Risk and Compliance Manager

Community Health Centers of Greater Dayton•Dayton, OH

About The Position

Summary of Position: This position is responsible for identifying, implementing, monitoring, and evaluating the overall risk management and corporate compliance plans at Community Health Centers of Greater Dayton (CHCGD). This position works collaboratively with all disciplines to establish a safety culture, emphasizing clinical risk, patient safety, visitor, third party, volunteer, and employee safety, as well as potential business, operational, and property risks. Manages and monitors the CHCGDs compliance and Risk Management effort, reporting identified issues directly to the Chief Executive Officer. Risk Management Create Risk Management training plan for staff based on quarterly safety checks, incident report trends, observations by management team, annual OSHA and Compliance requirements, and other identified needs. Maintain and update the CHCGD Risk Management Plan and ensure alignment with strategic goals. Oversee or conduct risk assessments, walk through inspections, adverse event reports, past accreditation or licensing surveys, medical records, risk analysis methods to identify, evaluate, prevent and control the risk of injury or loss. Identify, assess and mitigate clinical, operational, financial and reputational risks across the organization. Report on Risk Management activities to the Risk Management Committee. Prepare the quarterly and annual QA/Risk Management reports for the Board. Coordinate submission of annual FTCA malpractice application Oversee incident reporting and patient complaints and participate in root-cause analysis of occurrences or possible occurrences. Participate in HRSA reporting and site visits. Coordinate Disaster Management and Preparedness activities Oversee the Respiratory Protection Plan and implementation. Compliance Develop, implement and maintain a comprehensive compliance program in accordance with HRSA, OIG, OSHA, FTCA and other regulatory requirements. Serve at CHCGDs designated compliance officer. Assists Quality Coordination, Operations staff and the Executive Management Team in the review, revision and formulation of appropriate policies and procedures to guide issues of compliance. Assures compliance of federal, state, and local laws, as well as the HRSA Compliance Program. Conduct regular compliance risk assessments and audits: develop corrective action plans as needed. Participate in HRSA reporting and site visits. Ensure ongoing compliance with CHCGDs Corporate Compliance Plan Monitor and interpret changes in healthcare laws, regulations, and guidelines and update policies and procedures accordingly. Management Manage the Clinical Training Program Lead the implementation of the infection control plan as well as respond to implementation questions from managers. Assist with and/or conduct EHR/PM system training for staff and providers. Coordinate the Clinical and EHR Training of staff (Manages Staff Development Specialist activities)

Requirements

Working knowledge of Risk Management and Compliance processes
In-depth knowledge of HRSA, FTCA, HIPAA, CMS and other relevant regulations
Demonstrate initiative, ability to work with others and good professional judgment
Able to work independently and organize time effectively
Excellent written and verbal communication skills
Strong organizational skills and attention to detail
Able to work with confidential information
Proficiency in MS Office products, such as Word, Excel, Power Point and Outlook
Working knowledge of EHR
Coaching, mentoring, and teaching skills
Ability to relate well to people from diverse ethnic and cultural backgrounds
Motivate and inspire others by setting a positive example, solicit and/or provide innovative ideas from staff, co-workers, and physicians
Open to feedback for improvement, willingness to change, and be flexible
Graduate of LPN or Registered Nursing program with current licensure or related healthcare degree preferred; BSN preferred
Current CPR certification is required
Previous experience with risk management and compliance required

Nice To Haves

Ambulatory, CHC or primary care experience preferred
Familiar with standard concepts, practices, and procedures within healthcare office setting

Responsibilities

Identifying, implementing, monitoring, and evaluating the overall risk management and corporate compliance plans
Establishing a safety culture, emphasizing clinical risk, patient safety, visitor, third party, volunteer, and employee safety, as well as potential business, operational, and property risks
Managing and monitoring the CHCGDs compliance and Risk Management effort
Reporting identified issues directly to the Chief Executive Officer
Creating Risk Management training plan for staff
Maintaining and updating the CHCGD Risk Management Plan
Overseeing or conducting risk assessments, walk through inspections, adverse event reports, past accreditation or licensing surveys, medical records, risk analysis methods to identify, evaluate, prevent and control the risk of injury or loss
Identifying, assessing and mitigating clinical, operational, financial and reputational risks across the organization
Reporting on Risk Management activities to the Risk Management Committee
Preparing the quarterly and annual QA/Risk Management reports for the Board
Coordinating submission of annual FTCA malpractice application
Overseeing incident reporting and patient complaints and participate in root-cause analysis of occurrences or possible occurrences
Participating in HRSA reporting and site visits
Coordinating Disaster Management and Preparedness activities
Overseeing the Respiratory Protection Plan and implementation
Developing, implementing and maintaining a comprehensive compliance program in accordance with HRSA, OIG, OSHA, FTCA and other regulatory requirements
Serving at CHCGDs designated compliance officer
Assisting Quality Coordination, Operations staff and the Executive Management Team in the review, revision and formulation of appropriate policies and procedures to guide issues of compliance
Assuring compliance of federal, state, and local laws, as well as the HRSA Compliance Program
Conducting regular compliance risk assessments and audits: develop corrective action plans as needed
Ensuring ongoing compliance with CHCGDs Corporate Compliance Plan
Monitoring and interpreting changes in healthcare laws, regulations, and guidelines and update policies and procedures accordingly
Managing the Clinical Training Program
Leading the implementation of the infection control plan
Assisting with and/or conduct EHR/PM system training for staff and providers
Coordinating the Clinical and EHR Training of staff (Manages Staff Development Specialist activities)