Bay Cove Human Services' mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program sites throughout Greater Boston and Southeastern Massachusetts.


Bay Cove Human Services is committed to ensuring the representation and participation of candidates from diverse backgrounds and experiences. We encourage all qualified individuals, particularly those from historically marginalized groups, to apply.



Job Summary: This is a full-time position. Bay Cove is looking to hire a professional to manage compliance, risk management and quality evaluations across Bay Cove's 200+ sites and programs. In this role, you would be responsible for evaluating our sites for any compliance, risk, or quality of care concerns that may be present at the program and organizational level and creating plans to help implement changes that either mitigate, resolve or address those concerns. This role shall work closely with the Director of Risk Management and Quality Improvement and interface with a diverse group of staff and clients. A successful candidate should have a passion for Human Services and a broad knowledge of the standards and regulations that govern behavioral healthcare organizations, which provide services related to: Mental Health Community Services; Developmental Services; Addictions Services; and, Homelessness and Housing Services. This role requires applicants to have a vehicle and be willing to travel all around the Greater Boston Area, Southern Massachusetts and the Cape.


This is a non-exempt position.



Job Responsibilities:

• Conduct site visits at Bay Cove's 200+ Sites/Programs across Greater Boston and Southern Massachusetts to:


• Ensure compliance with internal policies and external regulations (e.g. HIPAA, OSHA, CMS);


• Assist in implementing risk management and compliance initiatives that occur at the site level.


• Evaluate operational, property and administrative risks at a program and site level;


• Develop materials and perform trainings to educate staff on compliance requirements, risk identification, and mitigation strategies;


• Identify and respond to potential quality of care or quality of service concerns and opportunities for improvement;


• Collaborate with leadership to develop corrective action plans or strategic plans to address, mitigate and resolve any perceived risks, compliance violations or quality of care issues;


• Create reports and maintain a database to track site visits, potential risks, and open risk improvement recommendations/opportunities;


• Analyze data to detect trends in risk factors and compliance issues.


• Individuals in this role may also be asked to participate in compliance investigations and root cause analysis investigations (i.e. interviewing staff and clients regarding suspected or reported compliance violations).


• Other duties as assigned by

• Bachelor's or Master's Degree in a related field such as:
  
  
  • Healthcare Administration; Nursing (BSN/MSN); Public Health; Health Information Management; Risk Management; Law (J.D.)
  
  
  • Relevant experience may be considered in lieu of a degree.
  
  
  
  


• Certifications such as:
  
  
  • Certified Professional In Healthcare Risk Management (CPHRM); Certified in Healthcare Compliance (CHC); Certified Professional in Healthcare Quality (CPHQ);
  
  
  
  


• 3+ years of experience in a clinical or administrative healthcare setting;
  
  
  • Experience in clinical quality improvement, patient safety, or regulatory compliance is a plus.
  
  
  
  


• Experience conducting risk assessments, audits or site inspections for healthcare organizations;


• Deep knowledge of relevant regulations that cover behavioral healthcare organizations with multiple service areas (i.e. Homelessness and Housing, Addiction Services, Mental Health Community Services, Developmental Services).


• Ability to manage assessments, recommendations and projects at multiple sites and coordinate with a diverse team of staff and clients.


• A working vehicle;


• Willingness to have a high percentage of time spent working on-site;


• Ability to travel extensively across the Greater Boston area and southern Massachusetts to Bay Cove's various locations.