Compliance & Risk Management Coordinator

Description

Job Summary: The Compliance and Risk Management Coordinator (CRMC) is responsible for providing data to support process improvement activities, chart reviews, evaluate/ monitor the environmental safety program, emergency management, maintain various tracking logs and other documents, as well as working knowledge of OSHA, HIPAA and other FQHC regulators.

Role & Responsibilities

• Work cooperatively with Northwest Health Services’ (NHS) providers and personnel to carry out the goals and objectives of NHS according to established policies and procedures.
• Treat others respectfully including patients, fellow employees, member of management, customers, vendors, or other visitors to our premises.
• Maintain excellent professional relations and communications with all staff as well as with all contacts outside of NHS.
• Participate in trainings/meetings to develop an understanding of Community Health Center, Federally Qualified Health Center, NHS contracts, policies and procedures, compliance, risk management and safety protocols.
• Assist with coordination of meetings for Compliance, Safety and Risk Management as well as others that may be required. Attend meetings when asked to do so.
• Ensure all required equipment and environmental safety inspections are completed timely.  Receive inspection reports and communicate with Administrators/Managers to ensure repairs are prioritized, scheduled and completed in a timely manner.
• Develop and update Emergency Management Plan ensuring required drills and activities are completed and reported per CMS and other regulatory requirements.
• Organize and track non-Clinical safety events, including patient and employee accidents/complaints. Compile reports monthly and otherwise as requested.
• Order, prepare, and distribute Patient Satisfaction Surveys to Regional Center Administrators, and Departmental Managers. Receive completed surveys and return to company for results. Compile result summaries for further analysis.
• Coordinate/conduct Risk Assessments for all service lines, locations and departments throughout NHS.
• Collaborate with Director of Compliance and Risk Management to ensure New Hire Training sessions are scheduled, organized, efficient and meet the needs of new employees.
• Assist with HRSA, Federal Tort Claims Act (FTCA) and other compliance and risk related applications/activities when requested to do so.
• Generate or obtain reports for compliance/risk management, safety activities, including 340 B, chart, billing/coding audits etc.
• Maintain clean, safe, work environment including compliance with established guidelines.
• Maintain patient and NHS confidentiality at all times.
• Comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
• Perform related work as required.

Qualifications

Education & Experience

• • • Three to five years in health clinic environment required.
    • Experience in a community health center preferred.
    • Familiarity with statistical, accounting, budget, and economic structuring, collating data, maintaining and deriving desired management reports from system databases, preferred.
    • Proficient in planning, and implementing office procedures relevant to practice management.
    • Knowledge of data analysis and training.
    • Experience using data analysis software and computer programs to include but not limited to MS Suite Excel spreadsheets, Access databases, and PowerPoint that will assist in analyzing interpreting, organizing and generating data.
    • Possess research and analytical skills sufficient to gather data in a comprehensive manner and to monitor Performance Improvement/Risk Management activities in a systematic manner.
    • Must have a thorough knowledge of fact finding and problem-solving techniques to analyze/evaluate facts relative to conditions or trends and to pass on for corrective action.
    • Valid driver’s license is required, and proof of insurance for personal vehicle used for business.

Required Knowledge, Skills, and Abilities

• • Talk, hear, see, sit, stand, kneel and lift, push or pull up to 50 pounds.
  • Work collaboratively with multi-disciplinary teams, community resources and organizations.
  • Possesses an understanding of the data required to address medical and administrative issues involved in coordinating a Quality Improvement program for a Community Health Center and data required to insure the ability to establish readiness for successful NCQA and/or JCAHO surveys and accreditation.
  • Possesses excellent analytical skills necessary for preparing reports, devising solutions, and implementing changes in a health care setting.
  • Possesses ability to strongly embrace and personify the mission of NHS.
  • Must be able to interact with people in a professional, diplomatic, and sensitive manner and ensure that appropriate confidentiality in maintained.
  • Must be motivated, able to work independently, be a strong facilitator and have excellent follow through skills.
  • Organize and prioritize work, and meet critical deadlines.
  • Possesses team building skills in order to ensure a productive work environment and achievement of goals.
  • Interpret, explain and apply regulations, policies and procedures.
  • Analyze, evaluate and make sound decisions.
  • Prepare clear, accurate and effective reports, correspondence and other written materials.
  • Communicate clearly and effectively, both orally and in writing.
  • Must be able to travel long distances when necessary.