Director - Risk Management & Regulatory Affairs ( Patient Safety Officer/ Privacy Officer)

2 weeks ago

Roslyn, United States St. Catherine of Siena Full time

Overview

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence-based practice to improve outcomes - to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes.

St. Francis Hospital, The Heart Center is New York State's only specialty designated cardiac center. A member of Catholic Health, St. Francis is consistently recognized by U.S. News & World Report as a national leader for Cardiology & Heart Surgery, as well as for Gastroenterology & GI surgery, U.S. News rates St. Francis as high performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet designations, as well as the AMSN PRISM Awards and Beacon Awards. St. Francis has regularly out-scored other hospitals on Long Island. St. Francis Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials.

Job Details

The Director of Risk Management and Regulatory Affairs (Patient Safety Officer/Privacy Officer) serves as an accessible resource to the hospital and community on risk management and regulatory issues.

Responsibilities will include:

* Oversight of the development and implementation of the Hospitals' policies, procedures and systems for protecting the privacy of health information, maintained by the Hospitals or their business associates, that has the potential to reveal the identity of patients' protected health information (PHI).
* Oversight and evaluation of hospital policies, procedures, and programs related to risk management; and initiate and recommend changes designed to minimize risk and ensure regulatory compliance.
* Managing the privacy program- serving as Privacy Officer: conducting monthly risk assessment rounds, investigating and reporting all HIPAA incidents, executing breach response notification letters to patient involved, tracking compliance, and reviewing fair warning reports for potential HIPAA breaches
* Promoting safety for patients and staff and mitigating risk for the organization, including oversight of the Patient Safety Program/ High Reliability Safety program
* Demonstrating fiscal accountability and aligning operational and financial results
* Identifying and communicating regulatory requirements
* Developing the strategy for the implementation and maintenance of risk reduction activities
* Designing, implementing, and maintaining a direct referral system for staff to report unexpected events and potential claims
* Overseeing the reporting of potential claims and suits to the appropriate carriers
* Monitoring high risk medical malpractice cases and presenting cases at the quarterly claims meeting, and overseeing requests for discovery from defense counsel
* Attending claims review meetings and participating with Catholic Health Risk Management regarding disposition of cases
* Identifying and reporting events meeting DOH definition for NYPORTS
* Reviewing safety event data from safety event reporting databases (Midas)
* Collaborating with healthcare teams to rapidly identify risk, and employ prevention and reduction strategies
* Leading root cause analysis of serious safety events
* Overseeing the dissemination of patient safety reports to key stakeholders, and implementation of patient safety/high reliability education
* Promoting a culture where errors are openly discussed and used as learning opportunities
* Conducting patient safety rounds to gather information and educate staff on a regular basis
* Resolving issues of importance to risk management including informed consent, DNY, FHCDA, withdrawal of life support, etc.
* Communicating and coordinating with health professionals, defense counsel and others regarding the receipt, investigation, and resolution of incidents and potential claims
* Overseeing and participating in the patient grievance process and product recall process

Requirements:

* 5+ Years Clinical Nursing (RN) experience
* 5+ Years of Risk Management experience; recent experience working with patient safety, quality, or insurance, with expertise in legal aspects of healthcare and general liability
* Experience coordinating and writing responses to regulatory and legal inquiries
* Licensure: New York Registered Nurse (RN) required
* Master's degree in healthcare, business, or related field preferred
* Certifications: CPHRM (ASHRM) certification required
* Preferred certifications: CPPS and/or CHPC

Salary Range

USD $150,000.00 - USD $190,000.00 /Yr.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.

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