Director /Senior Director of Compliance, Privacy and Safety

Anne Carlsen Center•Bismarck, ND

18h•Onsite

About The Position

Anne Carlsen Center (Anne Carlsen) is a non-profit organization that has been providing supports and services for 80 years to individuals in North Dakota with developmental disability or delay. Rich in tradition, Anne Carlsen has positioned itself on the cutting edge of innovation with unique programs, creative therapies and advanced assistive technologies that meet the specific needs of those they serve. The Director/Senior Director of Compliance, Privacy, and Safety is an executive leadership position reporting to the Chief Executive Officer. This role identifies, analyzes, mitigates and prevents risk at all sites, with the overall objective of improving clinical outcomes, team member safety, and reducing litigation potential. This position provides support and guidance for the management team, working collaboratively and coordinating with nursing, therapists, infection prevention, and other departments within the organization. The Director/Senior Director of Compliance, Privacy and Safety works with the executive and medical staff leadership to identify and facilitate development and resolution of system and site risk identification and reduction measures. This position serves as the Compliance, Safety and Privacy Officer for Anne Carlsen. The incumbent acts as the organizational risk expert and resource for medical/legal inquiries of physicians, nurses, administrators, and others regarding emergent client care issues and loss control, in conjunction with Legal Counsel; for policy and procedure development, including event reporting, consent, and disclosure policies; for applicable contract review.

Requirements

Bachelor’s degree in human services, Healthcare, Business, or related field
Two years prior leadership/management experience.

Nice To Haves

Master’s degree in Human Services, healthcare, business, or related field
Five years prior leadership/management experience
Prior risk management experience
Certified Professional in Healthcare Risk Management (CPHRM) or similar designation preferred
Extensive understanding of HIPAA regulations
Knowledge of all related regulatory standards and compliance requirements.

Responsibilities

Demonstrates the ability to develop and implement plans to mitigate risk issues through proactive response planning, incident management plans, education, and assisting with the facilitation of process improvement across the organization.
Demonstrates the ability to ensure positive outcomes through risk identification, loss prevention, and claims management that improves the quality of client care and reduces risk of potential and actual physical, reputations, and financial loss.
Demonstrates the ability to coordinate ongoing activities related to the development, implementation, maintenance, and adherence to the organization’s policies and procedures.
Demonstrates the ability to identify and complete proactive assessment in high risk areas across the organization.
Demonstrates the ability to oversee all ongoing activities related to the development, implementation, maintenance, and adherence to the organization’s policies and procedures regarding privacy, access, and client health information in compliance with federal and state laws and the organization’s information privacy practices.
Demonstrates the ability to conduct a thorough investigation of any potential claim, including medical record reviews, interviews and meetings.
Demonstrates the ability to work collaboratively with senior leadership and legal consultants, if appropriate, on organizational issues, contracts, regulatory and accreditation issues, operational and policy issues, governmental, litigation and other relevant issues.
Demonstrates the ability to conduct Safety/Risk Management educational programs that provide front line staff with the tools and equipment to be accountable for their role in safety and risk activities.
Responsible for chairing and facilitating the safety, compliance, and incident reporting committee meetings.
Demonstrates the ability to proactively educate staff, department, and administration on risk management issues while recognizing national, regional, and local liability trends.
Demonstrates the ability to provide development guidance and assist in the identification, implementation, and maintenance of the organization’s information privacy policies and procedures in coordination with leadership and administration.
Demonstrates ability to perform initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities.
Demonstrates the ability to work with legal counsel as approved, management, key departments, and staff to ensure that the organization has and maintains appropriate privacy and confidentiality consent, authorization forms, and information notices and materials reflecting current organization and legal practices and requirements.
Demonstrates the ability to ensure privacy training and orientation is completed by all employees, volunteers, and other appropriate third parties.
Demonstrates the ability to establish and administer a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization’s privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel.
Demonstrates the ability to ensure compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the organization’s workforce, extended workforce, in cooperation with human resources, the information security officer, administration, and legal counsel as applicable.
Demonstrates the ability to provide oversight for all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements.
Demonstrates the ability to serve as the commercial/business insurance liaison and oversee insurance liability issues and actions for final resolution.
Demonstrates the ability to follow all Anne Carlsen policies and procedures.