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Assistant Vice President, Compliance & Case Management

As a Federal Contractor, SOAR365 requires new hires to show proof of being fully vaccinated against COVID 19 or have an acceptable accommodation before their date of hire per Executive Order 14042.

We are looking for a reliable individual to join our team at SOAR365. This is a great opportunity for a motivated and hardworking person that truly takes pride in their work. If you feel that you are the right one for the job and meet the qualifications, please apply today. We look forward to meeting you!

A little about us:

We are SOAR365! Our programs and services have always been designed for individuals and families who are coping with the daily real-world challenges of living with a disability. To that end, we've continually added more ambitious and thoughtful programs over the past 65 years. And, today our services have a profound impact on more than 1,300 people and their families.

A Day in the Life of:

As a member of our Executive team, you will be responsible for the day-to-day operation of the Compliance & Case Management functions of SOAR365. This includes overseeing a a broad spectrum of mandated administrative functions required by various federal, state, and local laws and regulations including consumer affairs, quality monitoring/audits, external advocacy, incident reporting, risk management, and investigations.

Your people skills will come in handy and will help you to maintain fantastic professional relationships with your fellow team members and those that we serve. You will come to know the great people that make us who we are as a business and who keep our reputation alive. You will be a part of something great here at SOAR365 and you will enjoy what you do and with whom you do it.

Responsibilities and Duties:

  • Responsible for overall Agency compliance with guidelines and requirements of the Department of Behavioral Health and Developmental Services (DBHDS), Department of Medical Assistance Services (DMAS), Centers for Medicare and Medicaid Services (CMS), Health Insurance Portability and Accountability Act (HIPAA), Human Rights and Licensure Regulations, CARF accreditation, Camp America accreditation, and other relevant local, state and federal regulations.
  • Directs the internal audits of client records in all programs for compliance with regulations, billing accuracy, diagnosis, assessments, and timeliness/efficiency of documentation. These audits shall be a representative sampling of Client Records within all programs for:
    • completeness of admission documentation, individual service plans (ISP), quarterly reviews, annual reviews, consent documentation, medical/behavioral documentation, and discharge planning documentation
    • conformity with standardized record-keeping requirements;
    • consistency with billing and reimbursement activity; and
    • conformance with licensure, Medicaid/Medicare, accreditation standards and SOAR365 policies and procedures.
  • Directs investigations into complaints/incidents associated with human rights, licensure, Department of Medical Assistance Services (DMAS), Health Insurance Portability and Accountability Act (HIPAA), and other federal/state regulatory requirements or situations of actual or potential risk and liability to SOAR365.
  • Provides oral and written reports of investigative findings or status reports and recommendations for correction; makes appropriate reports to the Executive Management Team, CEO, Board of Directors, and outside agencies.
  • Functions as the Agency Privacy Officer and educates and advises team on HIPAA requirements. Serves as resident expert on HIPAA compliance and security.
  • Interprets, develops, and implements updates to SOAR365 policies and procedures related to regulatory or payor changes on federal, state and local level.
  • Works directly with Program Directors, Managers, Supervisor, Coordinators and other personnel to provide consultation, education, training, as well as policy and procedural development as needed for specific program areas.
  • Responsible for development, implementation, and review of Compliance/Quality Assurance policies and procedures and quality management systems.

To apply for this position, a completed SOAR365 application is required.

EO/AA Veterans/Disabled and other protected categories

Drug-Free Workplace

Reasonable Accommodations

If you need reasonable accommodation when you apply for a position on our website, please contact us at (804) 358-1874 and ask for human resources.

SOAR365 employees benefit from working for a rehabilitative non-profit agency that specializes in providing employment opportunities for people with disabilities.

Management Jun 6, 2023