Compliance Specialist
Covenant Case Management Services · Boone, North Carolina, US
The Compliance Specialist at Covenant Case Management Services is responsible for overseeing regulatory compliance, quality assurance, documentation integrit...
Job description
The Compliance Specialist at Covenant Case Management Services is responsible for overseeing regulatory compliance, quality assurance, documentation integrity, and internal systems in alignment with NC Medicaid, DHHS, MCO requirements, HIPAA, CARF standards, and internal policies. This role works collaboratively with leadership, intake, quality management, human resources, and clinical staff to ensure ongoing compliance, accurate data tracking, and continuous quality improvement across services. Key Responsibilities: Compliance & Documentation: - Maintain and update organizational forms to ensure current and compliant versions are in use. - Sign Individual Support Plans in accordance with regulatory and organizational requirements. - Ensure NCTracks provider information is accurate and updated as required. - Monitor incident reporting training and compliance for new employees. - Supervise the Medical Records Coordinator to ensure compliance, organization, and readiness for audits or reviews. Policy Development & Quality Management: - Collaborate with CQO and leadership on the creation, revision, and maintenance of organizational policies, procedures, and program handbooks. - Partic...