REPORTS TO:Medical Director & Clinic Director
FSLA STATUS:N/A
3W MEDICAL FOR WOMEN MISSION:
Our mission is to provide compassionate, holistic, evidence-based health services and education to make informed healthcare decisions.
EXPECTATIONS:
The Healthcare Quality and Compliance Officer will acknowledge in writing their agreement to comply with the organization’s Behavioral Commitment document as well as all other applicable policies.
JOB SUMMARY: The Healthcare Quality and Compliance Officer is responsible for overseeing the implementation, monitoring, and enforcement of healthcare policies and procedures to ensure compliance with local, state, and federal regulations. This role ensures that healthcare operations meet the required standards for quality, safety, and regulatory compliance, while identifying and mitigating risks to patient care and organization.
This position is a hybrid position, both in person and remote.
ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES: (other duties may be assigned)
Monitor and ensure compliance with healthcare laws, regulations, and accreditation standards (HIPAA & AAAHC) specific to WA state regulations
Assist in preparing for external audits and inspections, ensuring all documentation and practices aligned with regulatory standards
Stay updated on regulatory changes and communicate relevant updates to management and staff
Ensure staff are knowledgeable about compliance requirements, quality standards and safety protocols
Provide guidance and support to healthcare staff on compliance-related issues, including interpreting regulations and standards
Partners with the appropriate staff to ensure compliance with federal, state and AAAHC regulations pertaining to clinical aspects of providing health care
Ensure that all staff members adhere to internal policies and regulatory requirements
Attends accreditation training and relevant meetings
Develop reports as required
Oversee and manages Quality Improvement committee, QI studies and benchmarking
Complete credentialing and reappointments for all medical personnel
Prepare and submit compliance and quality-related reports to senior management and regulatory bodies as required
Maintain accurate records of compliance audits, inspections, and corrective actions taken
Ensure documentation is kept up-to-date for both internal and external review
Oversees and delegates tasks and projects Safety Officer, Infection Control Officer, and Privacy Officer positions
SKILLS:
In-depth knowledge of healthcare regulations and compliance standards
Strong analytical and problem-solving skills
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Proficiency in healthcare compliance software and data management tools
QUALIFICATIONS:
Education and Licensure:
2 or more years of medical experience/background highly preferred/desired but not a requirement
Certificates, Licenses, Registrations:
Current Driver's License
Current CPR Certification
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