POSITION

Compliance/Risk Management Officer SHIFT :

Full-Time SALARY:

DOE JOB SUMMARY

: This position is responsible for overseeing the administration and implementation of the Hospital's Corporate Compliance Program. Reports at least quarterly to the CEO and to the Board of Trustees on the operation of the Corporate Compliance Program. Seek advice from legal counsel when appropriate. Includes overseeing all ongoing activities related to the development, implementation, maintenance, and adherence to the organization's policies and procedures covering the privacy, access, and patient health information in compliance with Federal and state laws and the healthcare organization's information privacy practices. Responsible for clinical identification, risk evaluation and coordination of corrective action implementation related to risk issues. Provides intervention and education related to risk management issues to promote safe work practices and quality care and services; in an environment that is beneficial to the safety, health and well-being of all patients, visitors, and staff. Coordinates risk programs with all hospital departments and administration. Reports real and potential risk situations to the Governing Body, medical staff, administration, department managers, and committees, as appropriate. Responsible for establishing and monitoring methods to avoid, eliminate and/or reduce risk situations associated with the provision of patient care and services. Manage patient safety and oversee all hospital safety management programs in order to maintain a safe environment for patients, visitors, and staff by performing the following duties. Participates in hospital performance improvement and continuous quality improvement.

QUALIFICATIONS

Bachelor's degree (B. A.) required; post-graduate degree preferred. Five years of experience working in a regulatory and/or compliance role leading and implementing a comprehensive compliance program, or equivalent experience; preference for compliance experience in the healthcare industry. Prefer nursing medical background, but not required.

CLOSING DATE

: Open until filled. 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