Risk Manager-Administration - SNF-FR
About The Position
This position manages and analyzes data, conducts educational programs, interfaces with legal counsel as needed, and complies with the state risk management standards. Employees in this position are responsible for complaints, grievances, abuse allegations and fraud investigations; handle calls about grievances; and submit required reports to the State and various internal departments and subcommittees regarding grievances, appeals, fraud, complaints, and incident reports. In addition, you will act as the designated Compliance liaison for the Health Care District Skilled Nursing Center.
Requirements
- Manages and analyzes data.
- Conducts educational programs.
- Interfaces with legal counsel as needed.
- Complies with state risk management standards.
- Responsible for complaints, grievances, abuse allegations and fraud investigations.
- Handles calls about grievances.
- Submits required reports to the State and various internal departments and subcommittees regarding grievances, appeals, fraud, complaints, and incident reports.
- Acts as the designated Compliance liaison for the Health Care District Skilled Nursing Center.
Responsibilities
- Maintains knowledge of state and federal regulations.
- Cooperates with the medical peer review and institutional committees on issues related to standards of care.
- Develops a system to share Risk Management and Quality of Care data with appropriate departments and administrative personnel.
- Develops a system for tracking and trending the generic screening to assist in the identification of potentially high risk behaviors.
- Prepares and submits reports as required by Florida law.
- Prepares and submits summary reports of the Risk Management activities to the Quality Improvement Committee.
- Develops appropriate operational linkages to correct actual and potential problems that have been identified.
- Will represent the Health Care District Skilled Nursing Center as the designated Compliance liaison.
- Represents the department on appropriate committees as assigned.
- Monitors incident reporting system.
- Receives incident reports and other information regarding occurrences to analyze and identify trends and make suggestions for corrective action as appropriate.
- Takes steps to ascertain that risks are minimized through follow-up and actions on regulatory reports.
- Prepares and submits appropriate reports to the state as required.
- Participates in on-call responsibilities as needed.
- Recommends appropriate revisions to new or existing policies to prevent further occurrences.
- Maintains awareness of legislative and regulatory activities related to health care risk management.
- Interacts with organizational legal counsel as appropriate.
- Participates with new employee orientation.
- Interacts with clinical staff regarding ongoing investigations.
- Implements educational information and programs as appropriate.
- Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
