Pioneer Medical Center

Compliance Officer

Pioneer Medical Center is essentially, the county hospital for Sweet Grass County, Montana: Population 3700. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, skilled trades people and active retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded places. Big Timber is a vibrant and welcoming small town, an hour from Bozeman and Billings. Our schools are highly rated, with high community support.

Pioneer Medical Center has an immediate opening for a part-time Compliance Officer to join our team.

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Compliance Officer Job Description

PURPOSE/DISTINGUISHING CHARACTERISTICS:

Oversees the compliance program, functioning as an objective body that reviews and evaluates compliance issues/concerns within the organization. Protects the privacy of health-care patients and oversees the development, implementation, and maintenance of the organization’s privacy policies in accordance with applicable federal and state laws.

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ESSENTIAL JOB FUNCTIONS

Supports and models behaviors consistent with Pioneer Medical Center’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency standards as it relates to the environment, employee, patient safety or job performance.

Implements and supports compliance policies, practices and documentation activities.

Develops, implements, and maintains the facility compliance program. Monitors the performance of the Compliance Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness.

a) 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. Manages day-to-day operation of the compliance program.

b) Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution. Consults with CEO and legal as needed to resolve difficult legal compliance issues.

c) Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures. Develops and oversees a system for uniform handling of such violations.

d) Acts as an independent review and evaluation body to ensure that compliance Issues/concerns within the organization are being appropriately evaluated, investigated, and resolved.

e) Monitors, and as necessary, coordinates compliance activities of other departments to remain abreast of the status of all compliance activities and to identify trends.

f) Identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues and provides general guidance on how to avoid or deal with similar situations in the future.

g) Provides reports on a regular basis, and as directed or requested, to keep the Compliance Committee of the Board and senior management informed of the operation and progress of compliance efforts.

h) Ensures proper reporting of violations or potential violations to duly authorized

enforcement agencies as appropriate and/or required

i) Establishes and provides direction and management of the compliance Hotline

j) Institutes and maintains an effective compliance communication program for the organization, including promoting (a) use of the Compliance Hotline; (b) heightened awareness of Standards of Conduct, and (c) understanding of new and existing compliance issues and related policies and procedures.

Maintains unit-based customer relationships and visible, approachable, collegial relationships with managers and staff. Works closely with the Trauma Coordinator.

Utilizes performance improvement principles to assess and improve the quality of compliance/privacy programs.

Establishes and maintains a mechanism to track access to protected health information, within the purview of the practice/organization and as required by law to allow qualified individuals to review or receive a report on such activity.

Oversees and ensures the right of the organization’s patients to inspect, amend and restrict access to protected health information, when appropriate.

Initiates, facilitates, and promotes activities to foster information privacy awareness within the organization and related entities.

Maintains current knowledge of applicable federal and state privacy/compliance laws and accreditation standards.

Works with the IT/Security Officer on any issues that arise related to access and breaches of the various IT systems

Identifies needs and sets goals for own growth and development.

Performs other duties as assigned or needed to meet the needs of the department/organization.

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KNOWLEDGE, SKILLS AND ABILITIES

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KNOWLEDGE OF:

General knowledge of the PMC policies and procedures relevant to the department.

Compliance Program

Code of Conduct

Regulatory standards (i.e., State Survey, OSHA)

HIPAA and confidentiality requirements

Patient’s/resident’s rights

Patient safety standards

Medical terminology

Legal and regulatory standards

Chart and file organization

SKILL IN:

Professional communication skills, both verbal and written

Planning and organization

Providing instructions

Effective time management

Conflict resolution

ABILITY TO:

Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

Communicate clearly and effectively, both verbal and written

Establish and maintain collaborative relationships

Follow and provide instructions.

Identify problems and problem solve.

Perform quality work within time deadlines and with frequent interruptions.

React professionally when dealing with difficult or emergency situations.

Attention to detail.

Prioritize

Work independently.

COMPLEXITY & DIFFICULTY:

Failure to comply with government regulations could result in loss of programs such as Medicare and Medicaid. Adherence to HIPAA regulations could result in federal fines.

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MINIMUM QUALIFICATIONS:

Bachelor’s Degree in Nursing, master’s in healthcare-related discipline preferred

Current Montana RN license, or ability to transfer another jurisdiction’s RN license to Montana within 30 days

Three to five years’ experience as a Nurse, in hospital health care

Current in ACLS-Advanced Cardiac Life Support

An equivalent combination of education and experience relating to the above tasks, knowledge, skills, and abilities will be considered

Legally able to work in the US, in a federally funded healthcare organization

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WORKING CONDITIONS:

Normal patient care environment in a CAH, RHC, ALF, Hospice, and Ambulance. May be required to work varying shifts, weekends, and holidays.

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Blood Borne Pathogen Category: Category I: Tasks that involve exposure to blood, body fluids or tissues.

Blood Borne Pathogen Category: Category II: Tasks that may involve occasional exposure to blood, body fluids or tissues, but are not a part of the routine job description. Appropriate protective measures are readily available to every employee engaged in Category II tasks.

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Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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