BASIC PURPOSE OF THE JOB
The Compliance Technician conducts independent utilization review; supports risk management and research activities; assures compliance with contractual and documentation requirements; assists with tracking, monitoring and distribution of information for compliance.
Essential Functions
Reviews and monitors the quality of licensure/re-licensure, assuring compliance with contractual, Saint Francis Ministries and state standards
Conducts random and focused reviews of quality of program processes, including regular consumer satisfaction surveys
Monitors and tracks foster homes related to compliance from initial referral to case closure, including Initial Licensure, Transfer Licensure, & Re-licensure, and makes necessary notifications
Prepares summaries of utilization review, quality improvement, risk management, and encounter data on a regular basis and as needed, but at least monthly and annually
Reviews foster home records for accuracy of documentation; encounter data, and provides feedback to staff
Reviews files and assures compliance standards are met prior to closure or transfer of homes
Sends original files to the state in a timely manner
Gathers, maintains, and distributes licensing information as directed
Communicates and collaborates in the management of information with staff, administration, and the state
Coordinates review activities and findings
Assures confidentiality of all data and information. Abides by and enforces established confidentiality policies
Maintains liaison with staff
Complies with established policies and procedures, objectives, quality improvement, safety, environmental and infection control standards
Adheres to the mission and philosophy of Saint Francis Ministries
Reports critical incidents to DFPS verbally within 12 hours, written within 24 hours
Implements Saint Francis Ministries policies and follows directives as required. Follows and adheres to all pertinent Saint Francis Ministries Standard Operating Procedures (SOP’s), rules, personnel policies and procedures; related accreditation and licensure standards; and federal, state and local rules, statutes, regulations, and contractual terms
Is knowledgeable of and follows all safety procedures
Reports unusual incidents through appropriate Risk Management, clinical and safety channels
Ensures clients’ rights are protected
Qualifications
Minimum Job Requirements
High school diploma or Equivalent
Must be 18 years of age.
Prefer experience with secretarial duties, data collection, and interpretation.
Must pass a drug screen, MVR, Criminal History and DFPS History Check, Centralized Background Check Unit Texas Health and Human Services Eligibility and any background checks deemed to be necessary.
FBI Fingerprint check
Lifting requirement of 50 lbs.
Must have a valid driver’s license, acceptable driving record and reliable transportation
Required Skills, Knowledge, and Abilities
Mandated reporter
Demonstrates effective written and verbal communication skills
Ability to travel throughout the State
Independent discretion/decision making within the scope and responsibility of the position
Manages emotions and is able to make decisions under pressure
Organizational skills
Clerical skills including: filing and typing
Computer skills including knowledge of spreadsheets, data bases and word processing
Must be a team player
Handles multiple priorities
Manages stress appropriately
Works alone effectively
Works in close proximity to others and/or in a distracting environment
Understands and practices Universal Precautions