Interim Hospital Compliance Officer

  • Salinas, California
  • Jan 01, 2022
Full Time Public Health Regulatory and Licensing
  • Salary: $10,798.67 - $14,740.27 Monthly USD

Job Description

Position Description


Hospital Compliance Officer

The County of Monterey
Monterey County encompasses some of California's most stunning scenery and offers an ideal year-round Mediterranean climate. Miles of beautiful beaches, spectacular mountain ranges, groves of redwoods, low-rolling foothills, and scenic valleys are characteristics that contribute to the quality of life enjoyed by over 446,000 residents and the numerous tourists who visit the area year-round. Monterey County boasts world-renowned attractions such as the spectacular Big Sur Coast, Monterey Bay Aquarium, Cannery Row and the Steinbeck Center. It's also home to Laguna Seca Raceway and many world-famous golf courses including Pebble Beach, Spanish Bay, and Poppy Hills.

The County hosts annual events including the Monterey Jazz Festival, IndyCar Grand Prix of Monterey, Sea Otter Classic, Concourse D'Elegance, and the California Rodeo.

Encompassing a total land area of 3,324 square miles, Monterey is the 16th largest of California's 58 counties and has an economy largely based on agriculture and tourism. The Salinas Valley, known as the “salad bowl of the nation”, is abundant with lush produce fields and thriving vineyards. There are several major educational institutions including California State University, Monterey Bay, Middlebury Institute of International Studies at Monterey, the Defense Language Institute (DLI) and Presidio of Monterey, Naval Postgraduate School (NPS), Monterey Peninsula College, and Hartnell College in Salinas.

Natividad Hospital
Natividad is a 172-bed acute care hospital owned and operated by Monterey County. Natividad is both the public-safety-net hospital, providing health care to the residents of Monterey County for over 132 years, and the choice for high quality care for all. The hospital operates with a medical staff of over 380 physicians and has several specialty clinics and outpatient primary care clinics operated by the Monterey County Health Department.
Natividad is a Level II Trauma Center providing the immediate availability of specialized personnel, equipment, and services to treat the most severe and critical injuries.
Natividad is fully accredited by The Joint Commission and is governed by the Monterey County Board of Supervisors, under the guidance of a Board of Trustees.
The mission of Natividad is to continually monitor and improve the health of the people, including the vulnerable, in Monterey County through coordinated, affordable, high- quality health care.

The Position
Natividad is a teaching hospital providing both inpatient and outpatient care to meet the needs of general and indigent community populace. The Hospital Compliance Officer plans, organizes, directs, and coordinates various functions, operations and activities pertaining to compliance at Natividad. This position also develops, coordinates and administers systematic compliance programs and also develops and administers goals, objectives, policies, and procedures. In addition, this position participates in hospital-wide strategic development and planning processes and performs other duties as assigned.
Examples of Duties
Compliance Program Management
Plans, organizes, directs, and coordinates departmental compliance program activities to help ensure that hospital practices, policies and procedures comply with County, State and Federal law as well as hospital standards and ethics; identifies and establishes NMC's departmental standards to which employees will be held and the types of conduct which the compliance program is designed to eliminate; develops systems and methods for program implementation and evaluation; develops, implements, and audits program processes.Develops, initiates, maintains, and revises policies and procedures for the general operation of the hospital compliance program and its related activities to prevent illegal, unethical or improper conduct; manages the day-to-day operations of the program; identifies the necessary participants in the compliance plan development and administration process; estimates resources necessary to accomplish the implementation of the program.Monitors the legal compliance of hospital policies and procedures and recommends corrective actions as appropriate; investigates and resolves compliance violations and complaints; identifies policy and compliance issues and proposes solutions; coordinates the communication of compliance standards to all hospital employees; works with hospital department managers as appropriate to develop an effective compliance training program, including appropriate introductory training for new employees and ongoing training for all employees and managers.Directs the preparation of special and recurring departmental reports and analytical studies on complex compliance-related issues; monitors and conducts periodic audits and activities at greatest risk to ensure proper compliance.Provides ongoing support, coaching and advice to hospital executive and management staff regarding compliance matters; works collaboratively with hospital management and staff to design systems and processes to assist them in addressing and preventing potential compliance issues.Acts as an independent reviewer to ensure that departmental compliance issues/concerns within the hospital are being appropriately evaluated, investigated, and resolved; develops/implements corrective action plans for resolution of problematic issues.
General Duties

Stays abreast of legislation, trends, and issues pertaining to assigned areas; reviews court decisions, proposed legislation, and new program/policy; confers with County Risk Manager and legal Counsel regarding impacts of legislation and court decisions; recommends and implements hospital strategies.Ensures that all assigned functions comply with The Joint Commission standards as well as the requirements of other regulatory agencies.Responds to concerns and/or complaints from patients, the public, medical staff, and/or other hospital managers pertaining to assigned areas in order to maintain positive customer relations; researches and investigates issues; prepares written or oral responses as needed.Participates in organizational strategic planning activities; serves on committees and task forces to address specific issues and/or represent the department as assigned; attends meetings and conferences as assigned; participates on task forces and committees as assigned.Prepares and administers assigned budgets; monitors, evaluates, and approves operational expenditures within limits of authority; performs cost/benefit analyses as appropriate; plans and estimates future costs including capital expenditures as appropriate; justifies requests for new equipment and/or personnel.Conducts meetings and gives presentations; conducts special studies and projects as assigned; researches and analyzes information; prepares statistical and narrative reports and documents as needed; and performs other duties as assigned.
Examples of Experience/Education/Training
Experience: Five years of increasingly responsible professional or analytical experience in a health care institution that included responsibility for administering and monitoring compliance activities, including at least one year in an acute care hospital setting. Experience should clearly demonstrate skill in administering healthcare compliance program functions and activities.

Education/Training: Completion of course work from an accredited college or university leading to a bachelor's degree in health care administration, business administration, public administration, finance, health science, or a closely related field.

Certification: Professional certification as a Certified Healthcare Compliance Professional (CHCP) from the American Institute of Healthcare Management is highly desirable.

A combination of experience, education, and/or training which substantially demonstrates the following knowledge, skills and abilities is required:

Thorough knowledge of: Local, State and Federal laws, rules, regulations, and ordinances pertaining to acute care hospital operations; the Joint Commission requirements and standards for acute care hospitals; principles, practices, and techniques of compliance management, including program planning, fiscal/financial analysis, basic accounting, claims administration, liability/loss prevention and program implementation, administration and evaluation; effective research techniques utilized in the analysis of risk and organizational compliance; best practices in developing and administering compliance programs; the principles and practices of accident prevention, including knowledge of basic State and Federal occupational safety requirements; insurance company policies and procedures regarding claims, indemnification provisions, insurance pooling, reserves and actuarial studies; principles, practices, and techniques of policy development; report writing and basic statistics; principles and practices of business administration, including planning and organizing work, fiscal management, administrative problem solving, strategic planning and goal setting, and the implementation of effective solutions; and methods of quality control and quality improvement in a health care setting.

Working knowledge of: The principles and practices of project management, including planning, organizing, coordinating, scheduling, and oversight of project progress; computer-based business applications, including those commonly used for word processing, database management, spreadsheets, e-mail communications, and Internet access; and standard billing, reimbursement and insurance practices common to the health care industry, including those pertaining to Medi-Cal and Medicare. Working knowledge of the organization and functions of County Government is highly desirable.
Additional Information


The benefits package includes:
  • Health Insurance: Flexible Benefits Allowance
  • Life Insurance: The County provides coverage of $50,000 Term Life
  • Disability Insurance: County paid Short & Long Term plan
  • Health Flexible Spending Accounts: Flexible Spending Account (FSA) & Dependent Care Assistance Program (DCAP) plans are available
  • Paid Leave: Accrues each pay period to a maximum of 23 days per year. The rate increases after 2, 6, 10, 15, 18, 20 and 25 years of service
  • Professional Leave: 10 days per year non-accruable
  • Retirement Plan: 7% PERS retirement employer contributions paid by the County; Employee contributions are required to be paid by the employee based on their member status (Classic 7%; PEPRA 6.25%)
  • Monthly Expense Allowance: $45.84
  • Professional Development Stipend: $400 per calendar year
  • Social Security/Medicare: The County participates in these programs
  • Educational Stipend: 2% of hourly base rate
  • Deferred Compensation: The County has a voluntary deferred compensation program
  • Annual Physical Exam: Full-time unit employees may receive a physical examination once a year at Natividad

Equal Opportunity
Monterey County is a drug-free workplace and an equal opportunity employer. The County seeks a candidate who can make contributions in an environment of cultural and ethnic diversity. Monterey County provides reasonable accommodations for the disabled. If you require special arrangements to participate in the selection process, please contact Stacey Scherer, Senior Human Resources Analyst, at or 831.783.2711.

Application Process
To apply for this exciting opportunity, submit a complete resume and cover letter by Monday, October 25, 2021 by e-mail to or by mail to Natividad Human Resources Department, attention: Stacey Scherer, 1441 Constitution Blvd., Building 300, 1st Floor, Salinas, CA 9390.

Contact Stacey Scherer, Senior Human Resources Analyst, at 831.783.2711 for additional information.

First review of resumes: Monday, October 25, 2021


Job Address

Salinas, California United States View Map