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Risk Coordinator

4 months ago

Santa Ana, United States Serve the People Community Health Center Full time

Job Summary:
Under the general direction of the Chief Executive Officer, the Risk Coordinator plans, organizes and administers risk management activities with the goal of minimizing the adverse effects on patients and / or losses to the organization. The Risk Coordinator develops implements, administers, reviews, and communicates Serve the People Community Health Center (STP CHC) policies and procedures related to loss prevention, patient safety, patient rights and/or organization responsibilities. Provides consultative services and acts as a resource to administration, physicians, patients and employees relating to risk management activities. The Risk Coordinator is responsible for ensuring STP CHC a Federally Qualified Health Center, adheres to all applicable laws, regulations, regulatory entities, and industry standards while minimizing risks to the company.

**Duties**:

- Develop and implement a comprehensive compliance program, including an annual risk management plan that includes policies, procedures, and training for all employees to ensure compliance with applicable laws, regulations, and industry standards.
- Monitor and analyze regulatory changes and communicate updates to relevant stakeholders and employees across STP to ensure ongoing compliance.
- Conduct risk assessments and develop mitigation plans.
- Manage compliance-related investigations and incidents, ensuring appropriate corrective actions are taken and documented promptly. Complete grievance and investigation forms, reporting findings for each case presented from internally managed online platforms and external health provider companies. Perform ongoing tracking of all grievances and reporting thereafter.
- Oversee the HRSA FQHC compliance through routine mock audits and updates of all pertinent policies & procedures.
- Collaborate with internal stakeholders & employees to ensure that compliance requirements are incorporated into business processes, systems, and products.
- Develop and maintain relationships with external auditors, regulators, and other stakeholders responsible for providing the required licenses, approvals, and certifications needed to operate as a community health center.
- Collaborate with other departments to identify areas for improvement in the organization's risk management processes.
- Provide guidance and training on compliance and risk management matters.
- Conduct regular audits of clinical and administrative processes to identify areas for improvement and ensure compliance with regulations, policies, and procedures.
- Report on compliance and risk management issues to senior management and board members
- Maintain documentation related to compliance, risk management activities, and maintain regulatory filings such as licenses, registrations, and reports.
- Ensure technology systems comply with regulations.
- Develop and implement crisis management and business continuity plans.
- Ensure that the organization's compliance and risk management policies and procedures are up to date and reflect best practices with ongoing updating and revising as requested by the Directors.
- Provide guidance and support to business units on compliance and risk management matters, including contract negotiations and operational issues.
- Stay informed of emerging compliance and risk management trends and developments, and provide recommendations to senior management on how to address them.
- Conduct training and educational sessions for employees to ensure understanding of compliance and risk management policies and procedures.
- Work closely with internal audit and other assurance functions to provide a holistic view of the organization's compliance and risk management health.
- Provide regular reports to senior management on the organization's risk management performance
- Collaborate with the HR department to ensure that all staff members are appropriately licensed, credentialed, and trained.
- Oversee the organization's compliance with HIPAA regulations.
- Collaborate with the finance department on billing and coding compliance.
- Participate in the organization's strategic planning process to ensure risk management considerations are integrated into decision-making.
- Lead and/or participate in multidisciplinary teams to identify and address safety issues.
- Stay up-to-date on regulatory and industry changes related to risk management, and communicate updates to staff and leadership as necessary.
- Conduct regular audits of EHR systems to ensure that all data is accurately and securely recorded.
- Collaborate with the IT department to ensure that all staff members are trained in the use of EHR systems and other technology platforms.
- Ensure that all staff members are trained in emergency response procedures and participate in routine drills and exercises.
- Perform other duties as assigned by the Chief Operating Officer and Chief Medical Officer

**Experience**:

- Bachelor's degree in a relevant field, such as healthca