Compliance Officer-Behavioral Health

Company:
The Wave International / The Wave of North Florida

Location:

Clearwater, Florida

Employment Type:

Full-Time (Hybrid)

The Compliance Officer will primarily work from our Clearwater location with flexibility for remote work when operationally appropriate. Periodic travel between company facilities will be required to conduct reviews, staff education, monitoring activities, and operational assessments.

Occasional availability outside normal business hours may be necessary to support inspections, investigations, regulatory matters, accreditation activities, or organizational needs.

The Compliance Officer will serve as a trusted resource to executive leadership and operational teams, ensuring that organizational practices align with regulatory requirements while supporting exceptional patient care, ethical operations, and continuous organizational improvement.

We are looking for a professional who can identify potential risks before they become deficiencies, implement practical solutions, strengthen accountability, and foster a culture of ongoing readiness across all programs and locations.

The Compliance Officer is responsible for directing and monitoring the organization's compliance program, ensuring adherence to applicable federal, state, and accreditation standards governing behavioral health and substance use treatment services.

Working collaboratively with Executive Leadership, Medical Providers, Nursing, Clinical Directors, Human Resources, Operations, and Quality Management teams, this individual will support operational excellence by developing effective compliance systems, conducting monitoring activities, coordinating regulatory preparation efforts, and guiding departments through process improvement initiatives.

This position requires a strategic thinker who can effectively balance regulatory requirements with operational realities while maintaining a focus on quality outcomes, patient safety, and organizational integrity.

Cross-Functional Collaboration:

Success in this role requires strong relationship-building skills and the ability to work effectively with stakeholders throughout the organization.

• Maintain organizational adherence to applicable federal, state, and local healthcare regulations.
• Monitor regulatory changes and communicate operational implications to leadership.
• Ensure compliance with AHCA and Florida DCF licensing requirements.
• Maintain organizational alignment with The Joint Commission accreditation standards.
• Evaluate business practices and identify opportunities to strengthen regulatory performance.
• Provide guidance to department leaders regarding regulatory obligations and industry best practices.
• Support implementation of operational changes necessary to maintain compliance

• Coordinate readiness efforts for AHCA inspections and DCF licensing reviews.

• Conduct mock surveys, tracers, and readiness assessments.
• Identify compliance vulnerabilities and areas requiring improvement.
• Maintain organized records and documentation required for inspections and accreditation reviews.
• Prepare leaders and staff for survey participation and interviews.
• Facilitate action planning related to survey observations and recommendations.
• Serve as a primary organizational liaison during surveys, inspections, audits, and regulatory visits.

• Develop and maintain an ongoing compliance monitoring program.
• Perform chart reviews and healthcare documentation audits.
• Assess clinical and administrative records for completeness and regulatory alignment.
• Conduct environmental rounds and operational reviews.
• Evaluate compliance indicators and key performance measurements.
• Monitor adherence to organizational policies, procedures, and standards of practice.
• Prepare reports outlining findings, trends, recommendations, and follow-up actions.
• Verify implementation of corrective measures and sustained improvements.

• Participate in quality management and performance improvement initiatives.
• Analyze trends that may affect service quality, patient safety, or regulatory standing.
• Support development of improvement projects and performance goals.
• Conduct root cause analyses when appropriate.
• Collaborate with leadership to strengthen workflows and operational effectiveness.
• Evaluate…