license as RN, current active single-state out-of-state nurse license, or current active multistate/compact nurse license
- HCCA Certification preferred or within one year of taking position
- Minimum of five (5) years’ experience utilizing knowledge of compliance and risk
- Minimum of one (1) year of management/supervisory experience
- Strong business foundation with proven analytical and problem-solving skills
- Demonstrated skills in fiscal management, utilization of analytical and statistical tools, data analysis, and outcomes management
- Working knowledge of State and Federal regulations
- Knowledgeable in Joint Commission Hospice Standards and the National Patient Safety Goals
- Excellent verbal and written communication skills (in English)
- Skilled in management of group dynamics and conflict resolution
- Knowledge of and ability to apply process improvement theory and process mapping
- Computer knowledgeable and competent with statistical applications and graphics
- Able to prioritize multiple job responsibilities, exercise critical thinking skills, and effectively handle stress
- Able to work with minimal supervision and exercise a high degree of discretion and independent judgment
Competencies:
- Satisfactorily completion of competency requirements for this position.
Responsibilities of all employees:
- Represent the Company professionally at all times through care delivered and/or services provided to all clients.
- Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
- Comply with Company policies, procedures and standard practices.
- Observe the Company's health, safety and security practices.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
- Use resources in a fiscally responsible manner.
- Promote the Company through participation in community and professional organizations.
- Participate proactively in improving performance at the organizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support Company research and educational activities.
- Share expertise with co-workers both formally and informally.
- Participate in Quality Assessment Performance Improvement activities as appropriate for the position.
Leadership Success Factors:
- Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.
- Initiative. Originate action to achieve goals.
- Management Identification. Identify with and accept the problems and responsibilities of management.
- Judgment. Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources.
- Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitor results.
- Leadership. Use appropriate interpersonal styles and methods in guiding others.
- Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
- Regulatory Compliance: Provide direction for appropriate education and monitoring of and by the compliance staff regarding their own and the organization's responsibilities for regulatory compliance.
Job Responsibilities:
- Serves as a subject matter expert (SME) for all current Federal, Joint Commission, state and local laws pertaining to hospice and home health, as well as other lines of business. Provides consultation and acts as a resource to staff regarding regulations.
- Manages compliance activities to meet requirements and implements approved organizational practices as appropriate.
- Works with other department leaders and staff to integrate compliance, performance improvement, and pertinent Joint Commission activities for the Organization.
- Manages the Clinical, Technical and Admission Auditors in their day-to-day responsibilities and prepares compliance monitoring/auditing reports for the Senior Director of Compliance.
- Ensures compliance findings are addressed and works with internal directors/managers to coordinate the development/revision and implementation of Company policies and guidelines.
- Manages the Corporate Compliance Hotline and reporting system for occurrence reports; reviews reports resulting from such information; and makes recommendations for improvement based on information.
- Coordinates audits and investigations of potential violations of law or Company policy under the direction of Senior Director of Compliance.
- Coordinates timely response to requests from MAC, SMRC, Medicaid, Third Party payors, and other regulatory agencies.
- Provides information to the Senior Director of Compliance on the implementation and management of risk management/legal issues.
- Performs other duties as assigned.
Compensation Pay Range:
$85,270.05 - $133,234.45This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.
Skills Required
- Bachelor's degree in nursing, healthcare, or a related field, or an equivalent combination of work experience and education
- Current Florida RN license, active single-state out-of-state nurse license, or active multistate/compact nurse license
- Minimum five years of experience utilizing compliance and risk knowledge
- Minimum one year of management or supervisory experience
- Strong business foundation with analytical and problem-solving skills
- Fiscal management, analytical and statistical tools, data analysis, and outcomes management skills
- Working knowledge of state and federal regulations
- Knowledge of Joint Commission Hospice Standards and National Patient Safety Goals
- Excellent verbal and written communication skills in English
- Skills in group dynamics management and conflict resolution
- Knowledge of process improvement theory and process mapping
- Computer proficiency and competency with statistical applications and graphics
- Ability to prioritize multiple responsibilities, exercise critical thinking, manage stress, work independently, and use discretion
- Master's degree in a healthcare field
- HCCA certification, or ability to obtain it within one year of starting the position
What We Do
“We are a part of the circle of life. It’s as touching and important to be a part of the end of life as it is to be at the beginning. We provide our patients dignity, comfort and quality of life at the end of their journey. Our job is so much more about life than death! Being present during this sacred time is truly and honor, a calling.“ -Jane, LPH Registered Nurse **** As a progressive leader and premier healthcare organization, Chapters Health System is dedicated to delivering innovative care throughout chronic illness progression and beyond. Since 1983 as a community-based, not-for-profit organization, Chapters Health has provided choices, education and guidance through its managed affiliates. Chapters Health affiliates include ASSURITY DCE, Chapters Health CareNu, Chapters Health Foundation, Chapters Health Pharmacy, Chapters Health Staffing, Chapters Health Hospice in Alachua, Martin, Monroe, Pinellas and St. Lucie counties; Cornerstone Hospice in Hardee, Highlands, Lake, Marion, Orange, Osceola, Polk and Sumter counties within Florida and Cherokee, Cobb, Fulton and Gwinett counties within Georgia; Good Shepherd Hospice in Polk, Highlands and Hardee counties; Hospice of Okeechobee; HPH Hospice in Pasco, Hernando and Citrus counties; and LifePath Hospice in Hillsborough County. All offerings are provided to improve the patient/family experience well in advance of end-of-life needs. In 2023, Chapters Health was named a Top Workplaces USA award-winner; in 2022, earned certified status for information security from HITRUST and for the fifth consecutive year was recognized as a great workplace in the Aging Services category by the independent analysts at the Great Place to Work® Institute.







