Compliance and Risk Manager

QAPI Coordinator/Risk Manager:

• Is responsible for developing and maintaining the internal risk management program for risk identification, loss prevention and claims control.

• Assists others in the implementation of QAPI activities.

• Assures compliance with OSHA, Federal, State, and local regulations regarding an internal risk management program. These activities may occur at committee and department levels or be assigned by the CEO.

• Acts as liaison regarding QAPI or RM activities between administration, medical staff, committees, and departments.

• Maintains the standards set forth by the QAPI plan for documenting and reporting QAPI activities.

• Reports to the CEO the accomplishments and roadblocks in carrying out the QAPI plan or potential sources of loss or risk.

• Reviews and evaluates all Incident reports to determine severity and appropriate follow-up, analyzes data for trends.

• Reports data, at least monthly to departments and appropriate committees.

• Provides annual in-services in incident investigation, reporting, and improvement, risk identification, loss prevention and control, and medical device reporting.

• Develops databases of information to use in identifying trends and improvements, graphs and charts, creates, and utilizes spreadsheets and flow charts.

• Participates in District or community committees as needed.

Compliance Officer:

• Coordinates quarterly Compliance Committee meetings and reviews the Compliance Program dashboard with the Board of Directors.

• Record minutes for the quarterly meetings and forwards to the Board of Directors for their review.

• Monitors complaints and suggestions and responds according to CEO’s instructions.

• Performs investigations when needed.

• Manages Policy and Procedure revisions for the departments to the Board of Directors and Medical Staff approvals.

• Plans, promotes, and coordinates in-service education and training regarding mandatory employee educations training. i.e. Safety, Fire Safety, Compliance, Infection Control, Body Mechanics, Pharmacy, Confidentiality, Mental Illness, Rehab Nursing, Dental.

• Serves as a resource to all departments and physicians and participates in orientation and in education about fraud and abuse compliance.

• Performs facility self-evaluation annually and assists with departmental self-evaluations.

• Maintains State & Federal survey results and assists with the plan of correction for surveyed clinical departments.

Organizes monthly Safety Meetings and assures that the objectives of the Safety Committee are fulfilled.

• Provides staff with educational information on pertinent safety and risk management issues on an annual basis or as needed.

• Initiates and tracks Material Safety Data Sheets review annually for the facility.

• Assists in organizing meetings for the HICS system, maintains emergency preparedness resources lists, and documents incidents and/or exercises.

• Coordinates and organizes the Emergency Management training of District employees.

• Participates in district or community committees as needed such as the Local Emergency Planning Committee and other regional groups.

• Attends educational meetings as required.

Job Type: Full-time

Pay: $25.00 - $35.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Experience level:

• 3 years

Schedule:

• 8 hour shift

Experience:

• Risk management: 1 year (Required)

Ability to Commute:

• Springfield, CO 81073 (Required)

Ability to Relocate:

• Springfield, CO 81073: Relocate before starting work (Required)

Work Location: In person