Contentnea Health · 2 months ago
Risk Management Specialist - Healthcare
Snow Hill, NC
Full-time
Onsite
Mid LevelContentnea Health is a Community Health Center that provides comprehensive medical, dental, and behavioral health services. They are seeking a Risk Management Specialist to lead risk management initiatives and ensure compliance with regulatory requirements.
DentalHealth CareWellness
Responsibilities
Manages the organization’s Risk Management program
Administers the organization’s emergency management and safety plans. Serves as the point of contact for external community partners (i.e. Fire, County Emergency Management, etc.)
Performs and communicates the results of internal safety/compliance audits and identifies training needs based on these results
Provides support for risk management meetings and presentations
Assists and provides guidance to staff with risk management, safety, and compliance projects
Develops, monitors, and evaluates the effective implementation of the organization’s Risk and Safety Programs
Facilitates a culture of safety in the organization that creates an atmosphere of mutual trust for staff to talk about safety concerns and solutions
Compiles and summarizes program activities into reports for the Board of Directors and executive leadership
Maintains and updates all required regulatory forms, patient notices, and clinic signage to comply with federal, state and local guidelines
Manages and maintains confidential information and records in accordance with HIPAA and organizational policies
Ensures compliance with internal initiatives and external regulatory requirements
Identifies potential risks by analyzing data, observing processes, and communications with staff
Collaborates with the Quality Improvement (QI) Department for projects and initiatives
Safeguards the organization from liability with current incentive, regulatory, and certification requirements (such as Patient Centered Medical Home (PCMH), Federal Tort Claims Act (FTCA) and Uniform Data System (UDS) through documentation, participation in initiatives, and other activities as directed
Creates and generates routine and ad hoc reports as needed to support risk management activities
Assists in the establishment and monitoring of information privacy policies and procedures in coordination with management to ensure HIPAA compliance
Ensures proper reporting of violations or potential violations to internal management as appropriate, and duly authorized external enforcement agencies as required
Manages patient complaints and grievances
Reviews patient feedback, complaints, and grievance reports and facilitates resolution through consultation or assignment to the appropriate party
Tracks resolution of complaints and grievances
Works directly with the health center’s legal team as needed to manage complaints to clinical oversight agencies such as the NC Medical Board, NC Board of Nursing, and NC Board of Dental Examiners
Manages environment of care and emergency preparedness assessments
Manages and investigates Occupational Safety and Health Administration (OSHA) claims
Leads environmental safety tours
Recommends revisions for emergency plans based on operational and compliance needs
Coordinates and oversees emergency drills twice a year
Conducts Fire Drills and prepares After Action Reports
Coordinates fire marshal inspections every three years
Conducts fire extinguisher inspections annually
Assesses patient events and near-misses
Reviews and analyzes patient incidents and near-miss reports
Coordinates action plans to address patient safety incidents in consultation with leadership
Determines training needs of the organization based on findings and collaborates with leaders to develop training plan
Qualification
Required
Possesses advanced general skills, including written and verbal communications skills, computational and computer skills, and mathematical knowledge frequently acquired through completion of a general Bachelor's Degree program or Associate's Degree with acquired business experience
Possesses knowledge of healthcare regulations and standards, including HIPAA, OSHA, CMS, HRSA and other federal/state regulatory requirements
Possesses knowledge of risk assessment and mitigation strategies, incident reporting systems, and root cause analysis (RCA)
Possesses understanding of insurance claims, liability management, and legal terminology as it relates to healthcare risk
Preferred
Previous risk management experience in a healthcare setting is preferred
Company
Contentnea Health
Contentnea Helath is comprised of eight community health center sites, including three dental health centers, two student health sites and a diabetology center, in eastern North Carolina.
Founded in 1972
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Daphne Betts-Hemby, MBA, CMPE
Chief Financial Officer
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