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UnityPoint Health · 1 month ago

Risk Management and Accreditation Program Manager

Dubuque, IA

Full-time

Onsite

Mid Level

3+ years exp

UnityPoint Health is a recognized leader in healthcare committed to quality and safety. The Risk Management and Accreditation Program Manager serves as a champion of regulatory compliance and managing clinical risk, working closely with various leaders to ensure adherence to standards and improve care quality.

Health CareHospitalMedical

Responsibilities

Identify and implement industry best practices related to managing clinical risk

Oversees investigations or incidents that could lead to professional/general liability claims

Identifies occurrences that are potentially compensable events and reports to system law office and third-party insurers

Facilitates support of professional liability litigation including discovery responses, and trial preparation in conjunction with legal department

Works with patients/families/visitors to resolve outstanding issues in conjunction with the Service Excellence process

Facilitate dissemination of information related to changes in regulatory requirements and clinical research pertinent to patient consent, potential liability exposures, and risk management issues

Develops/implements educational programs for employees and clinical staff regarding risk management as needed

Develops and implements policies and procedures that guide and support compliance with Det Norske Veritas (DNV), Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs), Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA) and other regulatory agencies

Works closely with Performance Improvement, Patient Safety, Patient Care Directors/Managers, UnityPoint Health Legal Team to ensure compliance with statutory mandates, regulatory requirements, and accreditation standards of professional organizations such as DNV, OSHA, Food and Drug Administration (FDA), etc

Manages regulatory agency survey process, post survey action plans and reporting to the appropriate regulatory agency, hospital leadership, and hospital committees

Individually provides or works with others to provide the identified educational opportunities related to accreditation and regulatory standards. This may include education to leadership and department staff

Qualification

Risk ManagementAccreditation StandardsClinical LeadershipData AnalysisProcess ImprovementTeachingLeadership DevelopmentHealthcare DegreeClinical LicenseRegulatory CompliancePresentation Skills