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Hospital Compliance Officer 
Hospitals/Facilities: Atlanta Medical Center and South Campus
Location: Atlanta, GA 

Description

The Hospital Compliance Officer reports directly to a Regional Compliance Director.  The Regional Compliance Director reports directly to Tenet’s Chief Compliance Officer who reports directly to the Quality, Compliance and Ethics Committee of the Tenet Healthcare Corporation Board of Directors.  Reporting to the Hospital Compliance Officer may be other functions such as contract management or other support staff.

Tenet combined Atlanta Medical Center, a 460-bed academic medical center in downtown Atlanta, and South Fulton Medical Center, a 338-bed community hospital located in East Point, Georgia.  The approval process and consolidation transition is expected was completed by the end of 2013.  Once completed, South Fulton Medical Center became Atlanta Medical Center – South Campus.  The option of combining the hospitals (shared services) and merging the licenses provides the best chance to maintain long-term viability for both facilities with a combined bed size of 798 licensed beds.

The Hospital Compliance Officer (HCO) is responsible for managing the implementation of Tenet’s Ethics and Compliance Program for his/her assigned facility(ies). The Hospital Compliance Officer also serves as the Privacy Officer for his or her assigned facility(ies).  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 facility(ies).

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

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

  • 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.

                                  Please apply at executive.search@tenethealth.com

 

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