The Safer Foundation is a social service provider to individuals with arrest and conviction records. Through a full range of services, including case management, educational instruction and advocacy, we focus on preparing individuals for the world of work by helping them find and keep productive and meaningful employment
General Summary:
Under the direction of the AVP, Behavioral Health Services, the Compliance Manager is an integral partner to the behavioral health team, helping to support the team to meet regulatory requirements of services provided by the Safer Counseling and Wellness Center, specifically federal, and state laws, regulations, contract, and payer source requirements concerning DMH and SUPR licensed, Medicaid covered mental health and substance use treatment services. This includes assessing current operations compared to regulatory requirements, developing an implementation plan for improvement, preparing for audits, and assisting the AVP, Behavioral Health Services, in pursuing accreditation. This position will monitor and ensure compliance with regulatory and funding requirements related to service quality and effectiveness and work closely with senior leadership, clinical and administrative managers and staff, Behavioral Health and Community Mental Health (CMHC) affiliates, external funders, and community agencies and partners.
Additionally, this role will be responsible for monitoring all state and federal-funded programming adhering to the IL Department of Healthcare and Family Services (HFS) and the Substance Abuse and Mental Health Administration’s (SAMHSA) rules and regulations surrounding clinical and programmatic compliance.
Satisfactorily pass all relevant screening and criminal background checks.
Performance Results Description
The Position is properly performed when all essential duties and responsibilities are executed by following the Safer Values.
Exceeding Expectations, Communication and Collaboration, Integrity and Evidence Based Innovation.
Essential Duties and Responsibilities
Stakeholder Interface
- Maintain effective working relationships with partner agencies, funders, and other external stakeholders, as well as state, local, and municipal government officials; represent the agency on state, city, and county taskforces and initiatives related to division programs.
- Promotes cross-departmental collaboration to improve the integration of care across the behavioral health continuum utilizing best practices, implementing systems emphasizing measurement and accountability, including both client and provider-level feedback.
- Responsible for planning administration and monitoring survey readiness of all the organization's quality management, regulatory requirements, and quality improvement processes.
- Oversees, audits, surveys, and measures and assesses organizational adherence to accrediting and licensure regulations and bodies (DMH Rule 132, IL-SUPR 2060, HIPPA.
- The Compliance Manager will lead the team in coordinating, scheduling, and executing accreditation of the Community Mental Health Center.
- Oversee and manage organizational compliance, including developing and implementing new and /or updated procedures, monitoring regulatory changes, facilitating, and responding to audit inquiries and plans of correction, and facilitating and/or completing regulatory documentation.
- Lead and manage the accreditation process, including working with and coaching programs on meeting standards, developing/producing evidence, and participating in other accreditation-related activities.
Oversee and manage the records management, including Payer audits, records requests, record retention, and storage for the Organization. - Develops, initiates, maintains, and revises policies and procedures for the general operation of the compliance
program and its related activities to prevent illegal, unethical, or improper conduct. - Perform other duties as assigned.
Stakeholder Outreach and Recruitment
- Develop relationships with counterparts in partner organizations and in the field to aid in the understanding of compliance issues and developments.
Tracking, Document and Reporting
- Gather, synthesize, and present all relevant requirements according to the program or line of service as well as a plan for bringing the organization into compliance, identifying changes that need to occur and resources required.
- Establishes, tracks, and reports KPIs that meet/exceed organizational and licensing body standards. Oversee reporting utilizing advanced data analytics to inform performance assessment, emphasizing “real-time” data.
- Collaborate with the Quality Assurance Administrator in developing and integrating internal audit tools for staff to monitor their client files.
Fiscal Reporting and Accountability
- Working alongside the billing manager to ensure all funding from Medicaid and/or managed care organizations comply.
- Report any immediate financial concerns to the Director of Clinical Services immediately.
Required Knowledge, Skills and Abilities:
- In-depth knowledge of or familiarity with federal grant requirements, state regulations, specifically Rule 2060 and 132, HIPAA, 42 CFR Part 2, Illinois Mental Health and Developmental Disabilities Confidentiality Act, Managed Care compliance programs, and other relevant requirements governing social service and behavioral health non-profit organizations.
- Hands-on experience and self-sufficiency with Microsoft productivity tools, including Outlook (for email), Office (Word, PowerPoint, Excel), and online collaboration tools (video conferencing, Zoom/Teams, messaging).
- Strong track record in managing a comprehensive and complex array of projects with intellectual curiosity, attention to detail, and a results-oriented approach.
- Strong knowledge of regulations: A compliance manager must thoroughly understand the regulations that apply to their organization. Not only should they keep up to date with changes to regulations, they should also be able to interpret them effectively.
- Analytical skills: Compliance managers must be able to analyze complex regulations and apply them to a reentry organization, identify potential issues, and provide solutions.
- Communication skills: A compliance manager must communicate effectively with colleagues, regulators, and other stakeholders. They should be able to explain complex regulations in simple terms and provide guidance on compliance requirements.
- Excellent technology and communication skills, both oral and writing
- Ability to work in an interdisciplinary team approach model, taking individual responsibility and autonomy while also performing well in roles leading and serving as part of a diverse team.
- Strong programmatic and operational experience: Ability to conceive intricate operational processes and take from concept to reality.
- Skilled in managing various/multiple projects while responding to job position needs.
- Ability to interact and communicate with individuals at all levels of the organization.
- Must display high initiative, effort, and commitment toward completing assignments efficiently.
- Strong time management and organizational skills with the ability to effectively multi-task and meet deadlines.
- Demonstrates problem-solving skills.
Education and Experience:
- Master’s Degree preferred; Bachelor’s Degree required.
- At least two years of experience performing compliance-related activities, preferably within a non-profit organization.
- Previous experience working for a Medicaid-certified SUPR or CMHC provider is required.
- LPC, LCPC, LSW, LCSW, Psy.D, or other qualifications preferred.
- CPQH or previous experience in the accreditation process of behavioral health providers is strongly preferred.
- Experience working with multi-disciplinary teams; running treatment programs/units within larger complex government or social service agencies.
Licenses and or Certifications:
- LPC, LCPC, LSW, LCSW, Psy.D, or other qualifications preferred.
- CPQH or previous experience in the accreditation process of behavioral health providers is strongly preferred.
Applicants must be authorized to work in the United States without current or future employer sponsorship. Safer Pathways is unable to sponsor or take over sponsorship of employment visas, including H-1B, TN, E-3, or other employment-based visas.
Additional Information:
Safer Pathways Center is committed to fair chance employment and to considering applicants based on their qualifications and ability to perform the role. Certain positions, however, are subject to mandatory screening and eligibility requirements under state or federal law that may affect an individual’s eligibility for a particular role. Criminal history or other information identified through a required background screening does not automatically disqualify an applicant from employment. Applicants will be informed of applicable screening requirements and will have an opportunity to review and address potentially disqualifying information before a final employment decision is made, consistent with applicable law.
Work Location & Residency Requirement: This is a hybrid position based out of our Chicago office, with a required in-office schedule. Employees in this role must live in Illinois, Indiana, Iowa, Wisconsin, or Michigan at the time of hire and keep their residency in one of these states throughout employment. Employees must also be able to report to the [office] location on all required in-office days. Safer Foundation is not set up to employ staff in other states, so we cannot consider candidates who live outside these four states.
Safer Foundation is a drug-free workplace
Equal Opportunity Employer/Affirmative Action/Minorities/Females/Veterans
www.saferfoundation.org
No Phone Calls Please