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Regional Compliance Officer - Region 5

Job Description

Under the supervision of the Regional Coordinator or designee, the Regional Compliance Officer is responsible for supporting consumers and providers by engaging in compliance management functions that serve to promote efficient and effective use of programmatic resources.  This is accomplished by utilizing a combination of data analysis and on-site assessment intended to monitor provider treatment quality and develop provider networks that support comprehensive systems of care relative to Department Mission and Goals.

Compliance management functions include analysis of service utilization patterns, results achieved by providers, prevention/correction of treatment quality outlier issues, and education/technical assistance given to providers.  Utilization patterns and achieved results may include review of consumer metrics includin recidivism/relapse patterns, mental/medical status changes, functional changes and satisfaction levels.  Provider practice patterns and service design and delivery are monitored to assure satisfactory accessibility and to reduce under servicing of high risk groups, such as psople discharged from state hospitals and crisis stabilization programs and people at risk for hospitalization.

Job Responsibilities include:

  • Conduct site visits of MH, AD and DD providers and programs to review quality of services, programming and staffing plans and make recommendations to assure satisfactory accessibility and treatment quality
  • Educate providers, make recommendations to and provide trehnical assistance to providers regarding contract expectations and compliance management measures for MH, AD and DD providers and programs
  • Identify training needs for providers
  • Assure providers maintain compliance with all relevant Federal Block Grant requirements
  • Initiate, approve and monitor successful implementation of provider Corrective Action Plans.  This may be either independent of, or in conjunction with, either Department contracted External Review Organization (ERO) or Department Compliance Section
  • Recruit new providers to contract with the Department to increase service capacity and support fully realized systems of care
  • Assist in processing new provider applications in conjunction with Central Office Provider Network Management Section
  • Monitor routine service utilization reports, contract billing reports and provider expenditure reports in conjunction with the Regional Financial Analyst to track over or under-utilization of services relative to contract allocations and deliverables
  • Prepare service utilization reports as requested by the Regional Coordinator or desingee
  • Support Department Compliance Section by assisting in regional provider compliance reviews as approved by the Regional Coordinator or designee
  • Manage transition of contract/LOA termination/non-renewal in conjunction with the Central Office and Regional Financial Analyst

Qualifications

Associate degree in a related field and five years experience with at least two years in a position directly related to the area of assignment OR Bachelors degree in a related field and four years of related experience OR Masters degree in a related field and two years of related experience OR two years experience at the lower level or a position equivalent

Note:  Some positions may required a certification or licensure and some positions may require a valid driver's license

Preferred Qualifications

Preference will be given to those who meet the following qualifications, in addition to the qualifications listed above:

  • Provider network development/management experience
  • Professional level Quality Management/Utilization Management experience
  • Training and consultation experience
  • Knowledge of behavioral health service design models
  • Experience in service systems being transitioned from facility based to community-based models

PLEASE INDICATE WHICH REGION/LOCATION YOU ARE APPLYING FOR

Benefits

In addition to a competitive salary (), we offer a generous benefits package that includes a flexible schedule, training opportunities, employee retirement plan, deferred compensation, 12 paid holidays, vacation and sick leave, dental, vision, long term care, and life insurance.

This position is a pay grade 16 on the statewide salary plan.

Employment Information

This position is located in the Region 5 Office in Savannah, Georgia.

Founded in 1733, Savannah is a city rich in history, charm and Southern hospitality. Savannah has one of the largest historic districts in the United States, with thousands of architecturally-significant buildings nestled under giant live oaks hung with Spanish moss.

Savannah captivates the suitors that come to call with her natural beauty, eccentric charm and traditional Southern Hospitality -- because Savannah is genteel, gracious and captivating. Savannah is the beautifully preserved hidden treasure of the Low Country. Come unlock the history, romance and beauty that lies within.

Savannah is situated at the mouth of the Savannah River, which forms the border between Georgia and South Carolina. The area has a large network of rivers and creeks. The Intracoastal Waterway runs along the east coast, much of which is comprised of ecologically vital marshes.

Come to Georgia and experience first-hand our historic charm and hospitality.

Applying for this job

Please email your cover letter and resume in Microsoft Word format to: recruiting@dbhdd.ga.gov

To ensure proper routing/handling of your credentials, copy/paste or type the following title in the subject line of your email: Regional Compliance Officer - Region 5 If you are currently employed by DBHDD, please include "Internal Employee" in the subject line as well.

You may be subject to a Drug Screen. You may be required to submit fingerprints to check for the existence of Criminal History Record Information through the Georgia Bureau of Investigation and the Federal Bureau of Investigation. You do have the right to challenge the contents of any Criminal History that is located, should you choose to do so.

The Georgia Department of Behavioral Health and Developmental Disabilities provides services to ensure the health and welfare of Georgians. As an employee of DBHDD, in the event of an identified emergency you may be required, as a term and condition of employment, to assist in meeting the emergency responsibilities of the department.