YesCare Corp Clinical Compliance Manager, Registered Nurse in Baltimore, Maryland
Experience & Requirements
Nursing degree required
bachelor’s degree in Business Administration, Accounting, Finance, or a Health Science/ Administration is preferred.
Firm understanding of (and ability to apply) the essential elements of an effective compliance program (policies/procedures, communication strategy, training/education, etc.), and an immediate ability to demonstrate such.
Experience managing a team of personnel comprised of three or more professionals.
Proven ability to assess and troubleshoot processes and systems.
Direct experience in analyzing operations, performing compliance reviews, evaluating and recommending controls, and ensuring appropriate safeguards are in place.
Strong presentation and facilitation skills, including the ability to conduct effective meetings with internal and external stakeholders.
Ability to effectively interpret, utilize, and report data findings in a clear and efficient manner
Excellent communication and listening skills.
General knowledge of and experience with litigation and related court proceedings.
Knowledge of healthcare delivery methods and/or managed care.
Demonstrated proficiency with Microsoft Office tools such as Word, Excel, PowerPoint, Visio, SharePoint, and Access.
Proficient with cloud based and/or electronic document libraries using web-based user tools.
Up to 75% travel required.
Subject to initial and ongoing security clearance requirement.
A background check, security clearance and drug screening are required for this role.
YesCare is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans.
Below is a list of your responsibilities as a Clinical Compliance Manager with YesCare:
ChampionYesCare’s Clinical Compliance Programs and drive all essential compliance functions as necessary to improve overall contract performance
ManageYesCare’s Compliance Program and advance its best interests as each pertains to the applicable states’ Department of Corrections Health Care Services regulatory monitoring entity
Establish and maintain positive relationships with client partners, the monitoring entity, and legal counsel
Support all critical clinical initiatives as required by the SVP/CNE, Chief Clinical / Administrative Officers, including developing and implementing start up plans for new contracts
Participate in the RFP process, ensuring that all clinical compliance metrics are identified, and strategies are created to ensure compliance with designated requirements
Create and distribute reports (including dashboards) to Client Partners,YesCareLeadership, and other key external and internal stakeholders as necessary
Analyze operations and conduct routine compliance reviews, audits and risk assessments for site, regional and corporate leadership.
Facilitate and participate in key training and education initiatives for mission criticalYesCarestaff
Manage all aspects of incident response with respect to compliance events
Develop plans and initiatives to address local, state, and/or federal consent decrees and litigation settlements.
Partner with site / regional leadership to maintain and prepare site for accreditation with pertinent accreditation bodies (NCCHC/ACA, etc.)
Collaborate and implement process improvement plans/projects with assistance from Quality Improvement and Patient Safety Managers; includes monitoring, recommending, tracking, and trending of process improvement projects
Track, monitor and trend companywide complaints, compliments, and grievances.
Attend external and internal meetings as required.
Follows standard precautions using personal protective equipment as required.
Other duties as assigned by management.
YesCare Benefits (only applicable for full-time positions)
Health, Dental and Vision Insurance
Life and Disability Insurance
Generous PTO plan
401k with matching funds
Employee Discount and Rewards Program
Continuing Education Reimbursement
About YesCare Health
Correctional healthcare is not just a job. It’s a calling.
By choosing a career with YesCare, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a YesCare professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join YesCare today and be part of our legacy of innovation and clinical expertise.
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Job Locations US-MD-Baltimore
Position Type Regular Full-time
Shift / Schedule Weekday Day
Location ID 91202