Duties and Responsibilities:
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Develop and lead the agency’s compliance and quality improvement strategy, establishing priorities, long-term objectives, and initiatives that proactively address regulatory changes, organizational risks, and evolving operational needs.
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Lead the creation, implementation, and ongoing refinement of compliance policies, procedures, and internal controls to ensure regulatory adherence and clear accountability across departments.
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Oversee the agency’s regulatory compliance framework by monitoring applicable federal, state, and local requirements, identifying emerging risks, and implementing proactive mitigation strategies.
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Evaluate compliance-related workflows, systems, and procedures to improve efficiency, eliminate redundancies, and support consistent execution across clinical and administrative operations.
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Provide strategic oversight of compliance program operations, ensuring robust systems are in place to identify, investigate, escalate, and resolve compliance concerns.
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Direct the preparation and coordination for regulatory audits, accreditation reviews, and external inspections (including OMH and OMIG), overseeing corrective action plans and remediation efforts to ensure timely, sustainable compliance.
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Establish standardized reporting, trend analysis, and performance monitoring mechanisms, using measurable outcomes and stakeholder feedback to advise executive leadership on strategic priorities and drive continuous program refinement.
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Manage the compliance form process and ensure all incoming inquiries and submissions are thoroughly tracked, reviewed, and handled in a timely manner.
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Partner with executive, clinical, and administrative leadership to integrate compliance standards into daily operations, clarify responsibilities, and perform additional leadership duties as assigned.
Qualifications
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Master’s or doctoral degree in mental health counseling, social work, marriage and family therapy, or psychology
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Independent license as a mental health practitioner in New York (LMHC, LCSW, etc.)
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Minimum of 9 years of clinical experience, with at least 3 years in a supervisory or administrative role.
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Strong knowledge of clinical practices, ethical standards, and regulatory requirements.
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Knowledgeable in NYS OMH Outpatient Clinic regulations and NYS Mandated Reporting requirements
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Knowledgeable in HIPAA Regulations and other relevant privacy statutes.
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Excellent interpersonal and communication skills.
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Proven ability to manage multiple priorities and work collaboratively in a team environment.
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Previous experience using electronic Medical Record systems and documentation standards.
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Commitment to ongoing professional development and staying current with industry trends.
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Cultural competence and the ability to work with diverse populations.
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Strong computer skills and proficiency with Word, Excel, G-Suite, and other software/applications.