General Definition and Scope of Job Under the direction of the Chief Medical Officer and Chief Human Resources & Compliance is Director is responsible for the Risk Management and regulatory services programs of the health center. Reviews and recommends, administrative policies and procedures, as indicated. Recommends and Facilitates staff education regarding trainings offered under the Risk Management and Regulatory Programs. Core Responsibilities Serves as internal consultant to leaders, department heads, and staff on matters of risk management. Works in conjunction with the Director of Quality and PI to ensure the highest quality of care, and any risk issues are addressed. Reports to the Chief Human Resources & Compliance Officer, but also maintains direct communication with the Chief Medical Officer on matters of clinical risk management. Responsible for and understands current regulatory laws and standards related to Lab Services. Acts as Claims Manager for all claims-related activities and serves as the claims point of contact. Gathers, analyzes information and reports on incidents and complaints on a monthly, semi-annual and annual basis in partnership with the Clinical Risk Manager. Prepares quarterly, semi-annual and annual reports for leadership, governance and regulators. Identifies potential risk management areas and works with Chief Medical Officer & Chief Human Resources & Compliance Officer to resolve issues. Develops reports based upon findings from occurrence monitoring and assists with staff education related to same. Directs safety occurrence reporting and serious complaint management systems including investigations, in-depth, root cause and failure mode analysis, proactive risk assessments, action and reporting. Investigates, reports and coordinates related corrective action plans for adverse events. Acts as and is certified to be Infection Control Coordinator for the health center. Is staff resource for infection control issues. Directs Lab Services and understands current regulatory laws and standards. Responsible for Point of Care Coordinators, including hiring, training and supervision of staff and services. Ensures that patient risk management protocols and regulations are monitored continuously and that follow-up actions are taken, as necessary. Collaborates with leadership to identify and set priorities to annual risk management goals; organizes trains all staff on Risk Management. Other duties as needed.

Minimum Skills, Experience and Educational Requirements:

Minimum of 2 years experience successfully implementing quality and compliance programs in a complex health care environment, FQHC preferred. Must have a bachelor's degree in healthcare (e.g, PA, NP, AANP, BSN) Master's preparation in relevant field preferred, (e.g. MHA, MPH, MPA, and/or MBA). CPHQ certification preferred. Working knowledge of a variety of rigorous process improvement and quality outcome measurement methodologies, such as Lean, Change Management, Value Stream Mapping, Rapid Cycle Testing, PDSA, FMEA, 330 Health Care and Business Plans, Healthy People 2010/2020, HEDIS, P4P. Proven leadership, meeting facilitation, project management and time management skills. Effective computer software skills including performance management-related applications and database management. Computer literacy and the ability to perform sophisticated statistical analysis.

Skills, Abilities, Competencies Required:

Able to anticipate and manage current issues, exhibit critical thinking and sound judgment, use reason, even when dealing with emotional topics, take action to resolve conflicts and problems. Able to review primary and secondary data, determine facts, identify trends and patterns, weigh options, offer solutions, make recommendations, and report data clearly, succulently, and objectively. Able to remain open-minded and change opinions on the basis of data and/or new information; perform a wide variety of tasks and change focus quickly as demands change; manage transitions effectively from task to task; anticipate, plan for and adapt to varying patient / customer needs. Able to assume a role of authority as necessary; advocate new ideas, even when risk is involved; set an example for coworkers; delegate responsibility and empower associates to make decisions; provide constructive feedback to others. Must have excellent interpersonal, communication, written and presentation skills, and the ability to collaborate with leadership, providers, allied health and administrative staff and partner agency staff. Able to prepare for emerging patient / customer needs; manage multiple projects; determine project urgency in a meaningful and practical way; use goals to guide actions and create detailed work plans and action plans; organize and schedule self, people and tasks. Lead the transition of assigned project results to the operational process owners at the time of project closure, including developing a feasible plan to spread and sustain improvements. Able to apply systems thinking to generate solutions; focus on process rather than isolated events; obtain multiple assessments of a situation and be systematic in identifying and eliminating variation and trouble spots; use tools to define problems; evaluate alternative solutions. Develops outcome measurement and analytic strategies including identification of key metrics and data sources. Establish practical data collection, change management and communication plans. Expertise in working with quantitative operational, clinical and financial health care data is essential . Carries-out responsibilities in keeping with applicable laws, regulations, and industry standards; alert to potential for internal problems and reports concerns appropriately.

Pay:

From $100,000.00 per year

Benefits:

403(b) AD&D insurance Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person