Job Description

Job Description

INTEGRIS Health is seeking a Registered Nurse (RN) Manager for a nursing job in Oklahoma City, Oklahoma.

Job Description & Requirements

• Specialty: Manager
• Discipline: RN
• Duration: Ongoing
• Employment Type: Staff

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INTEGRIS Health, Oklahoma’s largest not-for-profit health system, has a great opportunity for a Director Compliance Revenue and ACO in Oklahoma City, OK. The position facilitates compliance with applicable laws, regulations, standard, organization policies and provides oversight to ensure procedures are being followed, and behavior in the organization meets the INTEGRIS Code of Conduct. This position, together with the Corporate Compliance Officer and department will implement all necessary actions to achieve the objectives of the ACO adheres implements the ACO Compliance Plan.

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If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. 

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• Develop and Implement Compliance Programs : Establish and maintain a program that ensures the ACO complies with all applicable healthcare regulations, laws, and ACO participation agreements.
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• Risk Assessment : Identify and assess areas of compliance risk within the ACO.
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• Education and Training : Develop and conduct education programs for ACO staff regarding compliance issues and the importance of the compliance program.
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• Internal Reporting Systems : Implement and manage a system for internal reporting of compliance issues, which may include an anonymous telephone reporting system.
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• Monitoring and Auditing : Conduct regular compliance reviews and audits to ensure adherence to regulations and the compliance program.
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• Policy Development : Create policies and procedures that support the compliance program and address areas of risk.
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• Collaboration with Management : Work closely with executive management to integrate the compliance program into system operations and address compliance responsibilities effectively.
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• Regulatory : The role requires staying up-to-date with state and federal healthcare legislation and carrying out risk assessments for current facility practices. It’s a position that demands a proactive approach to prevent noncompliance and promote ethical healthcare practices.
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• The INTEGRIS Health Corporate Compliance Officer provides regular updates to the ACO board of directors and the ELT compliance committee assists in the implementation and oversight of the compliance program.
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Will utilize critical thinking skills as a self-starter, problem resolution, analysis, and negotiation and will be instrumental in building a contemporary, forward thinking compliance function across the entire organization.

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INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer.

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• Bachelors degree in business, health-care administration, area of clinical expertise, or other related field.
• Masters degree preferred.
• 7 years experience in the field.
• Healthcare Compliance certification (within 1st year).
• Thorough understanding and versed in healthcare compliance laws and regulations.
• Knowledge of leadership, management, and quality improvement concepts.
• Knowledge of ACO coding and healthcare billing requirements.
• Experienced in multiple facets of a complex health system.
• Demonstrated experience providing leadership and direction in a manner that cultivates respect and influences behavior at all levels of an organization.
• Strong communication skills. Strong critical thinking skills and independent judgment.

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The Director Compliance’s responsibilities include, but are not limited to, the following:

• Deep knowledge of federal program ACO requirements
• Provides guidance and compliance insight for ACO related policies and procedures as it relates to Medicare, Medicaid and other Federal or State regulatory billing compliance and clinical operations.
• Develops, coordinates, and participates in a educational and training programs that focus on the elements of the ACO compliance plan.
• Develops annual audit plan relating to compliance and assists with the development of auditing, monitoring and tracking methods.
• Builds, develops and maintains operations to support strategic direction for areas of responsibility.
• Establishes operations initiatives for improvement in safety, quality, cost, delivery of services, and employee relations.
• Proficiency in communicating complex legal and regulatory information in an understandable way.

Reports to Vice President.

Accountable for Compliance subject matter expertise contractors. 

Integris Job ID #98544. Posted job title: Director Compliance Revenue and ACO

About INTEGRIS Health

As the state’s largest not-for-profit and Oklahoma-owned health care system, with hospitals, specialty clinics, family care practices and centers of excellence, INTEGRIS Health is here for you. But medicine isn’t always about caring for the sick. It’s about doing everything in our power to keep our friends and neighbors and every Oklahoman healthy.\n\nThe future of caring for illness is firmly rooted in wellness. That’s why INTEGRIS Health doctors are here for you every day, with everything from the lifesaving care that can restore your health to wisdom and guidance on staying healthy.\n\nWe believe deeply that if we work together — and we work hard — we can all live fuller, healthier lives, and give future generations the gift of true health and well-being.

Benefits

• Employee assistance programs
• Medical benefits
• Dental benefits
• Vision benefits

Job Tags

Hourly pay, Temporary work, For contractors,

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