Compliance Specialist - Washington, United States - Service Coordination, Inc.

Mark Lane

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Mark Lane

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Description

SCI Summary:

SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health's Targeted Case Management and Supports Planning work models as well as a concierge level geriatric care management and care partner model.


Position Summary:

Under the supervision of the Compliance Manager, the Compliance Specialist works to ensure that the organizations policies, procedures, and processes meet legal, ethical, and regulatory compliance specifications to support Team Members in providing high quality, effective, and efficient person -centered case management services.

The Compliance Specialist will support Programs to improve regulatory compliance and audit readiness by conducting regular and ongoing internal audits.

The Compliance Specialist will serve as an investigator for compliance concerns as identified through the incident reporting system.

The Compliance Specialist will remain abreast of changes to regulatory standards and guidance and ensure training requirements are updated appropriately.


SCI Team Member Expectations:

All SCI team members are expected to: Ensure services provided follow the organization's mission statement, core operating values and policies and procedures.

follow HIPAA, confidentiality and security procedures and principles; collaborate with peers, leadership, and support areas of the organization; actively participate in and contribute to leadership and other staff meetings and trainings; maintains compliance with federal, state, and local employment laws and regulations; follow self-direction and person-centered planning procedures and philosophy; and to foster a culture that values diversity.


Essential Duties:


  • Conduct internal program audits and monitoring to verify compliance with regulatory standards, organization policies and procedures and industry best practices.
  • Provide recommendations for corrective action and track and monitor the actions taken for adequate implementation.
  • Assist in organizational readiness and preparation for external/internal compliance audits.
  • Assist in the coordination of organizational responses to regulatory findings and assist in the submission of response documentation as needed.
  • Assist in the communication of compliance concerns, regulatory and legal agencies expectations and industry standards and trends as part of ongoing education and training.
  • Work closely with Team Members to ensure compliance.
  • Participate in the development of compliance related procedures.
  • Assist with the preparation of internal and external compliance reporting and communications.
  • Conduct neutral and unbiased investigations into alleged violations of organization, regulatory, and legal compliance procedures and regulations.
  • Complete thorough and concise investigative reports.
  • Maintain a high level understanding of program specific regulations and law.

Supervisory Duties:


  • N/A

Education Required:


  • Bachelor's Degree in Human Services or Related Field

Experience Required:


  • 2 plus years of work experience within a regulated environment (health care, child welfare).
  • Strong leadership skills.
  • Excellent verbal and written communication skills.
  • Experience working with multifunctional teams.
  • Prior regulatory compliance investigation experience, preferred.
  • Prior compliance auditing and monitoring experience, preferred.

SCI Value Related Competencies:

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People Come First (Customer Focus): Thinks and acts with people we support in mind when making decisions. Dedicated to meeting the expectations and requirements of internal and external shareholders, uses information and feedback to improve services.
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Building Relationships and Connections: Interpersonal savvy. Relates to all kinds of people. Builds appropriate rapport, uses diplomacy and tact, diffuses high-tension situations comfortably. Establishes and maintains meaningful connections within the community and the organization (internal and external stakeholders)
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Education (Informing Others): Quickly finds common ground to solve problems. Is seen as a cooperative team player. Provides coaching and mentoring to team members. Consistent communicator, provides team members with the tools they need to perform their jobs in a timely manner. Explores all available options to make the best decision for internal and external holders
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Diversity: Values, appreciates and honors the ways in which cultural differences can create value in organizations


Is service oriented:
Demonstrates a commitment to the philosophies for services and the goal of independence for the people we serve. Raises awareness in communities to appreciate the similarities and unique gifts of each person. Interacts with all kinds of team members equitably, deals effectively with all races, nationalities, cultures, disabilities, ages, and genders, supports equal

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