Compliance and Risk Manager

1 month ago

camarillo, United States Clinicas del Camino Real, Inc. Full time

Quality Care Starts At Clinicas

This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.


ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Compliance and Risk Manager is responsible for performing the following duties:

  • Manages day-to-day operation of the Compliance and Risk Program activities.
  • Collaborate with internal departments and external agencies.
  • Develop, review and implement necessary programs, policies and procedures. Including promoting uniformity along all service lines (Urgent Care, Dental, Optical, etc.)
  • Educate and develop training material that promotes commitment to compliance with standards, risk management functions, policies and procedures.
  • Establish appropriate structures and processes in relation to risk reporting, incident management, safety, escalation of serious incidents and reporting (internally and to external agencies as applicable).
  • Conduct confidential internal investigations for compliance complaints and or grievances, including those received via the Anonymous Helpline.
  • Assist in identification of potential risk through a risk assessment, analysis of accidents/incidents and near miss incidents, periodic safety inspections and/or audits.
  • Support appropriate departments to ensure compliance with subpoenas and timely response to release of medical records to ensure full compliance with required HIPAA and other regulations.
  • Manage liability insurance accounts for the organization.
  • Keep up to date with health & safety legislation and guidelines and healthcare compliance regulations.
  • Work with legal counsel in situations of filed claims and protects the attorney-client privilege as appropriate.
  • Collect and analyze data to identify vulnerabilities and make recommendations to reduce, prevent or eliminate risks identified.
  • Perform other duties as assigned including participation in all safety programs which may include assignment to internal or external agency committees.
  • Appoints, coordinates, and directs the work of the staff members in the Compliance Department.
  • Collaborate on the FTCA Application for malpractice and annual risk report.
  • Prepare presentations and reports that address risk, capture trends and recommendations.


Requirements

EDUCATION, EXPERIENCE AND QUALIFICATIONS

  • Bachelor’s degree in healthcare administration, nursing, or a related field preferred.
  • Previous experience in healthcare compliance and risk management.
  • Strong knowledge of local, state, and federal regulations.
  • Proven ability to achieve results.

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