Director of Quality Risk and Compliance

NOTCH•Richford, VT

2d•$100,000 - $200,000•Onsite

About The Position

The Director of Quality, Risk and Compliance oversees the development, implementation, and evaluation of the organization’s quality program. The role leads the performance improvement process; identifies performance trends; prioritizes and recommends improvements; leads collection and analysis of quality indicators; collaborates on quality improvement projects; and supports the design, generation, and analysis of related reports. The position manages the risk management program, including risk and legal issue reporting, liability claims and legal defense activities, risk identification and investigation systems, and risk management education. It also serves as Compliance Officer, responsible for developing, administering, and implementing the organization’s Compliance Program, and as Privacy Officer, responsible for privacy and security policies and procedures. The Director coordinates quality, risk, compliance, emergency preparedness, and business continuity activities across service lines and sites, and reports relevant activities and findings to senior management and the Board of Directors. The position is based at the Administrative Office in Richford, Vermont. It is full-time, exempt, and on the day shift. The stated salary range is $100,000–$200,000 per year. The role supervises the Clinical Nurse Manager and reports to the Executive Director.

Requirements

Associate’s or bachelor’s degree.
Knowledge of state and federal regulations.
Knowledge and experience with quality improvement processes and chart auditing.
Knowledge of Microsoft Office.
Knowledge of medical terminology.
Knowledge of the OSHA manual and standards, including appropriate hazardous waste handling and disposal.
Ability to manage multiple tasks and prioritize workload.
Strong communication and interpersonal skills.
Ability to use computerized support systems.

Nice To Haves

One year of clinical experience preferred.
Three years of QA experience preferred.

Responsibilities

Organize and implement the Quality Assurance/Risk Management (QA/RM) program.
Monitor patient and customer satisfaction.
Manage organizational event reporting and follow-up for clinical risk issues.
Facilitate the QA/QI Committee and organize medical and dental peer reviews.
Investigate medical liability claims and keep the administrative team informed of progress.
Prioritize performance improvement projects and lead collection and analysis of quality improvement indicators.
Provide guidance and support on HIPAA, privacy, security, compliance, risk management, and operational legal concerns in collaboration with appropriate internal and external resources.
Participate in investigations, corrective action planning, and resolution of operational concerns, patient complaints, compliance issues, and risk management matters as appropriate.
Develop and implement policies and procedures relating to the Privacy & Security Policy Manual as Privacy Officer.
Develop and coordinate emergency preparedness activities, business continuity planning, and clinic responses to emergencies and unforeseen events.
Collaborate with service lines and staff to design and implement QA/RM activities.
Provide reports to senior management and the Board of Directors on QA, RM, and compliance activities in conjunction with appropriate service directors.
Compile statistical data and write narrative reports summarizing QA findings.
Review and prepare organizational policies for the QA Committee.
Communicate QA/RM findings to staff, administration, and departments.
Maintain current and accurate records of relevant communications, audits, and corrective action plans.
Work with the Director of Operation and Office Managers to evaluate site operations and identify areas for improvement.
Participate with the management team to identify and respond to needs in the service area.
Develop and organize QA, RM, and compliance education programs for staff.
Work closely with the Care Coordination Team and Information Technology.
Integrate strategic and operational goals and programs, including Patient Centered Medical Home, UDS, and OneCare.
Oversee the board-approved QA/QI program, including implementation of operating procedures and assessments, outcome monitoring, and procedure updates.
Maintain compliance for FTCA approval and meet annual deeming submission requirements.
Perform other duties as assigned.