Compliance Director

Overview

Ensures regulatory compliance, audits billing, and manages EDP waiver renewals.

Key Responsibilities

• waiver submission
• billing audit
• epof submission
• pcsp monitoring
• tickler tracker
• compliance reporting

Tasks

This includes monitoring and overseeing the Elderly and Persons with Physical Disabilities (EDP) Waiver renewal process, auditing billing practices, attending required trainings, and ensuring the accuracy and completeness of various reports, requirements, and documentation. The Compliance Director plays a key role in maintaining the organization's compliance with regulatory requirements and promoting a culture of ethical conduct. -Ensure EPD Waiver Application is submitted. -Review the renewal process for beneficiaries after the Social Services Director follows up with Case Managers monthly to verify beneficiaries’ expiration dates. -Treat as confidential any information about the customers and personnel of Frontier Management, LLC, the communities, or their business, products, techniques, methods, systems, pricing, advertising, plans, and policies. Employees will not, during their employment, or at any time, thereafter, disclose such information, in whole or in part, to any person, firm, or corporation for any reason or purpose whatsoever. -Audit Billing Spreadsheet to ensure that the Business Office Manager is billing accordingly, accurately, and timely to the Daily Census and fee schedule rate. All materials, practices and methods are owned by the Company and shall not be used or shared with or by any competitor, now or at any time in the future. Nothing will be removed, used, or sold in any way. -Ensure the Electronic Prescription Order Forms (EPOF) is signed, submitted, and uploaded to the DC Care Connect system. -Monitor Provider Choice Form for each beneficiary within PCC to ensure accuracy and completion. Required to obtain missing information timely and accurately. -Attend Department of Health Care Finance (DHCF) trainings. -Monitor and update the “Employee Tickler” tracker to verify all required evaluation documentation has been obtained per the DOH requirements. Must notify department heads when reviews are due and obtain completed forms from managers for recordkeeping. -Conduct yourself at all times so as not to detract from, or to reflect adversely on the reputation of the communities or the company and after the termination of your employment, not to defame or disparage the communities, Frontier Senior Living, or its officers and employees, nor engage in any unfair trade practices toward the aforesaid companies. -Audit Billing Spreadsheet to ensure billing has been done appropriately. -Exercise professional judgment and carefully adhere to all written standards, and personnel administration policies and procedures. Accurately and completely document all matters related to personnel administration. -Verify Department of Health (DOH) & DHCF Binders are up to date monthly. This should include: -Audit all staffing in-service trainings to ensure compliance is met. Report findings to the Executive Director and Health Services Director (HSD) to correct if necessary. -Will regularly be entrusted with sensitive information. Must treat information provided in the strictest confidence. -Monitor the EDP Waiver renewal process accurately and timely: Review the renewal process for beneficiaries after the Social Services Director follows up with Case Managers monthly to verify beneficiaries’ expiration dates. Ensure EPD Waiver Application is submitted. Ensure the Electronic Prescription Order Forms (EPOF) is signed, submitted, and uploaded to the DC Care Connect system. Ensure that Liberty Assessments are scheduled timely by Case Managers/Social Services Director. Monitor Person-Centered Service Plans (PCSP) to ensure they are up to date for every beneficiary within PointClickCare (PCC). -Ensure that Liberty Assessments are scheduled timely by Case Managers/Social Services Director. -Monitor Person-Centered Service Plans (PCSP) to ensure they are up to date for every beneficiary within PointClickCare (PCC). -Audit daily census report to confirm billing is accurate. Settle any discrepancies discovered and work with the Business Office Manager to correct as necessary.

Requirements

• ms office
• compliance
• healthcare
• bachelor's
• team player
• problem solving

What You Bring

o DC Care Connect & UHC Incident Reports. o Monthly DOH Reportable & Serious Incident Reports. o Notice to Vacate Forms. o Resident Grievances and Investigation Forms. o The DC Ombudsman meetings and trainings documentation. o Relias Transcripts. o Activity Logs and Refusals. -Ability to work as a positive team member. -Excellent interpersonal skills with all levels of staff, residents, families, and the public. -Physical Requirements: Will sit for extended periods of time. Push, pull, and lift at least 30 pounds regularly. Occasionally will crouch or kneel to access office equipment. -Excellent verbal and written communication skills. -Minimum 2-3 years of experience in compliance and finance in a healthcare setting. -Must possess excellent organizational and proofreading skills. -Proficiency in MS Office Suite (Word, Excel, Outlook, etc.) along with software and web-based programs. -Strong analytical and problem-solving skills. -Exceptional written and verbal communication and conflict resolution skills. -Strong organizational and multitasking abilities. -High school diploma or equivalent. Bachelor’s Degree preferred.

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Benefits

Gilbane offers an excellent total compensation package which includes competitive health and welfare benefits and a generous profit-sharing/401k plan. We invest in our employees’ education and have built Gilbane University into a top training organization in the construction industry. Qualified applicants who are offered a position must pass a pre-employment substance abuse test. o Persinak Centered Service plans (PCSP’s). o Individualized Services Plans (ISP’s). o Health & Physical (H&P) Forms. o Provider Forms. For Washington, DC this ranges from $75,000 - $80,000 plus benefits and retirement program. Livingston Place Assisted Living facility is dedicated to offering affordable personalized care to aging disabled DC Residents, managed by Calvary Street Management and a Gilbane Development Co. property.

About Gilbane

-As a family-owned company, Gilbane has built a reputation for excellence and reliability, operating through its two main subsidiaries: Gilbane Building Company and Gilbane Development Company. -The Gilbane Building Company is renowned for its comprehensive construction services, which encompass construction management, preconstruction, and facilities management. -On the real estate front, Gilbane Development Company is dedicated to creating and implementing dynamic real estate programs that cater to public, private, and nonprofit sectors. The company excels in real estate development, investment, and property management, offering a full spectrum of services that include site selection, financing, and project management. -Gilbane's approach is characterized by a client-focused philosophy, where the company adapts its global knowledge to address local challenges effectively.

Sector Specialisms

Security Clearance

-must pass a pre-employment substance abuse test.