Assistant Manager of Risk and Compliance

Description

Job Summary:
The Assistant Manager reports to the Director of Compliance and Risk Management and helps to oversee the Hutchinson Clinic’s Compliance Program and is responsible for developing, planning, organizing, and directing all functional activities related to the clinic’s patient safety and risk programs.

Essential Functions and Responsibilities:

1. Develops, initiates, maintains, and revises policies and procedures for the Compliance Program and related activities (HIPAA Privacy).
2. Manges day-to-day operation of the Compliance and Risk Management Programs.
3. Develops and periodically reviews and updates the clinic’s Standards of Conduct.
4. Collaborates with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
5. Responds to alleged violations of rules, regulations, policies, and procedures related to compliance issues and Standards of Conduct by recommending or initiating investigation.
6. 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.
7. Identifies potential areas of compliance vulnerability and risk through auditing and monitoring; 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.
8. 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.
9. Coordinate and oversee medical peer-review process on issues related to standard of care.
10. Promotes and ensures risk and patient safety program integrity through adequate oversight of staff functions, data collection and reporting.
11. Assist with maintaining and monitoring the incidents and claims reporting system.
12. Assists the clinic’s Compliance Committee and helps to lead the clinic Safety Committee Educates, advises, and counsels on relevant patient safety and risk management issues affecting the organization.
13. Participates in professional development efforts to ensure appropriate application of current health care practices and trends.
14. 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. 
15. 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.
16. Report on any high-risk business matters along with material breaches of polices, laws, regulations, and Standards of Conduct to the Director of Compliance.

Performance Measures:

1. Stay current of regulation changes regarding HIPAA and OSHA
2. Perform all duties with accuracy and extreme attention to detail to limit errors
3. Employ exceptional customer service and communication skills with external and internal customers.
4. Comply with all clinic guidelines and policies.

Qualifications

Experience:

• Two years of experience in a healthcare or administrative role or one year experience management/supervisory experience.

Education:

• 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.

Interpersonal Skills:

• Demonstrate ability to deal with conflict in a professional manner.
• 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.
• Critical problem-solving ability with the ability to make decisions in information available, which is not always black and white.
• Self-motivated with a commitment and enthusiasm for compliance and ethics.

Physical Requirements:

• Requires normal range of vision and hearing and manual dexterity sufficient to operate a keyboard, telephone and other office equipment as needed.
• Requires full range of body motion.
• Requires sitting for extensive periods of time

Other Skills:

• Organizational - proactively prioritizes risk and compliance needs and effectively manages resources.
• Leadership - guides individuals and groups towards desired outcomes
• 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

This job description may not be inclusive of all assigned duties, responsibilities, or aspects of the job described, and may be amended at any time at the sole discretion of Hutchinson Clinic.