The Compliance and Risk Management Coordinator has principal authority and responsibility for the development, implementation, oversight, and evaluation of all aspects of Southeast Community Health Systems (SCHS) Compliance Program. The Compliance and Risk Management Coordinator is authorized to investigate all instances of suspected illegal or unethical conduct and may, upon obtaining appropriate authorization, and consistent with SCHS budget constraints, seek the advice of qualified legal counsel and outside investigators and/or consultants.
In holding such authority, the Compliance and Risk Management Coordinator is assured direct access to SCHS CEO, leadership team, and Board of Directors - unless the matter involves the CEO, in which case the Compliance and Risk Management Coordinator may report independently to the Board of Directors Executive Committee — and to qualified legal counsel, in accordance with policy and procedure and involvement of legal counsel for the purpose of making reports and recommendations on compliance matters.
- Serves as organization's risk manager
- Ensures that all organization activities and operations are carried out in compliance with local, state and federal regulations, JCAHO standards and laws governing healthcare operations.
- Responsible for ensuring program and corporate compliance with primary health care policies and procedures, as well as with those external regulatory bodies such as FQHC, HIPPA, OSHA, CLIA and other professional review and standards boards.
- Trains individuals affiliated with the organization in compliance matters.
- Develops & maintains an incident reporting system by establishing a comprehensive reporting plan that establishes policies and reporting methods for the appropriate areas.
- Evaluates all clinical incidents for severity, frequency, and probability of financial loss, and reports as necessary to appropriate personnel
- Develops & implements preventive risk management programs and serves as risk manager for the organization
- Reviews and revises the risk management plan and all risk management policies on an annual basis.
- Educates & trains staff in appropriate procedures, documentation, reporting, & follow-up in key areas of risk management and acts as resource in risk reduction & keeps abreast of trends in the industry
- Prepares all necessary documentation and promotes compliance with internal policies and external regulations regarding areas of risk management responsibility, including but not limited to sentinel events and root-cause analyses.
- Reviews and revises the risk management plan and all risk management policies on an annual basis.
- Demonstrates knowledge and implementation of creative and innovative risk management processes.
- Performs other duties as identified or assigned.
Regulatory Requirements:
- Minimum of 5 years of project management experience strongly preferred.
- Minimum of 2 years working with compliance programs.
- Minimum of 2 years working in a Federally Qualified Health Center preferred.
- Bachelor’s degree required. Advanced graduate degree preferred.
Language Skills:
- Able to communicate effectively in English, both verbally and in writing.
- Additional languages preferred.
Skills:
- Necessary technical skills to use organization’s electronic health record, incident reporting system, email, and other information systems.
- A high degree of professional ethics and excellent judgment.
- Ability to communicate effectively with excellent listening, oral and written communication skills.
- Experience working on matters of governance and with a Board of Directors.
- Ability to work collaboratively internally and externally.