Mount Carmel Health System

About Mount Carmel Health System

 

Job Category:

Leadership, Quality, Risk Management and Compliance

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Director of Compliance ─ Mount Carmel College of Nursing

Mount Carmel Health System - Columbus, Ohio

Posted: 12/12/2018

Department:

OH1CN_86000_000 College of Nursing

Expected Weekly Hours:

40

Shift:

Day Shift

Position Purpose:

At Mount Carmel, we provide our colleagues with the support and learning opportunities they need to truly grow and thrive. This commitment to professional excellence is just one way in which we’re empowered to make a meaningful difference in the lives of our patients and communities.

For over 100 years Mount Carmel College of Nursing has been committed to lifelong learning in the science of professional nursing. Today our commitment to learning has never been stronger, and has made us the largest private BSN program in Ohio. We’re also committed to faculty experiences and providing our educators the most innovative learning environment possible. The personal passion of our faculty to do what’s right will positively impact patient outcomes for years to come.

Job Description Details:

Reporting to the President, the Director of Compliance oversees the institutional compliance program, functioning as an objective body that reviews and evaluates policy, contracts, and ethical issues/concerns for the organization. As a member of the President’s Cabinet, the

Director ensures that faculty, staff, and students comply with rules and requirements of regulatory agencies and with College policies and procedures. The Director also ensures that the organization meets expected standards of conduct, and preventing and managing enterprise

Risk to the College. The Director serves as the College:

  • Title IX and Affirmative Action Plan Coordinator
  • Equal Opportunity and Ethics Officer
  • Open Records and Privacy Officer
  • Contract and Policy Coordinator
  • Clery Act Coordinator

Responsibilities

  • Initiates, develops, maintains, and revises compliance policies and procedures.
  • Develops and delivers compliance (Title IX, Clery Act, etc.) training programs.
  • Reviews and makes recommendations for changes to all College contracts, in compliance with federal and state government, Mount Carmel Health/Trinity Health Systems requirements.
  • Assists faculty, staff, and students with analysis and interpretation of College, state, and federal laws and regulations, and relying on the Mount Carmel Health System (MCHS) attorneys for the dispensing of legal advice.
  • Investigates and issues reports and recommendations concerning allegations of illegal, unethical, discriminatory, or improper conduct to include sexual harassment/abuse.
  • Collaborates with other departments (e.g., Environmental Health and Safety, Internal
  • Audit, Human Resources) to direct compliance issues to appropriate existing channels for investigation and resolution, and to assist as needed.
  • Consults with the MCHS attorneys, as needed, to resolve difficult legal compliance issues, including but not limited to concerns regarding open records and FERPA requests, questions related to employee and institutional privacy matters, and legal and regulatory interpretation.
  • Serves as the College Title IX Coordinator, performing case intake activities/interviews, providing oversight of investigations, coordinating hearing panels, and issuing update and resolution correspondence to involved parties.
  • Serves as the Clery Coordinator, completing required annual reporting and publication of the Annual Security Report, works with PR/Marketing and College Administration on issuance of timely warnings and emergency notifications.
  • In partnership with the Human Resources, the American Disabilities Act (ADA) Coordinator, Academic Dean, and the Director of Student Life, handles and resolves issues related to equal access and student accommodations.
  • Manages compliance reporting web portals and engages appropriate colleagues to ensure reported concerns are promptly investigated and resolved.
  • Monitors, and as necessary, coordinates compliance activities to remain current about all compliance activities and to identify new trends.
  • Develops/implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
  • Assists with cross-departmental risk assessment activities to identify, track and report to leadership potential areas of compliance vulnerability and risk.
  • Serves as staff liaison to the Board of Trustees Enterprise Risk Committee (ERC). Oversees the development and updating of the affirmative action plan, in collaboration with the Director of Enrollment Management, the Coordinators of Diversity and Inclusion, and Human Resources.
  • Provides reports on a regular basis, and as directed or requested, to keep College leadership and the Board ERC informed of the operation and progress of compliance efforts.

Requirements/Qualifications

  • Education: Bachelor’s degree required; Juris Doctor and membership in State of Ohio Bar preferred.
  • Experience: Minimum of 3 years’ experience in a work setting with operational, risk,
  • Financial, quality assurance, legal, and/or human resource procedures and regulations required; experience in a higher education setting preferred.
  • Effective communication and leadership skills.
  • Self-starter, detail-oriented, able to manage multiple tasks and projects.
  • High ethical standards, moral character, strong work ethic, outstanding interpersonal skills.
  • Demonstrated ability to work collaboratively to educate, implement, change, and evaluate the effectiveness of compliance related efforts.

Discovering opportunities, support and excellence – all while making a real difference in patients’ lives – begins at Mount Carmel. Find a new beginning and advance your career with us.

Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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