Description

SUMMARY

Plans and manages regulatory compliance for ElderONE Program of All Inclusive Care for the Elderly (PACE) and Managed Long Term Care (MLTC) programs. Ensures ElderONE meets or exceeds all regulatory and accreditation requirements. Works in collaboration with the ElderONE leadership team to plan, develop, implement, monitor and measure effective programs and processes that assist ElderONE in achieving its goals and objectives and that adhere to local, state and federal clinical and non- clinical compliance regulations. Monitors and is actively involved with understanding regulatory activity at the state and federal level; informs ElderONE leadership about the interpretation of new regulations and plans for and manages the implementation of changes as needed.

STATUS: Full Time

LOCATION: ElderONE

DEPARTMENT: Regulatory Compliance

SCHEDULE: Weekdays

ATTRIBUTES

• Bachelors degree required, Masters preferred
• Minimum three years prior experience working in compliance, regulatory affairs or quality/performance improvement.
• Experience with Medicare and Medicaid programs

RESPONSIBILITIES

• Ensures the program complies with all applicable Federal and New York State laws, PACE, Licensed Home Care Services Agencies (LHCSA) and NYSDOH regulations.
• Develops and executes compliance communication tools and training and monitoring programs to ensure ElderONE is Survey Ready Every Day.
• Assists ElderONE in resolution of deficiencies by providing strategies that successfully meet the intent of the standard.
• Maintains current knowledge of accreditation and licensure requirements under the PACE, MLTC, LHCSA programs
• Works with National PACE Association (NPA), various groups/coalitions (e.g. MLTC/PACE Coalition) and reviews applicable 'list serves' to understand legislation and lobbing activities, which may impact decisions on how to maintain compliance, as well as how new PACE programs are added

EDUCATION:

• BS (Required)

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $58,000.00 - $89,000.00

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

Minimum Salary: 58000.00 Maximum Salary: 89000.00 Salary Unit: Yearly