Compliance Officer and Risk Manager

Details

Posted : 08-Jan-25

Location : El Cajon, California

Type : Full Time

Salary : $110,000.00

Categories :

Quality / Risk Management

Sector :

Community Health Center / Community Clinic

Preferred Education :

4 Year Degree

Internal Number : 14704

Job Purpose :

The Compliance Officer & Risk Manager works under the direction and supervision of Executive Director and collaborates with the Medical Director. The Compliance Officer & Risk Manager oversees the day-to-day operations as it relates to compliance. The Compliance Officer & Risk Manager completes ongoing evaluation of quality patient care, by means of identifying areas of improvement and ways to implement efficient change, and ensures compliance with regulatory requirements, and applicable laws, rules, policies and procedures. The Compliance Officer & Risk Manager’s goal is to secure the functionality of SMDC to drive extensive and sustainable growth of all departments while supporting SMDCs mission, vision and core values.

Job Duties and Responsibilities :

Note : Duties and responsibilities may be added, deleted, or changed at the sole discretion of Sycuan Management at any time)

• Strategic : Ensures quality assurance and control, patient satisfaction and compliance monitoring. Ensure staff achieve peak productivity and performance. Ensures training and adherence of clinic staff to policies, procedures, and, standards; coordinates in-service training, continuing education, orientation, competency reviews, and other related training functions with department supervisors. Oversees patient care and coordination of care in collaboration with the health and dental care teams. Oversees and guides efficient patient flow from entry to dismissal with policies and procedures that align with all departments of SMDC. Directs, organizes and formulates monthly, and / or annual clinic performance reports associated with practice operations, including financial measures to monitor program goals, staff effectiveness and scheduling efficiencies. Creates a positive and engaging work environment for staff by setting clear expectations, coaching for success, issuing performance documentation as needed, onboarding and training for development or bridging skills gap. Develops positive, trusting, and collaborative relationships with SMDC management team to ensure open communication, provide feedback, and influence change as needed. Develops and maintains excellent working relationships with all departments; provides guidance and support as appropriate to ensure needs are met in a timely manner. Provides real time meaningful feedback to various departments to effect change in a timely manner.
• Compliance : Ensures development and compliance of workflows and policies and procedures consistent with those of the organization to ensure efficient and safe operation of the practice site and compliance with federal, state, and other regulatory and accreditation agencies. Manage the ongoing review of materials and communication tools to ensure departments meet compliance requirements. Adhere to regulatory reporting guidelines and filing deadlines in collaboration with Revenue Cycle Coordinator. Conduct compliance audits and interprets these reports for various departments. Facilitate remediations of audit findings by training staff to make course corrections and prevent future violations. Researchers and reports on the most cost-effective plans to minimize asset liability. Reviews and analyzes risk management programs for the effectiveness of coverage and to reduce costs and losses. Develops and administers risk management and loss prevention programs.
• Program : In collaboration with the Executive Director, Medical Director, Dental Director, and Pharmacist / Pharmacy Manager - assists in coordinating clinical activities that directly impact population health outcomes. Monitors, facilitates data validation and provides feedback for data tools and dashboards to monitor program goals in collaboration with Quality Manager. Oversees projects for effective implementation and ongoing monitoring. Gathers and analyzes data for trends and to institute action to solve problems promptly and evaluate effectiveness of action in collaboration with Quality Manager. Leads employees to encourage maximum performance and dedication to SMDC. Contributes to the success of the organization by participating in quality improvement activities. Complies with all Sycuan Medical Dental Center policies and procedures and proactively participates in the implementation of new initiatives. Fosters a positive patient experience and promotes patient retention. Participate in expansions activities as appropriate.
• Financial : Monitors productivity reports to ensure schedules are maximized to meet goals. Assess optimal staffing ration for staff to adequately support the volume of the clinic.
• Risk : Identify, document, and ensure communication of key risks and recommend ways to control or reduce risks. Gather risk-related data from internal or external resources. Identify and analyze areas of potential risk to the assets, earning capacity, or success of organizations. Develop or implement risk-assessment models or methodologies. Produce reports or presentations that outline findings, explain risk positions, or recommend changes. Plan, and / or contribute to development of, risk management systems. Develop contingency plans to deal with organizational emergencies. Evaluate applicable laws and regulations to determine impact on organizational activities. Responsible for implementing, administering, monitoring, and evaluating the IHC Workplace Safety Program. Conducts periodic audits and risk assessments. Responsible for implementing, administering, monitoring, and evaluating IHC’s Emergency Preparedness / Disaster Plan. Functions as the Indian Health Center’s Incident Commander in the event that IHC’s Emergency Preparedness / Disaster Plan is activated. Insures that Safety Committee is trained on IHC Emergency Preparedness / Disaster Plan. Functions as the Indian Health Center’s Safety Committee Chairman. Handles patient grievances and incidents.

Job Specifications :

Education and Experience :

Essential :

Desirable :

Skills and Knowledge :

Essential :

Physical and Mental Requirements :

Safety :

Privacy / Compliance :

Desirable :

Supervisory / Managerial Accountability :

Direct :

Indirect :

Create a Job Alert for Similar Jobs About Sycuan Medical Dental Center Sycuan Medical Dental Center (SMDC) is a comprehensive outpatient primary and specialty care facility. We offer patients high quality health care through our full service primary care medical clinic, as well as specialty and alternative medicine services. Our dental department is staffed by qualified and devoted general dentists, including a specialist in endodontic care. Through our pharmacy, we provide outpatient pharmaceutical services and, in many cases, discounted prices for our patients. Connections working at Sycuan Medical Dental Center https : / / regulatorycareers.raps.org / jobs / 20958765 / compliance-officer-and-risk-manager

Salary : $110,000