CHA Hollywood Presbyterian Medical Center
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CHA Hollywood Presbyterian Medical Center
CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with quality medical and nursing care. With more than 500 physicians representing virtually every specialty, HPMC strives to distinguish itself as a leading healthcare provider, recognized for providing quality, innovative care in a compassionate manner.
HPMC is part of a global healthcare enterprise which owns and operates general hospitals throughout Korea, numerous research centers in the U.S. and Korea including a medical university, and CHAUM (a premier anti-aging life center).
Develops and leads strategies and auditing plans/projects to address compliance program needs. Develops supporting documentation for compliance program. Develops, implements, and HPMC’s policies and procedures. Serves as compliance auditing, investigation and consulting resource to the organization. Provides consultation on internal and external requirements. Evaluates regulatory requirements and potential operational impacts. Advises operational units on policy, procedure, and operational work plans development. Performs risk assessment and mitigation activities and audits on behalf of organization. Conducts initial and periodic environmental assessment, risk analysis, investigations and audits. Develops and monitors corrective action strategies and plans. Investigates issues and complaints of non-compliance.
- Develops, implements, and maintains HPMC policies and procedures.
- Serves as compliance auditing, investigation and consulting resource to organization. Provides project management, coordination, and analytical support for compliance projects. Provides consultation on internal and external requirements. Evaluates regulatory requirements and potential operational impacts. Advises operational units on policy, procedure, and operational work plans development.
- Performs risk assessment and mitigation activities and audits as related to compliance. Conducts initial and periodic environmental assessment, risk analysis, and audits.
- Develops and monitors corrective action strategies and action plans. Communicates status of same to leadership.
- Monitors and keeps leadership abreast of regulatory issues, deficiencies, or potential problems that may have financial impacts or involve regulatory intervention activities.
- Communicates regulatory issues, deficiencies, or potential problems as they relate to possible financial impacts and/or regulatory intervention activities. Develops, implements and coordinates training programs.
- Investigates complaints received by anonymous complaint line or any other means. Reports findings and resolutions to leadership.
- Assists in identification of compliance program needs. Recommends and develops strategies and plans to address same.
- Develops supporting documentation for compliance program. Reviews and revises Compliance department work plan on regular basis.
Minimum Education Required:
- Doctorate in Law required.
- Bachelor's degree in business administration, public health, health administration, or related field, OR four (4) years of experience in a directly related field (Compliance).
- High School Diploma or General Education Development (GED) required.
- Master's degree in business administration, public health, health administration, or related field.
- Healthcare certification from Healthcare Compliance Association - Compliance or Privacy specialty.
Minimum Work Experience and Qualifications:
- Minimum five (5) years of regulatory compliance and analytical/consulting experience.
Preferred Experience and Qualifications:
- Health care, or clinical experience.
Disclaimer, Compliance and Service Language:
DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by incumbents assigned to this job. This is not intended to be an exhaustive list of all the responsibilities, duties and skills required. The incumbent may be expected to perform other duties as assigned.
COMPLIANCE & INTEGRITY: Consistently supports compliance and the Hollywood Presbyterian Medical Center's Code of Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Hollywood Presbyterian Medical Center's policies and procedures.
Models and reinforces ethical behavior in self and others in accordance to the Code of Conduct; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments. All Directors, Managers and Supervisors are accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices in their departments.
SERVICE & QUALITY: In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Hollywood Presbyterian Medical Center, as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our patients, and to purchasers, contracted providers and vendors.
WORKPLACE SAFETY: In addition to defined working conditions and physical requirements, employees are accountable for working safely; following established policies & procedures; utilizing all designated protective personal equipment (PPE) and/or safety equipment assigned for task; and reporting all injuries and hazards to their supervisor immediately. Supervisors and Managers are accountable for ensuring the safety performance of employees; applying consistent practices in compliance with federal, state and local regulations; providing guidance to maintain a safe and healthy work environment.