Manager - Clinical Integrity and Compliance

2 days ago

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LifeStance Health

WebsiteLinkedInAll Job Openings

Healthcare • Psychiatry • Psychology • Outpatient • Therapy

5001 - 10000

💰 Private Equity Round on 2017-01

Description

• The Manager of Clinical Integrity and Compliance supports the Executive Clinical Director to ensure clinical compliance to all applicable laws, regulations, policies, procedures, and ethical standards • The Manager provides support, consultation and training to other teams and clinicians related to clinical compliance issues • Manage daily Compliance Desk inquiries related to clinical integrity & compliance • Assist and support Executive Clinical Director, CIC in developing, implementing, and managing new and existing workflows to support clinical integrity and compliance operations • Provide support on compliance related issues, including documentation standards and ethical considerations • Conduct discovery and provide recommendations for clinical compliance issues related to state/federal rules & regulations including state-specific scope of practice & prescriptive authority for all clinician types • Conduct discovery and cross team collaboration for critical incidents and quality of care investigations and provide formal conclusions • Provide support for internal departments and external agencies, responding to board inquiries, payor audit requests, regulatory inspections or interviews • Collaborate and support Legal/Compliance team and clinicians during board complaint investigations • Assist in identifying, developing and managing clinical policies, procedures and guidelines to meet accreditation standards (e.g. URAC, Joint Commission, NCQA etc.) • Assist in developing and delivering education and trainings regarding clinical compliance concerns • Participate in committees related to clinical compliance as assigned • Provide support of APP supervisory program (*Medical services) • Provider support of therapy supervision protocol (*Therapy services)

Requirements

• Master’s or Doctoral degree in Psychology, Social Work, Counseling, Nursing or related field • 2+ years of clinical practice experience • 2+ years of experience in development and implementation of clinical integrity and regulatory policies and procedures • 2+ years of experience in clinical supervision and training of providers in their discipline (LCSWs/LPCs/LMFT, APPs) is preferred • Prior experience in regulatory compliance program at a healthcare delivery and/or payor organization is preferred • Qualified candidates must be legally authorized to be employed in the United States • Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture

Benefits

• medical • dental • vision • AD&D • short and long-term disability • life insurance • 401k retirement savings with employer match • paid parental leave • paid time off • holiday pay • Employee Assistance Program