Director /Senior Director of Compliance, Privacy and Safety

Anne Carlsen•Grand Forks, ND

1d•Onsite

About The Position

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

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.
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.
Coordinate ongoing activities related to the development, implementation, maintenance, and adherence to the organization’s policies and procedures.
Identify and complete proactive assessment in high risk areas across the organization.
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.
Conduct a thorough investigation of any potential claim, including medical record reviews, interviews and meetings.
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.
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.
Chair and facilitate the safety, compliance, and incident reporting committee meetings.
Proactively educate staff, department, and administration on risk management issues while recognizing national, regional, and local liability trends.
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.
Perform initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities.
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.
Ensure privacy training and orientation is completed by all employees, volunteers, and other appropriate third parties.
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.
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.
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.
Serve as the commercial/business insurance liaison and oversee insurance liability issues and actions for final resolution.
Follow all Anne Carlsen policies and procedures.