Clinical Risk Compliance Manager
4 weeks ago
Job Description
Job Description
JOB OVERVIEW:
Risk and compliance is a multi-level function that involves the awareness and understanding of applicable
HRSA (Health Resource & Service Administration) standards and regulations, as well as an in depth
understanding of FQHC (Federal Qualified Health Care) facilities, and the internal practices within itself. The
objective of the position is to review, analyze, lower and mediate risk to the facility by executing compliance
policies.
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
Develops, initiates, maintains, and revises policies and procedures for the general operation of the
compliance program and its related activities.
Manage day to day risk and compliance programs and its related activities to prevent or reduce risk
for the company.
Develop periodically review, at least annually, and update Standards of Operation of Procedures to
ensure continuing relevance and significance in providing guidance to management and employees.
Collaborates with other departments (for example, human resources, finance, information
management director) to direct compliance issues to appropriate existing channels for investigation
and resolution.
Responds to alleged violations of rules, regulations, policies, procedures, and standards by evaluating
or recommending the initiation of investigative procedures.
Ensuring that health centers comply with applicable statutory and regulatory requirements, as
described in the policy and procedure.
Acts as an independent review and evaluation body to ensure that compliance issues and concerns
within the organization are being appropriately evaluated, investigated, and resolved.
Monitors, and as necessary, coordinates compliance activities of other departments to remain
abreast of the status of all compliance activities and to identify trends.
Identifies potential areas of compliance vulnerability and risk, develops, and implements corrective
action plans for resolution of problematic issues, and provides general guidance on how to avoid or
deal with similar situations in the future.
Provides reports on a regular basis and as directed or requested, keeps supervisor, key management
staff and board members informed of the operation and progress of compliance efforts.
Ensures proper reporting of violations or potential violations to duly authorized enforcement
agencies as appropriate or required.
Maintains an effective compliance communication program for the organization, including
promoting a) heightened awareness of standards of conduct, and b) understanding of new and
existing risk/compliance issues and related policies and procedures.
Works with all departments as appropriate to develop an effective compliance training program,
including appropriate introductory training for new employees and ongoing training for all
employees and managers.
2
Monitors the performance of the compliance program and related activities on a continuing basis,
taking appropriate steps to improve its effectiveness.
Familiarity with HRSA, FTCA requirements & staying abreast of new Policy Information Notices (PINS)
& Program Assistance Letters (PALS) and implementation of changes, as needed.
Apply complex compliance and risk management concepts into everyday health center operations.
Oversight and Regulatory Compliance, Quality Assurance; Legal interpretations & Risk Management
Required continuing education to stay proficient in HRSA, HIPPA, FTCA, OSHA and HITECH
regulations.
Conducting Internal audits of all department
Presenting and training of new and/or existing risk/compliance concerning policies and procedures
and translate complex guidelines and collaborate with agency leaders to apply objectives into daily
operations.
EDUCATION/EXPERIENCE:
ECRA certified within six months -
Bachelors degree in finance, Business, or Accounting OR 5 plus years related experience.
Clinical or medical designation CMA, LPN, RN etc.
Expert level in Microsoft Office software
Developing Employment and implementation of new policies/ procedures, including analysis of
practice.
Knowledge of workplace safety
OSHA
HIPAA
QUALIFICATIONS/SKILLS:
Knowledge of compliance and risks management programs.
Excellent skills in oral and written communication.
High level of initiative and Leadership.
Ethical conduct.
Time management.
Good advocacy skills.
Confidentiality
ENVIRONMENTAL/WORKING
CONDITIONS:
Work is performed in a standard office environment.
PHYSICAL REQUIREMENTS:
Ability to sit or stand for long periods.
Ability to bend and stoop to perform job.
Hand-eye coordination.
Ability to meet additional demands and lifting requirements as defined by the department.
Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office
equipment.
Normal range of hearing and eyesight to record, prepare, and communicate appropriate reports.
Must be able to manage high levels of stress and handle day to day stressful situations.
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