Behavioral Health Compliance System Manager

Behavioral Health Compliance System Manager

life insurance, vision insurance, flexible benefit account, paid holidays, sick time, long term disability, 403(b)

United States, Washington, Yakima

May 23, 2026

Description

The Behavioral Health Compliance System Manager is responsible for supporting and implementing Behavioral Health specific compliance, risk management, and quality improvement activities at Catholic Charities Serving Central Washington. This position works in close collaboration with Behavioral Health leadership to ensure compliance with licensing, certification, contractual, regulatory requirements, and Washington State laws applicable to Behavioral Health programs.

The Behavioral Health Compliance System Manager serves as the HIPAA Security Officer for the organization.

• Maintain, review, update, and develop Behavioral Health specific policies and procedures required for licensure, certification, and operations, in coordination with Behavioral Health leadership.
• Ensure Behavioral Health policies align with agency wide compliance frameworks and applicable regulatory requirements.
• Maintain organized and current electronic files of Behavioral Health compliance documentation and policies.

• Receive reports of Behavioral Health related compliance concerns, client grievances, and critical incidents.
• Coordinate, conduct, and document investigations into reported concerns or incidents in collaboration with Behavioral Health leadership or Human Resources when appropriate. Recommend corrective actions to address findings and reduce future risk. Track implementation of corrective actions.
• Ensure appropriate documentation, reporting, and follow up consistent with licensing and contractual requirements.

• Manage Behavioral Health incident reporting processes, including data entry, tracking, and documentation within designated systems.
• Monitor trends in incident data and assist with identifying opportunities for quality improvement.
• Support timely review and closure of incidents and related investigations.

• Assist in preparation for Behavioral Health licensing reviews, audits, and monitoring visits, including coordination of documentation, policies, and records.
• Track Behavioral Health corrective action plans (CAPs) resulting from audits or reviews and assist with documentation demonstrating full implementation.
• Support communication of audit outcomes and corrective actions to appropriate leadership.

• Participate in Behavioral Health quality improvement initiatives related to compliance, incident review, and risk management.
• Assist with analysis of incident and audit findings to identify systemic issues and support development of improvement strategies.
• Participate in Quality Improvement/Quality Assurance meetings and assist with documentation and follow up as assigned.
• Conduct an annual review of employee access and permissions to use 3 rd party systems and update as indicated.

• Manage and maintain training management system(s) related to Behavioral Health compliance and regulatory training.
• Track completion of required Behavioral Health trainings and support follow up for overdue requirements.
• Assist with coordination and facilitation of Behavioral Health compliance related training for staff and supervisors.

This position normally requires the physical demands of standing, walking, bending, lifting, talking, and hearing required to perform job duties. These physical demands are required up to approximately 80% of the time.

• Bachelor's degree in Healthcare Administration, Public Health, Behavioral Science, Psychology, Social Work, or a closely related field from an accredited college or university.

• Minimum of two (2) years of experience in healthcare compliance, quality assurance, human services, Behavioral Health, licensing, or a related field required.
• Experience with Behavioral Health licensing, regulatory standards, incident reporting, or quality improvement is strongly preferred.
• Experience conducting audits, risk assessments, and compliance training preferred.
• Experience in behavioral health settings and their unique regulatory and operational environments preferred.

• Strong written and verbal communication skills.
• Ability to work collaboratively with Behavioral Health leadership and multidisciplinary teams.
• Demonstrate integrity, initiative, organizational skills, and sound judgment.
• Proficiency in Microsoft Office applications (Word, Excel) and ability to learn other software systems.
• Ability to conduct thorough investigations and manage sensitive and confidential information with discretion.