Coordinator, Ryan White Compliance

Description POSITION SUMMARY The Ryan White (RW) Compliance Coordinator will be responsible for the monitoring and compliance of the Ryan White Part B program inclusive of Prison Linkage Case Management. The Compliance Coordinator ensures that the Case Management department remains compliant with all federal, state, local and TWCCH rules and regulations. This position will be responsible for continual auditing of RW Part B Case Management files and documents to ensure compliance with RW Part B program standards set forth by the Pennsylvania Department of Health.

In addition, this position will be responsible for reviewing and updating all internal policies and procedures in conjunction with the RW Grants Administrator. This position will review and approve payment requests submitted by Case Managers to ensure compliance with appropriate spending as it relates to contractual obligations and program standards. REPORTING RELATIONSHIPS This position reports to the Ryan White Grants Administrator.

No other positions report to this position; however, the Compliance Coordinator will be responsible for monitoring all documentation of notes and services of the Ryan White Part B program and work with staff to address and resolve any issues with their notes or services. ESSENTIAL JOB DUTIES AND FUNCTIONS While living and demonstrating our Core Values, the Ryan White Compliance Coordinator will: Conduct RW Part B Case Management chart audits monthly to ensure compliance with program standards and contractual obligations. Assist with the creation and on-going review of standard operating procedures within the Ryan White Part B program.

All SOPs are to be reviewed and updated, if needed, on an annual basis. Review and approve or deny payment requests submitted by Case Managers for patient service-related funding within five days of the date of request. Track all approved and denied payment requests to ensure that the requests are submitted to finance for payment and that they are documented in the client’s Medent chart. For requests that have been denied, ensure that the Case Manager makes appropriate adjustments. Work with medical case management staff to resolve any issues that may arise that are not in compliance with the Ryan White Part B grant.

Ensure that all items purchased under the Ryan White Part B grant are tracked on the fixed asset inventory (FAI) on a monthly basis. This information is shared with the United Way to track all purchases made with Part B grant funding. Ensure that Case Managers are obtaining copies of insurance plans from their client’s that are seeking payment assistance with the health insurance premium assistance sub-service. Complete the cost-benefit-analysis document, that is to be submitted to the United Way at the end of the fiscal year, on a monthly basis to ensure all clients who receive financial assistance for health insurance premium sub-service are tracked.

Ensure that all client Uber’s that are paid for using RW Part…

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