Position Summary
The Director of Risk Management and Compliance provides leadership for the organization’s risk management and corporate compliance functions. The position develops and maintains risk management programs and policies to identify, eliminate or reduce, and insure against potential risks to the organization. Compliance responsibilities include monitoring the compliance hotline, managing investigations, conflicts of interests, and privacy audits.
Primary Position Responsibilities
- Manage the Incident Reporting System and implement use of analytical data to identify trends and patterns to mitigate loss and the potential for loss. Prepares quarterly and year-end reports.
- Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation matters.
- Identification of patient, visitor and employee events requiring establishment of: Notice of Circumstance, Claim File, Critical Event Analysis, or Root Cause Analysis. Coordinate response to all sentinel events, provide analysis; collaborate with professional liability carriers to manage all aspects of claims.
- Maintain reporting of all New Jersey Patient Safety Act events to the NJDOH and regulatory agencies as necessary.
- Develop, maintain and implement enterprise risk management and corporate compliance plans; develop risk and compliance and privacy education and resources, oversee implementation of performance improvement and corrective action, maintain risk and compliance related policies and procedures.
- Manage risk related litigation; including acceptance of legal correspondence, gathering discovery documentation, coordinating interviews and depositions, etc.
- Coordinate annual renewal process for all professional and general liability policies.
- Monitor Corporate Compliance hotline, manage privacy audits and conflicts of interests.
- Collaborate with others (i.e. Human Resources, Quality Improvement, Health Information Management) to direct risk, compliance and privacy issues to appropriate existing channels for investigation and resolution.
- Prepare materials for quarterly compliance committee meetings and summarize meeting reports.
- Review new contracts for privacy, indemnification and BAA information.
- Performs other duties as assigned.
Education
Required: Master’s Degree in healthcare, related field or JD
Work Experience
Minimum of three years of experience in risk management, compliance and privacy in a hospital, health system, law firm or related setting required.
Licenses/Certifications
R.N. or other clinical license preferred
CHC and CHPC required or obtained within 12 months of hire
Required Skills, Knowledge, and Abilities
- Must be able to work effectively and independently with others
- Demonstrated high level of critical thinking and problem solving
- Working knowledge of State and Federal regulatory requirements
- Excellent written and verbal communication skills
- Strong presentation skills in small and large group settings
- Strong attention to detail and analytical skills
- Advanced Microsoft Office Application skills
- Demonstrated experience with database management