DIR - RISK MANAGEMENT

UHS

About The Position

Foundations Recovery Network (FRN) is the premier provider of integrated treatment for co-occurring addiction and mental health concerns, offering residential and outpatient services nationwide. Located in the serene forest foothills of northern Georgia, Black Bear Lodge is a 144- bed place of solace and healing for those individuals suffering from addiction and mental health issues. We are a residential treatment center offering a comprehensive, integrated program that addresses the needs of the whole person—mind, body, and spirit. Our system of care is personalized, evidence-based, and research-proven. Patients can self-reflect and find strength for life change amid the beauty of the expansive sky and the natural tranquility that characterizes our location. Position Summary The Director of Risk is responsible for assisting in the oversight of all compliance and improvement aspects for the facility. The Director of Risk will analyze facility operations and needs to determine potential enhancements or improvements to clinical procedures and operational activities and will develop and/or recommend supporting policies and procedures. The Director of Risk will collaborate and coordinate in implementing plans and programs particularly in the areas of performance improvement for process and outcomes.

Requirements

Bachelor’s Degree in Business Administration or related field required; Master's preferred.
Minimum two (2) years of experience in Risk/PI strongly preferred
Minimum (1) year of experience in a health system’s quality or compliance role preferred.
Minimum one (1) year supervisory experience required.
Experience must reflect strong understanding of compliance, legal, quality management, risk and regulatory requirements applicable to health care providers, preferably in behavioral health.
Must be highly proficient with software and application programs.

Responsibilities

Serves as in-house expert on Joint Commission Standards requiring in-depth knowledge of policies and procedures within the Facility in order to ensure compliance.
Proactively audits and monitors practices within the Facility to ensure that appropriate standards are in place and are being implemented effectively.
Works with leadership team to address and resolve operational issues as they arise.
Develops and oversees action plan to prepare for periodic surveys.
Conducts training and education related to Joint Commission standards.
Drafts policies as needed for compliance with standards within Facility.
Manages the Facilities compliance program to include privacy, security, safety/risk management, fraud and abuse monitoring, tracking, trending and reporting.
Responds effectively to potential violations of applicable standards and develops and oversees a corrective action plan for resolving them.
Oversees Quality and Risk Management processes of the facility to include the following:
Maintain T E R M Agreement through UHS Risk Management requirements.
Reviews data to identify trends regarding patient accidents and/or occurrences and recommends corrective action plans to management.
Directly refers all incidents with claims involving actual or potential injury to patients, visitors and staff to higher authority.
Responsible for conducting Root Cause analysis investigations and prepares summary reports to include recommendations based upon the learnings obtained from the investigation.
Prepares monthly reports for Quality Council meeting and the Patient Safety Council meetings.
Maintains Risk Management files and statistics in compliance with The Joint Commission, state and federal agencies. Verify all information is accurate, available and secure.
Provides training at New Hire Orientation and throughout the year for personnel to enhance their awareness of their role in reducing liability.
Participates in FLASH treatment team meetings.
Leads Quality and Patient Safety committees.
Responsible for the technical writing and preparation of board reports, state and federal reports for facility license.
Provides support to Facility CEO as needed.
Prepares agendas, notices and minutes for leadership meetings and monitors action plans to accomplish meeting goals.