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POSITION SUMMARY: Under the supervision of the Compliance Director, the Medical Compliance Analyst plays a critical role in ensuring adherence to regulatory standards and quality improvement initiatives within a Federally Qualified Health Center (FQHC) and in alignment with Kentucky Alcohol and Other Drug Entities (AODE) and Behavioral Health Services Organization (BHSO) guidelines for levels of care ranging from Outpatient to Residential. This position is responsible for conducting comprehensive chart audits, providing high-quality consultation and training across the continuum of care, and promoting the implementation of Evidence-Based Programming. The Medical Compliance Analyst collaborates with management and staff to communicate quality standards, tracks staff training and compliance, and serves as a subject matter expert on local, state, and federal regulations pertaining to substance use treatment. Additionally, the analyst actively participates in Quality Improvement and Policy Committees to drive continuous enhancement of organizational practices. Requirements QUALIFICATIONS: <ul><li>Valid nursing license in Kentucky or a reciprocal state. </li><li>Bachelor's degree in Nursing, Healthcare Administration, or a related field. </li><li>Minimum of 3 years of clinical nursing experience, preferably in a behavioral health or substance use treatment setting. </li><li>Demonstrated knowledge of state and federal regulations related to FQHCs and AODE/BHSO regulations. </li><li>Experience in quality improvement initiatives and compliance auditing. </li><li>Strong analytical skills with the ability to interpret clinical data and regulatory requirements. </li><li>Excellent communication and interpersonal skills, with the ability to train and support staff effectively. </li><li>Proficiency in using electronic health records (EHR) and learning management systems. </li><li>Commitment to professional development and staying current with industry best practices. </li><li>American Heart Association Instructor, BLS or above. </li></ul>

Medical Compliance Analyst

POSITION SUMMARY: The Clinical Compliance Analyst supports the mission and vision of Isaiah House by ensuring compliance with licensing, accreditation, certification, and other applicable requirements. QUALIFICATIONS: Bachelor's degree required, preferred to be in healthcare administration, social work, or some other human services degree. Healthcare compliance, substance abuse rehabilitation, or clinical therapist experience preferred but not required. SKILL SETS: Flexible / Able to Coach / Organized / Detail Oriented / Inspiring / Approachable / Predictable / Passionate / Data Driven / Assertive Problem Solver / Servant Leader / Fast Learner PHYSICAL AND ENVIRONMENTAL DEMANDS: Visual acuity necessary for updating files and completing documents. Requires frequent stooping, kneeling, and crouching to file records. Hearing and talking necessary to answer phone and talk with employees and other individuals. Manual dexterity is required to perform computer functions. JOB SPECIFIC FUNCTIONS: 1. Fills out applications and reporting documents for licensing, accreditation, certification, and other governing bodies 2. Functions as the expert on AODE, BHSO, CARF, ASAM Level of Care, NARR, and other regulations or requirements 3. Creates, edits, and reviews policies affecting and governing clinical, medical, and treatment aspects of the company 4. Works closely with Clinical and Medical department leadership 5. Oversees and facilitates the client grievance process 6. Monitors and audits the Clinical and Medical departments and programs for compliance with policies, laws, and applicable standards 7. Works with HR to ensure clinical personnel record compliance 8. Assists with employee trainings as appropriate 9. Participates in quality improvement initiatives Requirements MANDATORY REQUIREMENTS: <ol><li>Adheres to Isaiah House policies and procedures.</li><li>Attends mandatory in-services and other training/educational programs as required.</li><li>Performs job duties as dictated by supervisor</li></ol> KEY PERFORMANCE INDICATORS (KPIs): • Weekly Regular 1-1 meetings with manager Address, investigate, and record grievances • Monthly Send out licensure applications the beginning of each month Meet with Utilization Review Committee biweekly to discuss policy/compliance issues Check that clinical staff have been apprised of all policy changes made that month • Yearly Complete review of all clinical polices

2 Jobs in Harrodsburg, KY 40330, USA