Hospital Compliance Officer - Valley Baptist Market

Description

Valley Baptist Health System, consisting of Valley Baptist Medical Center-Brownsville and Valley Baptist Medical Center-Harlingen, has been fortunate to serve the Rio Grande Valley for more than 90 years. During this time, the health of our communities has always led the way, guiding us to offer the right services, at the right time, and in the right place: right here at home.

Valley Baptist Medical Center-Brownsville is a 243-bed hospital. From routine visits to life-threatening emergencies, Valley Baptist Medical Center is ready to serve you. We want to provide you with the best service and care possible in a faith-based environment, and wish you a speedy recovery and an early return to your home, family and friends. Your care and recovery are our primary concern.

In 1913 in Brownsville, Miss Nora Kelly opened the Charity Home on Madison Street to serve the homeless. Two years later, the Mexican Revolution brought about the need for a place that could provide medical care. People were fleeing north across the border into Brownsville, some needing treatment for wartime injuries, while others were suffering from diseases such as yellow fever and diphtheria. Ms. Kelly received a donation of $14,000 from the Stillman Family — one of the founding families of Brownsville — to address this problem. In 1917, Divine Providence Hospital opened with the Sisters of Mercy at the helm. This facility quickly proved to be too small for a growing Brownsville. Thanks to a donation of land from James Stillman, and the generosity of other Brownsville residents, Mercy Hospital opened in July 1923.

That same year, 25 miles away in Harlingen, another hospital was being formed by a group of dedicated citizens who saw the need for a modern medical facility. These residents, including Dr. N. A. Davidson, Dr. G.W. Letzerick, S. G. Stringer, and Judge Fred Bennett, set out to build on a foundation that had been laid by Harlingen’s original 10-bed hospital on "F" Street, between Harrison and Tyler streets, in a converted frame house owned by Mrs. Ida Gilbert. Harlingen’s new 36-bed hospital was also built on "F" Street, a few blocks away from the original facility. Valley Baptist Hospital, owned by the Lower Rio Grande Valley Baptist Association, opened as a not-for-profit community hospital on January 22, 1925.

Over the years, both hospitals experienced rapid growth and changes in ownership. In Harlingen, the Baptist General Convention of Texas acquired the hospital in 1945. In Brownsville, the hospital was operated by the Sisters of Mercy and known as Mercy Hospital or “La Merced” for 50 years until 1973, when it came under corporate ownership and became Brownsville Medical Center. In 2004, the Brownsville hospital was purchased by Valley Baptist Health System and its name changed to Valley Baptist Medical Center, Brownsville.

In 2011, Valley Baptist entered into a joint venture with Vanguard Health Systems, bringing the resources and expertise of a respected national health care company to Valley Baptist-Harlingen and Valley Baptist-Brownsville. Then, on Oct. 1, 2013, Vanguard Health System and all its markets became part of Tenet Healthcare Corporation.

In Brownsville, a new wing and major renovations were added in 1952, resulting in an emergency room, a pediatric unit, a new laboratory and an operating room. In 1963, 52 more beds, a labor and delivery area, surgical suites and a radiology department were added. In 1983, part of the original 1923 building in Brownsville was demolished and replaced with the current three-story patient tower.

Also in Brownsville, in 1999, the third floor of a Women’s Center and Emergency Department three-story tower opened. This addition included 10 Labor/Delivery/Recovery Suites, four Women’s Surgery Suites, observation areas, and an expanded 34-bed neonatal intensive care nursery. In 2003 and 2004, the Radiology Department was expanded, and in the last decade, the Edelstein Professional Building opened on the Brownsville campus, housing additional physician offices. Valley Baptist-Brownsville now has 243 beds at its main campus at Central Blvd. and West Jefferson, making it the largest hospital in Brownsville.

In 2007, Valley Baptist-Brownsville expanded beyond its main hospital campus by opening a separate campus in East Brownsville, which includes Brownsville's first inpatient behavioral health facility (with 37 additional beds), and an outpatient mental health program for senior adults. Expansion continued into North Brownsville in 2008, with the opening of an ambulatory surgery center at the North Brownsville Medical Plaza off Expressway 77. This was followed in 2009 by the opening of an imaging center, featuring an open MRI, at the North Brownsville Medical Plaza.

In 2012, both Valley Baptist-Harlingen and Valley Baptist-Brownsville opened new state-of-the-art Cardiac Catheterization Laboratories, to serve Valley patients who need heart catheterization procedures, peripheral (leg) angiograms, and implantable pacemakers. The new cath labs offer state-of-the-art digital imaging, allowing physicians to view angiograms with amazing detail and precision. Valley Baptist has long been the site for ground-breaking heart procedures, with the Valley’s first open heart surgery and cardiac catheterizations being performed at Valley Baptist in Harlingen in 1977.

In 2011, Valley Baptist-Brownsville completed construction to new surgery suites which are benefitting patients needing a wide variety of surgeries, including laparoscopic and other minimally-invasive surgeries. Then in 2012 both Valley Baptist-Harlingen and Valley Baptist-Brownsville added new state-of-the-art robots (Valley Baptist-Harlingen had become the first hospital in the Valley to offer robotic surgery with credentialed staff on site, in 2008). The more precise surgery with Valley Baptist’s da Vinci^®‘Si’ roboticsystem means smaller incisions, less pain, and faster recoveries for patients in many cases.

Looking to the future together, Valley Baptist-Harlingen and Valley Baptist-Brownsville remain committed to continuing a “Tradition of Excellence” and to serving our communities with the latest advances in medicine and state-of-the-art high-tech equipment, capably handled through the caring, human touch of our dedicated doctors, nurses and staff.

http://www.valleybaptist.net/

The Hospital Compliance Officer (HCO) has responsibility for managing the implementation of Tenet’s Ethics and Compliance Program for his/her assigned facilities. This position’s primary duty location may be at any of the above 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 California Group Reporting to the Hospital Compliance Officer may be other functions such as support staff.

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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.

  

Qualifications

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 

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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