Hospital Compliance Officer- DMC Children's Hospital of Michigan and DMC Rehabiliation Institute of Michigan

Responsibilities:

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Qualifications

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Description

Michigan Group

DMC Rehabilitation Institute of Michigan (RIM), Detroit, Michigan

Welcome to the Detroit Medical Center’s Rehabilitation Institute of Michigan (RIM). Since 1951, RIM has been helping people rebuild their lives after a serious injury or illness. We do this by delivering comprehensive rehabilitation services based on cutting-edge treatment techniques, innovative research and excellent, personalized medical care.

Our board certified physicians are committed to improving the lives of their patients by providing quality, compassionate medical care and contributing to the science of rehabilitation medicine. At RIM, our physicians and faculty members don’t just practice medicine; they are on the forefront of advancing it. Wayne State University’s Department of Physical Medicine & Rehabilitation, located at RIM, is one of the largest departments in the nation. The faculty consists of physiatrists, psychologists, neuropsychologists, physicians, and other health professionals with advanced rehabilitation training. RIM has been awarded millions in federal and private grants for rehabilitation research focusing on restoring function, improving quality of life and developing innovative therapeutic techniques.

RIM has built a national reputation for its innovative approach to therapy and progressive treatment techniques. RIM is home to the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS) that conducts groundbreaking research in the field of rehabilitation medicine, sharing the resulting innovations with brain injury providers worldwide. Clinical researchers study issues such as medication effects, course of recovery, psychological factors and treatment outcomes. RIM also houses the Center for Spinal Cord Injury Recovery, a world-class facility designed to implement and study the results of innovative treatments to optimize recovery from spinal cord injury.

In addition to RIM’s 69-bed inpatient facility, the Institute also operates more than 30 outpatient sites located throughout southeast Michigan. One of RIM’s largest outpatient facilities is the Brasza Outpatient and Fitness Center, a 26,000 square foot, multi-level fitness center, designed to meet the unique needs and interests of its clients. The Brasza Outpatient Center houses specialty programs not offered at other fitness or physical therapy facilities, including RIM’s sports medicine, orthopedic therapy, return-to-work, oncology and women’s rehab programs.

RIM also holds accreditation from CARF for our specialized programs in:

Inpatient Programs

• Amputation Specialty Program
• Brain Injury Specialty Program
• Spinal Cord Specialty Program
• Stroke Specialty Program

Outpatient Programs

• Brain Injury Specialty Programs
• Spinal Cord Specialty Program

The American Nurses Credentialing Center has rewarded RIM Magnet designation for excellence in nursing. Magnet status is one of the highest distinctions a hospital can receive. It is bestowed only to hospitals that exceed professional standards in nursing practice, leadership, education and research, and can document these accomplishments.

RIM is the only rehabilitation hospital in Michigan and one of only four rehab hospitals in the U.S. to receive the Magnet designation.

Rehabilitation Institute of Michigan’s Cardiac Rehab program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Certification through AACVPR guarantees RIM’s Cardiac Rehab program is providing the highest level of patient care, by implementing research-based practice and ensuring we follow the most up-to-date government-regulated guidelines. https://www.rimrehab.org/about

DMC Children’s Hospital of Michigan, Detroit and Troy, Michigan

Since 1886, the Children's Hospital of Michigan has been dedicated to providing the highest quality of care to children and adolescents in a caring, efficient and family-centered environment. A proud member of the Detroit Medical Center (DMC), the Children's Hospital of Michigan is the first children's hospital in the state. This 228-bed facility has an international reputation in pediatric medicine, surgery and research, training more pediatricians than any other facility in Michigan.
The Children's Hospital of Michigan engages in groundbreaking research that has long shaped the science of pediatric medicine. The hospital is ranked as one of America's best pediatric hospitals by U.S.News & World Report and Parent Magazine. The hospital offers outpatient specialty and rehabilitation centers in Canton, Clinton Township, Dearborn, Detroit, Novi, Southfield and Troy.
The Children's Hospital of Michigan is specifically designed to cater to pediatric patients, from our kid-friendly emergency room, to our inpatient facilities with features created just for children. With playrooms, activity centers, computer labs, a library and classrooms, the facility makes a child's temporary transition from home to hospital easy with remarkable attention to detail.

Children's Hospital of Michigan will improve the health and well-being of all children and their communities by advancing the science and practice of pediatric health care and through advocacy efforts.

The pediatric medical and surgical specialties share common values --- to provide the highest quality of care for children, to inform that care through research innovations, and to ensure that children have access to the care they need.

Through an academic affiliation with Wayne State University and Michigan State University, Children’s Hospital of Michigan is an innovator in education and research.

From appendectomies to transplants, the Children’s Hospital of Michigan is proud to offer the state’s widest range of pediatric surgery options with a multidisciplinary team of health care providers delivering an unparalleled level of pediatric surgical care. https://www.childrensdmc.org/

The Hospital Compliance Officer (HCO) has responsibility for managing the implementation of Tenet’s Ethics and Compliance Program for his/her assigned facilities.

The Hospital Compliance Officer's general duties and responsibilities encompass implementing Tenet's systems, processes and policies designed to ensure compliance with Federal healthcare program requirements at the hospital level. The Hospital Compliance Officer is also responsible for overseeing the implementation of Tenet's Compliance Charter in his or her facilities.

The Hospital Compliance Officer reports directly to the Group Compliance Officer for the Texas Group Reporting to the Hospital Compliance Officer may be other functions such as contract management or other support staff.

Among the specific responsibilities and activities of the HCO are the following:

• Advise Hospital leadership on issues concerning compliance and ethics matters including recommending controls designed to ensure compliance.
• Work collaboratively with Hospital leadership in compliance and ethics program development and implementation.
• Establish effective working relationships and build credibility within the Hospital to support a culture of ethics and compliance.
• Interface directly with Hospital employees and serve as a sounding board for their concerns about ethics and compliance matters.
• Independently investigate or supervise the investigation of compliance and ethics concerns about the Hospital that are raised through Tenet's Ethics Action Line or other reporting mechanisms.
• Oversee the implementation of Tenet's education and training program that focuses on the requirements of Tenet's Compliance Charter and the Tenet's ethics and compliance program to ensure that all directors, employees, contractors and physicians within the Hospital are knowledgeable of Federal healthcare program requirements and the requirements of Tenet's Ethics and Compliance program as required to perform their respective roles.
• Ensure distribution of compliance and ethics policies and procedures and Tenet's Standards of Conduct.
• Coordinate with Tenet's Regional Counsel to facilitate communication between the Compliance and Ethics Department and Law Department on legal compliance matters.
• Identify Hospital risk areas and assist in developing auditing, monitoring and oversight processes related to identified risks.
• Oversee the implementation of corrective actions and monitoring in response to identified issues and audits.
• Develop monitoring systems and processes for compliance and ethics issues at the hospital level.
• Implement policies and procedures that encourage Hospital employees, leadership, contractors and physicians to report suspected fraud or other improprieties without the fear of retaliation.
• Chair the Hospital Compliance Committee, which oversees the implementation of Tenet's Ethics and Compliance program and its Compliance Charter in the facility.
• Prepare monthly compliance reports identifying compliance issues.
• Work collaboratively with Hospital and Corporate personnel to resolve all compliance issues identified.
• Periodically reports on ethics and compliance matters to the Hospital Governing Board.
• Implement Tenet's compliance work plan and initiatives and systems to prevent compliance issues from arising within the Hospital.
• Report to Hospital management on compliance matters on a routine basis.
• Act as a consultative resource on compliance and ethics matters.

CANDIDATE EXPERIENCE, ATTRIBUTES AND EDUCATION REQUIREMENTS:

Required experience includes:

• Strong preference for at least two years’ experience in healthcare compliance matters, preferably for a large, multi-faceted healthcare company.
• The successful candidate will be recognized for demonstrated knowledge in compliance process improvement and the requirements of Federal healthcare programs. Other success factors include past clinical, legal, auditing or other compliance experience.
• Clear, concise and persuasive writing and presentation skills.
• Strong organizational skills and an orientation to deadlines and detail.
• Ability to respond well under pressure.
• Skills in use of information systems, databases, Excel and Microsoft Word.
• Enjoys working as a member of a cohesive team, and is good at doing so.
• Well-developed communications and consensus building skills
• Strong presentation skills.

Professional and Personal Attributes

• An energetic, results-oriented individual, not content with the status quo. A doer more than a talker.
• A leader who will inspire confidence and establish a sense of common direction and vision.
• An individual with high personal and professional integrity. A highly principled and sincere individual.
• Sensitive to the proper concerns of the staff, but able to appropriately balance these concerns with the overall institutional goals.
• Highly articulate with the ability to communicate effectively and credibly in both oral and written context.
• A team player and a good listener who truly values the input of others and their contributions, and positively responds to such input.
• One who accepts delegation and is able to make decisions.
• Coach, mentor, and supporter.
• Diligent about follow-through, thorough and well-prepared.
• Committed to the highest quality of patient care. Innovative and creative.
• Sense of humor. A good sense of humor responds to the flow of conversation in ways that are creative and entertaining, not abusive or offensive. A good sense of humor also means you can see things from different sides, from different angles, and in different ways.

Education/Certifications

A Bachelor’s degree is required and a Master’s degree is preferred.

Compensation

A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance. The performance bonus is based on the performance of Tenet as reflected in its Balanced Scorecard rather than the performance of the Hospital.

Travel

Minimal travel requirements. It is expected that the Hospital Compliance Officer will be active in a healthcare compliance association.

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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