Indiana Regional Medical Center · 1 month ago
Risk Management and Regulatory Officer - Full Time
Indiana, PA
Full-time
Onsite
Senior Level
5+ years expIndiana Regional Medical Center is seeking a Risk Management and Regulatory Officer to oversee risk management and regulatory compliance initiatives. The role involves identifying and mitigating risks, ensuring continuous survey readiness, and delivering training on risk prevention and patient safety.
Hospital & Health Care
Responsibilities
Identify, assess, and mitigate risks across clinical, operational, and financial areas
Investigate adverse events, patient safety concerns, and liability claims, coordinate with legal counsel and insurance carriers
Maintain confidentiality regarding medical, legal, regulatory, safety, and patient privacy issues
Serve as the primary liaison for PA Department of Health (PA DOH), The Center for Improvement in Healthcare Quality (CIHQ), The Centers for Medicare and Medicaid (CMS), and all other accrediting and/or oversight bodies
Ensure continuous survey readiness through mock surveys, tracer activities, and compliance audits
Develop corrective action plans for deficiencies and monitor implementation and sustainment
Stay current on regulatory changes and communicate updates to leadership and staff
Prepare and submit required documentation and reports to accrediting and regulatory agencies
Act as an expert resource for performance improvement, hospital regulatory compliance, and accreditation standards
Drive continuous improvement using PDCA (Plan-Do-Check-Act) cycles and operational excellence tools
Utilize problem-solving methodologies, root cause analysis, and data-driven decision-making
Provide consultative assistance for department-specific quality programs and initiatives
Compile, review, and interpret data, coach others on data analysis and interpretation
Serve as a member of interdisciplinary teams in roles such as leader, facilitator, and contributor
Partner with Quality, Compliance, and Patient Safety teams to integrate risk management and accreditation strategies
Facilitate peer review processes and act as a resource to the Medical Staff Quality and Collaboration Committee
Deliver training on risk prevention, patient safety, regulatory compliance, and performance improvement tools
Promote a culture of safety and readiness through education and communication initiatives
Use various electronic documentation programs and tools for risk and quality data management
Maintain accurate records and reports for leadership and regulatory bodies
Demonstrate understanding of 24/7 hospital operations in an acute care setting, including clinical knowledge
Organize and prioritize work to meet multiple deadlines and adapt to frequent changes in priority
Utilize excellent organizational and interpersonal communication skills
Qualification
Required
Bachelor's degree in healthcare-related field or equivalent
Minimum 5 years experience in a hospital setting including 3 years managerial/leadership responsibilities
Experience in patient care processes in the acute care setting
Current Pennsylvania licensure if appropriate required
Preferred
Master's degree in healthcare or organizational leadership desirable
Certified Professional in Healthcare Quality (CPHQ) desirable
Company
Indiana Regional Medical Center
Indiana Regional Medical Center, 194-bed not-for profit community hospital, has been serving Indiana County and surrounding communities since 1914.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Michael Ickowski, CPA, MBA
CFO - Pennsylvania Mountain Care Network
Brett Braun
Chief Operating Officer
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