This position provides guidance and recommendations on clinical care compliance. The position will consult with and provide advice to internal clients in the development of compliance policies, procedures and workflows in support of National and MAS clinical initiatives. This position works in collaboration with regional functions, with the National Compliance Office, and in partnership with MAPMG compliance to provide analysis of issues and risks, and to conduct compliance investigations.
Works with Compliance leadership to communicate with regional leaders and managers regarding oversight activities across regional work teams and processes. Supports interdepartmental communication and coordination of Compliance issues and activities. Serves as liaison between the regional compliance office and the health care delivery system committees which address compliance issues.
Conducts, oversee and/or participates in clinical area risk assessments and audits within the region to measure compliance with state, and federal laws and accreditation requirements. Is responsible for project tracking, analysis, and identification of deficiencies necessary to correct in order to achieve compliance with standards. Partners with AR&L team in Quality to support clinical accreditation and licensure of facilities and depts.
Conducts investigations which relate to clinical compliance concerns, in partnership with other compliance and human resources staff, and may be required to support other regional compliance investigations on an ad hoc basis.
Assists and partners with appropriate Regional departments/functions and individuals to maintain clinical protocols, policies and procedures compliant with the relevant state federal, accrediting and KP regional and national policy requirements.
Works with Compliance leadership to monitor and evaluate regional clinical departments'/functions' compliance with law, standards, policies and procedures, working closely with Legal and Operational areas.
Creates, implements and maintains materials related to compliance awareness infrastructure including communications, web presence and training course.