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1 weeks ago

Hospital Compliance & Security Officer – San Antonio


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Job Description

I. COMPANY BACKGROUND:

Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas. Our care delivery network includes United Surgical Partners International, the largest ambulatory platform in the country, which operates ambulatory surgery centers and surgical hospitals. We also operate a national portfolio of acute care and specialty hospitals, other outpatient facilities, a network of leading employed physicians, and a global business center in Manila, Philippines. Our Conifer Health Solutions subsidiary provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers, and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve. For more information, please visit www.tenethealth.com.

II. MARKET SUMMARY:

Baptist Health System, San Antonio, Texas

Westover Hills Baptist Hospital

Westover Hills Baptist Hospital will have 100 beds and occupy 72 acres of land located at Wiseman and Highway 1604 in San Antonio. The campus, opening in July 2024, will include medical office buildings, an ambulatory surgical center, and an acute care hospital, with the potential for additional medical and retail entities in future development phases.

St. Luke’s Baptist Hospital

St. Luke’s Baptist Hospital has 287 licensed beds and key service lines include Cancer Care, Cardiovascular Care, Digestive Disorders, Emergency, Imaging Services, Neurology, Orthopedics, Pediatric Care, Rehabilitation Services, Spine Care, Stroke & Neurosurgery, Surgical Services, Vascular, and Women's Health. St. Luke’s Baptist Hospital has been providing the San Antonio community with quality, compassionate care since 1978. Located in the South Texas Medical Center, St. Luke's experts offer trusted care in a warm environment that is always focused around the patient and their family. From our beautiful women’s center with private rooms to our attentive rehabilitation specialists, St. Luke's was built with your personalized needs in mind. That's Baptist Care.

At St. Luke’s Baptist Hospital, you will benefit from:

  • A hospital that’s part of the Brain & Stroke Network, meaning faster, quality stroke care and improved brain outcomes. St. Luke’s was the first Comprehensive Stroke Center in the city, meaning we have the highest level of stroke certification and staff that can treat all types of stroke 24/7.
  • The Joint Club, where we provide expert full orthopedic care for all of your bones and joints. We offer an intensive pre- and postoperative teaching, therapy and support groups for our joint replacement patients.
  • Labor and delivery services with exceptional comfort and care. We provide private labor, delivery, and recovery rooms, complete with innovative technology and techniques.
  • Comprehensive surgical program including a robust robotics program providing minimally invasive surgical options to patients across multiple specialties.

Awards and Recognitions include the following

  • The Joint Commission Accreditation
  • Accredited Chest Pain Center – Society of Cardiovascular Patient Care
  • Get With The GuidelinesStroke Gold Plus Award – American Heart Association
  • Target: Stroke Honor Roll – American Heart Association
  • Primary Stroke Center Advanced Certification – The Joint Commission
  • Comprehensive Stroke Certification- DMV
  • Level IV Trauma designated- TDHS
  • Level IV Maternal designated-TDHS
  • Level IV NICU designated- TDHS
  • Letter “A” Leap Frog certified facility
  • Centers for Medicare/Medicaid Services certified
  • Medicare Value-Based Care Center for orthopedics
  • Ethics in Business Award – Ecumenical Council of San Antonio
  • LEED® Gold Certification – U.S. Green Building Council
  • Center of Excellence for AAA from The Joint Commission

Our people make the difference in delivering quality, compassionate health care. From admitting to recovery room and everywhere in-between, our highly trained, professional staff has one goal in mind: your well-being.It’s the people we care for and the dedicated people who make that care possible. That’s Baptist Care.http://www.baptisthealthsystem.com/baptist-locations/st-luke's-baptist-hospital
III. POSITION SUMMARY:

The Hospital Compliance Officer (HCO) has responsibility for managing the implementation of Tenet’s Ethics and Compliance Program for his/her assigned 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 Texas Group.

IV. FUNCTIONAL EXPECTATIONS & REQUIREMENTS:

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 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.

V. CANDIDATE EXPERIENCE, ATTRIBUTES AND EDUCATION REQUIREMENTS:

Required experience includes:

  • Strong preference for at least three years’ experience in healthcare compliance, 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.
Education/Certifications

A Bachelor’s degree is required and a Master’s degree or higher is highly preferred

Compensation

A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and a comprehensive, well-rounded benefits program, which includes relocation assistance.

Travel

Minimal travel requirements.

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 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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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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