Risk & Compliance Manager

The Risk and Compliance Manager is responsible for analyzing clinic processes, identifying risks for patients and employees and developing strategies to maximize safety, effectiveness and efficiency. Directs, assists and guides the staff members toward establishing, maintaining and/or improving systems to prevent incidences, accidents, and injuries. Oversees the development and implementation of medical errors reduction strategies in collaboration with all departments and patient care areas. Oversees compliance program to ensure regulatory standards are met throughout the organization.

ESSENTIAL FUNCTIONS:

• Plans, directs and coordinates the Risk Management and Compliance Program to minimize the risk of personal injury to patients, visitors and employees reducing exposure to liability or litigation.
• Monitors risk management and compliance issues, conducts in-depth analysis when necessary, and assists individuals or departments with development of corrective action/prevention programs.
• Oversees the Compliance program, develops and maintains a written compliance plan and annual evaluation of the plan’s effectiveness; ensures that all required elements of a compliance program are addressed.
• Coordinates the hospital’s clinical and administrative activities to identify, evaluate and reduce the risk of injury and loss to patients, personnel, visitors, and the institution itself.
• Develops and applies standards to evaluate a hospital’s performance in conducting risk management activities designed to identify, evaluate and reduce the risk of patient injury associated with care and services.
• Investigates risk management/compliance issues within the facility and participates in Root Cause Analysis of internal error reports.
• Provides on-going staff development and education in the Risk Management and Compliance process to facilitate an understanding of the Risk Management and Compliance Program.
• Uses risk factor data to develop evidence-based patient safety interventions and process improvement strategies. 
• Supports and coordinates facility risk assessments, root cause analysis, failure mode and effect analysis (FMEA), and other investigations. 
• Demonstrates expertise and participation in Performance Improvement team facilitation, leadership and membership. 
• Ensures that confidentiality is provided by the Risk Management and Compliance Program.
• Develops policies and procedures to establish guidelines for the organization, based on analysis of risk management and compliance issues.
• Supports and encourages error reporting throughout the organization through a nonpunitive error reporting system.
• Reports to the Executive Leadership Team and Hospital Board on the occurrence of known medical and health care errors and identified near misses and dangerous conditions within the facility, as well as actions taken, either proactively, or based on occurrences.
• Performs other duties as assigned.
• Demonstrates high reliability tools and techniques in daily risk analysis and patient safety workflows.