Compliance Director – Livingston Place SUPERVISOR: Health Services Director EMPLOYMENT STATUS: Exempt Non-Exempt Status JOB SUMMARY: The Compliance Director is responsible for ensuring that the community complies with relevant regulations and laws governing its operations. This includes monitoring and overseeing the Elderly and Persons with Physical Disabilities (EDP) Waiver renewal process, auditing billing practices, attending required trainings, and ensuring the accuracy and completeness of various reports, requirements, and documentation. The Compliance Director plays a key role in maintaining the organization's compliance with regulatory requirements and promoting a culture of ethical conduct.
ResponsibilitiesPRIMARY RESPONSIBILITIES: • Monitor the EDP Waiver renewal process accurately and timely: o Review the renewal process for beneficiaries after the Social Services Director follows up with Case Managers monthly to verify beneficiaries’ expiration dates. o Ensure EPD Waiver Application is submitted. o Ensure the Electronic Prescription Order Forms (EPOF) is signed, submitted, and uploaded to the DC Care Connect system. o Ensure that Liberty Assessments are scheduled timely by Case Managers/Social Services Director. o Monitor Person-Centered Service Plans (PCSP) to ensure they are up to date for every beneficiary within PointClickCare (PCC). • Audit daily census report to confirm billing is accurate. Settle any discrepancies discovered and work with the Business Office Manager to correct as necessary. • Audit Billing Spreadsheet to ensure billing has been done appropriately. • Attend Department of Health Care Finance (DHCF) trainings. • Audit all staffing in-service trainings to ensure compliance is met. Report findings to the Executive Director and Health Services Director (HSD) to correct if necessary. • Verify Department of Health (DOH) & DHCF Binders are up to date monthly. This should include: o Daily Census Reports. o Monthly DOH Reportable & Serious Incident Reports. o DC Care Connect & UHC Incident Reports. o Investigation Notes. o Relias Transcripts. o New Move-In Leases. o New Employee Information. o Notice to Vacate Forms. o Persinak Centered Service plans (PCSP’s). o Individualized Services Plans (ISP’s). o Health & Physical (H&P) Forms. o Provider Forms. o Relias Transcripts. o Resident Grievances and Investigation Forms. o The DC Ombudsman meetings and trainings documentation. o Activity Logs and Refusals. • Monitor Provider Choice Form for each beneficiary within PCC to ensure accuracy and completion. Required to obtain missing information timely and accurately. • Monitor and update the “Employee Tickler” tracker to verify all required evaluation documentation has been obtained per the DOH requirements. Must notify department heads when reviews are due and obtain completed forms from managers for recordkeeping. • Audit Billing Spreadsheet to ensure that the Business Office Manager is billing accordingly, accurately, and timely to the Daily Census and fee schedule rate. • All materials, practices and methods are owned by the Company and shall not be used or shared with or by any competitor, now or at any time in the future. Nothing will be removed, used, or sold in any way. • Will regularly be entrusted with sensitive information. Must treat information provided in the strictest confidence. • Exercise professional judgment and carefully adhere to all written standards, and personnel administration policies and procedures. Accurately and completely document all matters related to personnel administration. • Treat as confidential any information about the customers and personnel of Frontier Management, LLC, the communities, or their business, products, techniques, methods, systems, pricing, advertising, plans, and policies. Employees will not, during their employment, or at any time, thereafter, disclose such information, in whole or in part, to any person, firm, or corporation for any reason or purpose whatsoever. • Conduct yourself at all times so as not to detract from, or to reflect adversely on the reputation of the communities or the company and after the termination of your employment, not to defame or disparage the communities, Frontier Senior Living, or its officers and employees, nor engage in any unfair trade practices toward the aforesaid companies. • Perform all other such tasks as may be required from time to time by an officer of Senior Living. REQUIREMENTS: • High school diploma or equivalent. Bachelor’s Degree preferred. • Minimum 2-3 years of experience in compliance and finance in a healthcare setting. • Proficiency in MS Office Suite (Word, Excel, Outlook, etc.) along with software and web-based programs. • Strong organizational and multitasking abilities. • Excellent verbal and written communication skills. • Strong analytical and problem-solving skills. • Must possess excellent organizational and proofreading skills. • Exceptional written and verbal communication and conflict resolution skills. • Excellent interpersonal skills with all levels of staff, residents, families, and the public. • Ability to work as a positive team member. Physical Requirements: Will sit for extended periods of time. Push, pull, and lift at least 30 pounds regularly. Occasionally will crouch or kneel to access office equipment.
QualificationsSalary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
For (State in Tier 1) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
For (State in Tier 2) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
For (State in Tier 3) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
For (State in Tier 4) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
For (State in Tier 5) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
For (State in Tier 6) this ranges from $XX,XXX.XX-$XXX,XXX.XX plus benefits and retirement program.
Gilbane offers an excellent total compensation package which includes competitive health and welfare benefits and a generous profit-sharing/401k plan. We invest in our employees’ education and have built Gilbane University into a top training organization in the construction industry. Qualified applicants who are offered a position must pass a pre-employment substance abuse test.
Gilbane is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, color, national origin, race, religion, sex, sexual orientation, gender identity, protected veteran status, or disability status.
Note to Recruiters, Placement Agencies, and Similar Organizations: Gilbane does not accept unsolicited resumes from agencies. Please do not forward unsolicited agency resumes to our jobs alias, website, or to any Gilbane employee. Gilbane will not pay fees to any third party agency or firm and will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of Gilbane and will be processed accordingly.
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