Risk Coordinator - #1401114

Title: Risk Coordinator

Department: Quality

Status: Non-Exempt

Position Classification/Category: Administration

Level: N/A

Location: Upper Room

Hourly Pay Range

Reports To: CCO

Direct Reports: N/A

Summary of Position

The Risk Coordinator, as part of daily duties, will assist the CCO in the planning and implementation of a systemic program for risk management and compliance at CRCHC. The position serves as primary administrative and reporting support to CCO in the monitoring and evaluation of processes for risk management and compliance. This position exists to ensure compliance with internal initiatives and external regulatory requirements. In addition, the Risk and Compliance Coordinator may serve as a team facilitator and consultative resource for clinical and departmental leadership and staff responsible for risk and compliance improvement activities at CRCHC. This individual is responsible for the management and processing of claims related activities, and serves as the claims point of contact.

Minimum Qualifications

Ability to read, write and comprehend instructions in the English language. Communicate effectively. Interact in a respectful and professional manner with internal and external customers. Ability to gather and synthesize information. Able to travel to other CRCHC sites.

• Experience: 1 to 2 years of related work preferred
• Additional skills required: Proficient in Microsoft Office products. Excellent verbal and written communication skills. Strong analytical skills and attention to detail.
• Additional skills preferred: Experience with electronic health records. Knowledge of medical office protocols/procedures. Knowledge of medical terminology.
  
  

Education: Associate or Bachelor degree in psychology, business management or a healthcare related field

Certification(s)/Licensure: Complete Apexus 340B University within 6 months of hire

Physical Requirements

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.

• Repetitive movement of hands and fingers – typing and/or writing.
• Occasional standing, walking, stooping, kneeling or crouching.
• Reach with hands and arms.
• Talk and hear.
  
  

Key Responsibilities

• Develop and implement a strategic approach and monitoring programs for organizational-wide compliance with federal, state and local laws and regulations, including but not limited to, OSHA, NCQA, HIPAA, HRSA, and other programs.
• Oversee all risk related programs, projects, and audits as required by FTCA, CRCHC’s malpractice insurance.
• Assist with the management of the compliance and risk related activities as it relates to 340B.
• Keep abreast of changes in applicable rules, regulations, standards and related trends that are relevant to the Risk and Compliance Program and make necessary modifications to policies and procedures.
• Assist in the establishment and monitoring of information privacy policies and procedures in coordination with management and legal counsel to ensure HIPAA compliance.
• Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
• Assist and provide guidance to staff with risk management and compliance projects.
• Perform, track, monitor and report on safety/compliance audits on a periodic basis.
• Gather, analyze, and monitor patient feedback (comments, complaints, and grievances) on a periodic basis. To include the management of the patient grievance program and reporting.
• Generate periodic reports from EHR to support clinical quality reporting to support risk management activities and share the results of reports with impacted staff, leadership, and the Board while providing guidance for continual quality improvement.
• Assist with the facilitation of a culture of safety in the organization that creates an atmosphere of mutual trust for staff to talk about safety problems and solutions.
• Monitor the reporting of adverse events, near misses, and potentially unsafe conditions including event reporting policies and procedures.
• Track and monitor the timeline for CRCHC’s policies and procedures, to ensure timely updates for best practices by Senior Directors.
• Refine and monitor emergency management and organization safety plan.
• Oversee the peer review process for all service lines, as well as mammography.
• Provides additional administrative support to all quality improvement department projects and initiatives.
• Support current incentive, regulatory, and certification requirements (such as Meaningful Use, PCMH and UDS) through documentation, participation in initiatives, and other activities as directed.
• Performs other duties as assigned.