Fractional Training and Compliance Consultant

Training and Compliance Consultant

Six-Month Contract

This is a hands-on implementation role. The consultant will work alongside leadership and staff to develop sustainable systems that align with North Carolina licensing requirements, NC Innovations Waiver requirements, and recognized standards for person-centered services.

There may be an opportunity for this role to transition into ongoing contract or employment work.

Contract Scope

During the six-month engagement, the consultant will:

Compliance and Quality Systems

• Assess current policies, records, and operational practices.
• Develop a compliance calendar and internal review schedule.
• Establish systems for tracking compliance concerns and corrective actions.
• Create practical compliance tools, monitoring processes, and leadership reports.
• Organize evidence needed for licensing, Medicaid, accreditation, and other external reviews.

Documentation and Billing Integrity

• Establish standards for Residential Supports documentation.
• Strengthen service-grid, progress-note, ISP, goal-tracking, and electronic-record practices.
• Implement prebilling documentation reviews.
• Conduct record reviews and mock readiness assessments.
• Train leadership to monitor documentation quality and compliance.

Medication, Risk, Personnel, and Training Systems

• Review medication-administration, incident-management, and risk-management practices.
• Strengthen personnel-file, background-check, training, and competency systems.
• Develop staff training on regulatory requirements, documentation, medication, incident reporting, and accountability.
• Coach leadership and Residential Care Managers in ongoing compliance oversight.

Key Deliverables

By the end of the engagement, L'Arche NC expects to have:

• An annual compliance calendar and internal audit schedule.
• Sustainable documentation and prebilling review processes.
• Compliance-review tools for member, medication, personnel, and administrative records.
• A corrective-action and follow-up tracking system.
• Medication, incident, and risk-management review processes.
• A quality dashboard with meaningful compliance indicators.
• Staff training materials and a leadership coaching process.
• A transition plan assigning responsibility for ongoing compliance functions.

Required Qualifications

• Demonstrated experience managing compliance for a North Carolina-licensed 5600F or 5600C Alternative Family Living setting providing NC Innovations Waiver Residential Supports.
• Experience with North Carolina licensing and Medicaid waiver requirements.
• Experience supporting residential services for adults with intellectual and developmental disabilities.
• Knowledge of Medicaid service-documentation and billing requirements.
• At least two years of Therap program leadership.
• Experience implementing compliance and quality-improvement systems.
• Strong project-management, training, and written-communication skills.
• Ability to combine system development with hands-on record review and implementation.

Preferred Qualifications

• Experience with Alliance Health requirements and monitoring.
• Experience with NC Innovations Residential Supports Level 3.
• Experience preparing organizations for licensing, Medicaid, or accreditation reviews.
• Experience serving as a QP or supervising QP functions.
• Knowledge of DHSR, NC Medicaid, NCTracks, Tailored Plans, and CQL accreditation.
• Certified Investigator credential.
• Experience launching or expanding residential programs.

Work Arrangement: Contractor, Durham, NC

Engagement Duration: Six months