Director of Risk and Compliance - Days

Essential Job Duties

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Directs the functions of the risk management and claims management program.
• Coordinates systems necessary for identifying, evaluating, monitoring, and reduction/elimination of professional and general liability risk exposure. Establishes and maintains comprehensive programs for monitoring, assessing, and defending claims and acts as a liaison with defense counsel.
• Coordinates Root Cause Analyses when indicated and proactively shares data, risk management trends, and educates stakeholders.
• Acts as liaison with insurance brokers, CHC and other external stakeholders in providing required risk/insurance related reports and information. Maintains current and accurate loss run. Ensures all system insurance coverage is consistent with best practices and value. Ensures that policy cost and coverages are re-assessed at least annually and makes recommendations for changes as needed.
• Identifies and takes appropriate action to correct and/or report ethics and compliance issues or any violation in the facility. Assists in resolution of patient treatment issues, such as refusal of treatment, consent issues, and AMA discharges.
• Directs Corporate Compliance and the overall regulatory environment including the legal requirements with which the organization must comply; periodically reviews and updates the Code of Ethics and Conduct policy. Oversees a hotline function to evaluate and respond to complaints, allegations, and problems without fear of retribution. Serves as a resource/educator for Corporate Compliance activities to hospital and medical staff.

Required Education and Experience

Minimum of a Bachelor's degree

3 - 5 years related experience in healthcare Risk Management

Required License/Certifications

N/A