Job Description

We are passionate about what we do and delight in providing excellent programs that make permanent, positive changes in the lives of those we serve. Our programs are designed to equip our clients with the vision, motivation, life skills, education, and self-discipline necessary to lead a successful life.

Compliance & Quality Officer (Program Level)

Department: Compliance Job Status: Full Time
FLSA Status: Exempt Reports To: Divisional Compliance & Quality Officer (Corporate)
Work Schedule: Positions Supervised:
Amount of Travel Required: Occasional

The Compliance & Quality Officer (CQO), under the direction of the Divisional Compliance and Quality Officer, is responsible for the implementation of Sequel’s Compliance & Quality Program at the program level. The CQO monitors and alerts corporate leadership and program leadership regarding compliance and quality issues and executes assigned tasks from corporate Compliance & Quality to ensure the program’s full implementation of Sequel’s Compliance & Quality Program. The CQO works closely with the Executive Director and program management to ensure that the program meets regulatory requirements and provides high quality services to the program’s clients.

ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTION Statement(s)

• Provide guidance for the program’s compliance and quality program structure, and work diligently to foster a culture and climate of sensitivity to ethical, compliant, and high quality behavior within the program.
• Leverage available resources to manage the compliance and quality program, and communicate needs for additional resources to the Divisional Compliance & Quality Officer and Executive Director.
• Collect and report to Divisional Compliance & Quality Officer and Executive Director on structure, process, and outcome measure of compliance and quality program effectiveness.
• Monitor changes in regulatory and accreditation standards which impact the business, and communicate changes to Divisional Compliance & Quality Officer, Executive Director, program leadership.
• Coordinate and monitor employee training regarding compliance with laws, regulation, and policies as indicated in the Quality, Compliance, and Education and Training Plan.
• Support monitoring and auditing procedures across departments, conduct validation audits, and report results to the Divisional Compliance & Quality Officer and Executive Director.
• Advise Executive Director and program leadership on compliance and quality conduct issues.
• Oversee internal investigations of alleged violations of ethics and compliance standards.
• Work with Corporate Compliance and Quality, legal counsel, and outside consultants, when approved, in conducting more details investigations and reviews, as necessary.
• Guide the Executive Director and program leadership in taking prompt corrective actions in response to identified concerns or problems, as well as preventative actions where potentials for concern are identified.
• Oversee work plans and corrective action plans, ensuring effective planning and monitoring for completion and outcome.
• Oversee Performance Improvement planning, meeting, and activities within the program, by serving as Chair of the Committee.
• Direct preparation for external reviews and external reporting of incidents.
• Supports the Quality Management Committee and Corporate Compliance Committee by providing information and reports to corporate leadership.
• Manage the client rights grievance process, and serve as the clients’ Civil Rights Coordinator.
• Participate in remote quality monitoring through security cameras.
• Track all licenses, certifications, and accreditation schedules and copies of reports.
• Carry out additional duties as assigned by Corporate Compliance & Quality.
• Serve as HIPAA Privacy Officer for the program.
• Serve as the PREA Compliance Manager.

POSITION QUALIFICATIONS

Competency Statement(s)

• Boundaries – Ability to identify and consistently maintain appropriate boundaries with clients and coworkers.

• Communication, Oral - Ability to communicate effectively with others using the spoken word.
• Communication, Written - Ability to communicate in writing clearly and concisely.
• Decision Making - Ability to make critical decisions while following company procedures.
• Detail Oriented - Ability to pay attention to the minute details of a project or task.
• Initiative - Ability to make decisions or take actions to solve a problem or reach a goal.
• Initiative/Proactive – Ability to identify what needs to be done and takes action before being asked or before the situation requires it. Goes out of way to satisfy clients.
• Integrity/Ethics – Ability to be transparent and straight with leadership, and to follow through on commitments and agreements.
• Interpersonal Skills – Ability to develop, maintain, and strengthen partnerships with others insider or outside the organization.
• Judgement – Exercises good sense, especially under pressure or when faced with making sacrifices for the greater good.

• Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions.
• Organized - Possessing the trait of being organized or following a systematic method of performing a task.
• Problem Solving - Ability to find a solution for or to deal proactively with work-related problems.
• Research Skills - Ability to design and conduct a systematic, objective, and critical investigation.
• Teamwork – Ability to contribute to the achievement of team goals and aligns individual efforts with organizational goals. Ability to resolve disputes or conflicts with others.
• Technological – Use of various computer software systems (e.g. Microsoft Officer), and data management and analysis

• Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

SKILLS & ABILITIES

Education: Bachelor’s Degree in human service related field; Master’s degree highly preferred
Experience: Experience in Behavioral Health service delivery; experience in a Compliance/Quality role highly preferred.

Computer Skills: Microsoft Office (Word, Excel, PowerPoint) and EMR
Other Requirements: Must pass a criminal background check, physical, drug and TB Test

PHYSICAL DEMANDS

Physical Demands Lift/Carry
Stand F (Frequently)
Walk F (Frequently)
Sit F (Frequently)
Handling / Fingering F (Frequently)
Reach Outward F (Frequently)
Reach Above Shoulder F (Frequently)
Climb O (Occasionally)
Crawl O (Occasionally)
Squat or Kneel O (Occasionally)
Bend O (Occasionally)

10 lbs or less F (Frequently)
11-20 lbs F (Frequently)
21-50 lbs F (Frequently)
51-100 lbs O (Occasionally)
Over 100 lbs N (Not Applicable)

Push/Pull
12 lbs or less O (Occasionally)
13-25 lbs O (Occasionally)
26-40 lbs O (Occasionally)
41-100 lbs N (Not Applicable)

N (Not Applicable) Activity is not applicable to this occupation.
O (Occasionally) Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)
F (Frequently) Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)
C (Constantly) Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

WORK ENVIRONMENT
The work environment is that which is typically found in a business office.

The Company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the Company reserves the right to change this job description and/or assign tasks for the employee to perform, as the Company may deem appropriate.

Prepared by:_________________________________________ Date: ______________

Approval Signature:___________________________________ Date: ______________

Employee Signature:___________________________________ Date: ______________

Sequel Youth & Family Services is an Equal Opportunity and Veteran Friendly employer.