Clinical Risk and Compliance Director

 

Clinical Risk and Compliance Director

Corporate Director of Risk Management and Clinical Compliance Position Summary:

As the compliance leader and subject matter expert, the Corporate Director of Risk Management and Clinical Compliance is responsible for coordinating those systems necessary for identification, evaluation, monitoring, reduction and/or elimination of professional and general liability risk exposure. Provide counseling and education to clinical staff, community leadership and staff members related to resident safety, risk exposures including risk prevention and risk reduction. Establishes standards and implements procedures to ensure that the compliance programs throughout the organization are effective and efficient in identifying, preventing, detecting, and correcting noncompliance with company policies. The successful candidate will possess a thorough knowledge of memory care, programing, assisted living regulations, nurse practice acts, and company policies with sound judgment and strong business acumen.

 

Qualifications Required for Corporate Director of Risk Management and Clinical Compliance: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

• Registered Nurse with an unencumbered license required
• Certified Professional in Health Care Risk Management or within a year of employment
• 3-5 years of experience in senior living industry with a comprehensive background in quality improvement and management
• Ability to travel to all states within the company
• Expert knowledge of Microsoft Excel, Word, and Outlook
• Ability to manipulate large amounts of data and to compile the data into detailed, effective reports
• Proven knowledge of auditing standards and procedures, laws, rules, and regulation. High attention to detail and excellent analytical skills with sound independent judgment.
• Excellent communication skills and a compassion for older adults
• Must possess and maintain a valid driver’s license and current auto insurance

 

Primary Responsibilities for Corporate Director of Risk Management and Clinical Compliance:

• Oversee and monitor the implementation of the compliance program and provide guidance to Executive leadership, the board of directors, staff, and employees on appropriate compliance
• Maintain current knowledge of laws, regulations, and nurse practice acts
• Develop the annual compliance work plan that reflects the Company’s highest risks that will be monitored by the compliance function
• Assure operational integration of clinical functions to achieve program success, high customer satisfaction, excellent resident care and safe operations
• Initiate and facilitate changes to improve resident care and program performance through effective communication, collaboration, and interdisciplinary problem solving
• Assists with licensing & compliance for new development communities
• Provide leadership for safety policies and practices including OSHA, worker’s compensation, and medical and hazardous waste disposal
• Develop policies and programs that encourage employees to report suspected misconduct, fraud, abuse or misappropriate of property without fear of retaliation
• Perform and control the full audit cycle including risk management and control management over operations’ effectiveness, clinical, and compliance with all applicable directives and regulations
• Engage in continuous knowledge development regarding rules, regulations, best practices, tools, techniques, performance standards, and the company’s fields of business, and advise other departments regarding necessary changes to policies, procedures, and practices
• Perform compliance audits including, but not limited to, policies, procedures, records management/retention, employee files, risk, programming, and quality care
• Develop, coordinate and participate in multifaceted educational and training programs that focuses on the elements of the compliance program and seeks to ensure all employees and leadership are knowledgeable of and comply with applicable federal laws, state regulations, standards of practice and company policy and procedures
• Ensure compliance with all regulatory agencies and accrediting bodies. Minimize liability to the company by anticipating problems, evaluating magnitude of the problem, and taking actions to correct problem and/or reduce risk. Independently investigate the action matters related to compliance, including the ability to design and coor