Regional Compliance Associate

Overview

A Regional Compliance Associate (RCA) is responsible for managing and reporting health care and privacy compliance program activity at a regional level. Promoting a culture of compliance throughout the organization, ensuring compliance always remains top of mind in all business activities performed by self or others and that compliance is represented at every management and governance-level meeting. This position is responsible for ensuring awareness of compliance communications, Hotline availability, Internet and Intranet site locations, awareness of and existence of company-wide policies (CWPs) as well as consistently enforcing compliance with CWPs and Doing the Right Thing.

The RCA is responsible for coordinating compliance display materials, including Hotline Posters, Code of Conduct and Privacy materials as well as supporting the promotion of compliance through regional activities such as Compliance Awareness Week, Compliance Fairs, or other employee involvement activities.

The RCA is also responsible for Elder Justice Act (EJA) and other regional compliance and or privacy related incident investigations, that compliance and or privacy related requirements and responsibilities are appropriately managed efficiently and effectively and incidents are reported timely and accurately utilizing the Trident Care compliance incident management system. Immediate communication of material concerns, programmatic or other systemic issues to the Chief Compliance and Privacy Officer is required.

The RCA is responsible for ensuring corrective action plans and or all appropriate disciplinary action is followed for all occurrences where compliance and or privacy related requirements are not being met and ensuring there is adequate two-way communication between the compliance department staff and employees such as periodic check-ins with employees and follow-up with employees who report concerns.

Any other duties of the RCA should not be in conflict with health care compliance and privacy goals.

Health Care Compliance, Our Code of Conduct, EJA and Privacy Related Training: Assure regional employees, physicians, vendors, and other agents successfully complete compliance and or privacy related training as a new hire and on a minimum of an annualized basis. Assure risk-specific training is conducted for targeted employees. Provide follow up, as requested, to the Compliance Leader on:
Associates’ annual training completion. New hires training completion within 30 days of hire. Returning Associate from LOA.

Incident Management, Tracking And Reporting Gather all related information and documentation related to compliance incidents. Complete each section of the Trident Care compliance incident management system (Navex) – document every communication and interaction that took place to discuss the incident (including communications and interactions with other Trident Associates). Review the recorded documentation to ensure all information is included in each section of the report.

Record documentation relating to disciplinary action:
Include the completed, signed, scanned, PIP or Document of Discussion. If no disciplinary action was implemented, document why disciplinary action was not issued. Escalate material concerns to the immediate attention of the Chief Compliance and Privacy Officer. Review daily, weekly, monthly regional incident activity to understand trends, corrective and preventative activity and communicate such with Vice President of Operations as well as the Chief Compliance and Privacy Officer.

Vendors Business Associate Agreements (BAA): Identify vendors who service our offices and/or locations. Determine if the vendor collects, uses, accesses, stores, or otherwise touches or handles patient information. If the vendor handles patient information, then contact the Corporate Compliance to obtain or update a Business Associate Agreement (BAA). Maintain an up to date log of BAAs for the region. Send BAA log to Corporate Compliance on a month basis and or as requested.

Lost/Stolen Devices (e.g., laptop, desktop, cell phone, flash/thumb drives, etc.):
Alert IT Security immediately upon notification of the incident. Gather all related information and documentation to create a case in NAVEX. Ensure that appropriate Associate discipline is documented, including suspensions and payroll deductions in accordance with our Laptop Security SOP. Participate in all Compliance and Privacy team forums, meetings, calls and other activities. Participate in continuing education to maintain professional competence with up to date knowledge of compliance, privacy, billing and coding rules and practices.

All other tasks that may be assigned by Management from time to time.

SKILLS|

EXPERIENCE:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak…