Risk and Compliance Manager

2 weeks ago

Hutchinson, Kansas, United States HUTCHINSON CLINIC P A INC Full time
Job Summary

The Hutchinson Clinic P A Inc is seeking a highly skilled and experienced Risk and Compliance Manager to join our team. As a key member of our Compliance and Risk Management department, you will be responsible for developing, planning, organizing, and directing all functional activities related to our patient safety and risk programs.

Key Responsibilities
  • Develops, initiates, maintains, and revises policies and procedures for the Compliance Program and related activities (HIPAA Privacy).
  • Manages day-to-day operation of the Compliance and Risk Management Programs.
  • Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
  • Responds to alleged violations of rules, regulations, policies, and procedures related to compliance issues and Standards of Conduct by recommending or initiating investigation.
  • Acts as an independent review and evaluation resource to ensure that compliance issues and concerns within the organization are being appropriately evaluated, investigated, and resolved.
  • Identifies potential areas of compliance vulnerability and risk through auditing and monitoring; Consult with legal counsel and insurance carriers on matters involving clinic risk and liability and to determine whether a claim should be paid, litigated, or denied per director guidance.
  • Assist with medical peer-review process on issues related to standard of care.
  • Promotes and ensures risk and patient safety program integrity through adequate oversight of staff functions, data collection and reporting.
  • Responsible for maintaining and monitoring the incidents and claims reporting system.
  • Participates in professional development efforts to ensure appropriate application of current health care practices and trends.
  • Works with the Human Resources Department and others as appropriate to develop an effective compliance training program, including appropriate training for new employees as well as ongoing training for all employees and managers.
  • Institutes and maintains an effective compliance communication program for organization, including promoting heightened awareness of Standards of Conduct, and understanding of new and existing compliance issues and related policies and procedures.
  • Report on any high-risk business matters along with material breaches of polices, laws, regulations, and Standards of Conduct to the Director of Compliance.
Requirements
  • Two years of experience in a healthcare or administrative role or one year experience management/supervisory experience.
  • ADN is required with a current and active licensure by the Kansas Board of Nursing, or a Multi-state compact license.
  • Bachelor's degree is preferred.
  • Possess excellent verbal and written communication as well as excellent interpersonal skills with patients, staff, and other health care professionals.
  • Demonstrates ability to prioritize workload, with the ability to juggle several projects at one time.
  • Self-motivated with a commitment and enthusiasm for compliance and ethics.
  • Requires normal range of vision and hearing and manual dexterity sufficient to operate a keyboard, telephone and other office equipment as needed.
  • Organizational - proactively prioritizes risk and compliance needs and effectively manages resources.
  • Computer Skills- demonstrates proficiency in Microsoft Office, and the ability to navigate an EMR system and other applications as required with minimal training.
  • Policies and Procedures- articulates knowledge and understanding of organizational policies, procedures, and systems.

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