Compliance and Risk Manager

Quality Care Starts At Clinicas This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES The Compliance and Risk Manager is responsible for performing the following duties: Manages day-to-day operation of the Compliance and Risk Program activities. Collaborate with internal departments and external agencies. Develop, review and implement necessary programs, policies and procedures. Including promoting uniformity along all service lines (Urgent Care, Dental, Optical, etc.) Educate and develop training material that promotes commitment to compliance with standards, risk management functions, policies and procedures. Establish appropriate structures and processes in relation to risk reporting, incident management, safety, escalation of serious incidents and reporting (internally and to external agencies as applicable). Conduct confidential internal investigations for compliance complaints and or grievances, including those received via the Anonymous Helpline. Assist in identification of potential risk through a risk assessment, analysis of accidents/incidents and near miss incidents, periodic safety inspections and/or audits. Support appropriate departments to ensure compliance with subpoenas and timely response to release of medical records to ensure full compliance with required HIPAA and other regulations. Manage liability insurance accounts for the organization. Keep up to date with health & safety legislation and guidelines and healthcare compliance regulations. Work with legal counsel in situations of filed claims and protects the attorney-client privilege as appropriate. Collect and analyze data to identify vulnerabilities and make recommendations to reduce, prevent or eliminate risks identified. Perform other duties as assigned including participation in all safety programs which may include assignment to internal or external agency committees. Appoints, coordinates, and directs the work of the staff members in the Compliance Department. Collaborate on the FTCA Application for malpractice and annual risk report. Prepare presentations and reports that address risk, capture trends and recommendations. Requirements EDUCATION, EXPERIENCE AND QUALIFICATIONS Bachelor’s degree in healthcare administration, nursing, or a related field preferred. Previous experience in healthcare compliance and risk management. Strong knowledge of local, state, and federal regulations. Proven ability to achieve results.