System Manager of Compliance and Privacy (FT- 1.0 FTE, Day Shift)

Position Summary: 

The System Manager of Compliance is responsible for assisting leaders with planning, directing, organizing, monitoring and staffing the department subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team. Is responsible for implementing and administering programs, policies and practices to support an effective Compliance Program. Acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Performs regular audits, implements policies and designs control systems to support an effective compliance program. Ensures that project/department milestones/goals are met and adheres to approved budgets. Manages subordinate department staff in the day-to-day performance of their jobs and coordinates internal audits conducted by outsourced entities. Reports to the System Director Compliance, Privacy & Ethics.

Minimum Qualifications:

Required

• Bachelor’s Degree in Healthcare or related field or obtain Bachelor’s Degree in healthcare or related field within 24 months of hire
• Minimum of 5 years’ experience in Healthcare or related field
• Minimum of 1 year supervisory experience

Preferred

• One or more of the following certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified in Healthcare Compliance (CHC)
• 5 years’ experience in hospital compliance

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Directs broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and healthcare system requirements.
• Ensures a collaborative departmental approach to operational planning, care/service design and development of organizational policies, which reflect the mission of the organization.
• Coordinates and assists with oversight of departmental services. Continuously assesses, measures and improves departmental performance. Provides direct spiritual care for patients and families consistent with their cultural, spiritual, personal values, preferences, and beliefs.
• Demonstrates responsible management of all departmental resources.
• Demonstrates clinical/technical and managerial competency.
• Leads, teaches, inspires, helps and consistently demonstrates healthcare system behavioral standards.

Knowledge, Skills, and Abilities

• Strong leadership managerial skills; ability to plan, delegate, monitor and improve work performance
• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Strong interpersonal, verbal and written communication skills
• Creativity, problem analysis and decision making
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Standard office equipment and computer applications; MS Office, EMR, internet applications etc.
• Ability to work varied shifts

Schedule Requirements

• This role requires regular and sustained attendance.
• The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
• On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

• Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
• Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
• Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
• Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
• Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
• Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
• Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
• Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
• Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
• Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

*Frequency Key:  Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

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