Compliance and Privacy Officer

Position Summary

The Compliance and Privacy Officer is responsible for the oversight, coordination, and implementation of LAPP’s compliance, privacy, safety, and risk management programs. This position ensures organizational adherence to CARF behavioral health standards, Ohio Department of Behavioral Health (Ohio DBH) regulations, and all applicable federal, state, and local laws, including HIPAA and 42 CFR Part 2.

The Compliance and Privacy Officer serve as the organization’s designated Privacy Officer, Corporate Compliance Officer, Safety Officer, Records Manager, and Grievance Coordinator, supporting LAPP’s commitment to ethical practice, protection of client rights, confidentiality, and continuous quality improvement.

Essential Duties and Responsibilities

Regulatory Compliance & Accreditation

• Ensure continuous compliance with CARF behavioral health standards, including leadership, governance, risk management, health and safety, and rights of persons served.
• Oversee compliance with Ohio DBH certification standards, rules, and applicable Ohio Administrative Code requirements.
• Monitor compliance with federal, state, and local laws and regulations, including HIPAA and 42 CFR Part 2.
• Ensure compliance with requirements associated with public and private funding sources.
• Coordinate internal audits, compliance reviews, and corrective action plans.
• Maintain ongoing accreditation and certification readiness.

Privacy & Confidentiality

• Serve as the agency’s designated Privacy Officer.
• Ensure confidentiality of client information in accordance with HIPAA, 42 CFR Part 2, CARF standards, and Ohio law.
• Investigate, document, and manage privacy incidents or breaches, including required reporting and corrective actions.
• Provide staff guidance and training on privacy and confidentiality requirements.

Corporate Compliance & Ethics

• Serve as Corporate Compliance Officer, promoting ethical conduct and adherence to organizational standards.
• Receive, investigate, and document compliance concerns or allegations of noncompliance.
• Recommend and monitor corrective and preventive actions.

Grievances & Client Rights

• Oversee the grievance and complaint process in accordance with CARF standards and Ohio DBH requirements.
• Ensure grievances are addressed in a timely, objective, and documented manner.
• Track and analyze grievance data to identify trends and quality improvement opportunities.

Safety Officer Responsibilities

• Serve as the organization’s designated Safety Officer.
• Oversee health and safety policies and procedures consistent with CARF and regulatory standards.
• Coordinate safety training, emergency preparedness, and incident reporting.
• Participate in investigations of safety incidents and implementation of corrective actions.

Records Management

• Serve as Records Manager, ensuring compliance with record retention, storage, access, and destruction requirements.
• Maintain policies and procedures governing clinical, personnel, and organizational records in accordance with CARF, Ohio DBH, HIPAA-including cfr42 part 2, and funding source requirements.
• Ensure records are accurate, secure, and available for audits and reviews.

Training & Education

• Develop and deliver staff training related to compliance, privacy, client rights, and safety.
• Monitor regulatory and accreditation changes and communicate updates to leadership and staff.

Other Duties

• Perform additional duties as assigned by the Executive Director.

Qualifications

Required

• Knowledge or demonstrated understanding of CARF behavioral health standards
• Working knowledge of HIPAA and 42 CFR Part 2
• Experience in compliance, privacy, quality assurance, or risk management in behavioral health or human services
• Strong organizational, analytical, and documentation skills
• Ability to manage sensitive information with discretion
• Associate's Degree

Preferred

• Bachelor’s degree in healthcare administration, public health, social work, legal studies, or related field, or equivalent experience
• Experience with Ohio DBH certification or regulatory reviews
• Experience supporting accreditation or audit processes
• Records Management and Quality Assurance Experience

Skills & Competencies

• Regulatory interpretation and application
• Strong written and verbal communication
• Independent judgment and problem-solving
• Attention to detail
• Commitment to ethical practice, client rights, and continuous quality improvement

Equal Employment Opportunity Statement

Licking County Alcoholism Prevention Program (LCAPP), dba LAPP, is an Equal Opportunity Employer. LAPP does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other status protected by applicable federal, state, or local law.