Compliance Officer

1. Licensing & Regulatory Compliance

• Ensure programs meet AZDHS licensing requirements
• Prepare for and respond to AZDHS audits, inspections, and site visits
• Track license renewals, program approvals, and corrective actions

2. Policy & Procedure Management

• Write, review, and update AZDHS-compliant policies and procedures
• Ensure policies align with:
• AZ Administrative Code (AAC)
• Client rights
• Confidentiality (HIPAA, 42 CFR Part 2 when applicable)
• Train staff on policies and compliance changes

3. Documentation & Chart Audits

• Review clinical records for compliance:
• Assessments
• Treatment plans
• Progress notes
• Discharge summaries
• Ensure documentation supports medical necessity
• Correct deficiencies before audits

4. Incident Reporting & Risk Management

• Oversee incident reporting (injuries, grievances, medication errors)
• Ensure timely reporting to AZDHS when required
• Track corrective actions and follow-up

5. Staff Credentialing & Training

• Verify licenses, certifications, background checks
• Track mandatory training:
• HIPAA
• Client rights
• Trauma-informed care
• Cultural competency
• Ensure staff scope of practice compliance

6. Quality Improvement (QA/QI)

• Monitor program performance
• Identify compliance gaps
• Implement quality improvement plans
• Track outcomes and corrective actions

AZDHS Areas You Must Know Well

• Arizona Administrative Code (AAC) for your program type
• Client Rights & Grievance Processes
• Confidentiality laws (HIPAA + 42 CFR Part 2)
• Mandatory reporting requirements
• Medication management rules (if applicable)
• Infection control & safety standards
• Documentation timelines and standards

Skills Employers Look For

• Strong attention to detail
• Ability to read and interpret regulations
• Audit and documentation review skills
• Policy writing and revision experience
• Staff training and communication skills
• Calm, organized response to inspections
• Understanding of behavioral health or substance use treatment

Backgrounds That Fit Well

• Behavioral health administration
• Social work, counseling, psychology (non-clinical or clinical)
• Nursing
• Healthcare compliance or QA
• Program management

Job Types: Part-time, Contract

Pay: $1,500.00 - $2,500.00 per month

Expected hours: 15 per week

Work Location: In person