Risk Management and Accreditation Program Manager
US-IA-Dubuque
careers
Req #: 180033
Type: Full Time Benefits
|
Overview: Shift: Full-Time, Monday - Friday, days, for 80 hours per pay period The Risk Management and Accreditation Program Manager serves as a highly visible champion of regulatory compliance and managing clinical risk throughout the region. Works closely with the Director of Quality, Chief Nursing Officer and the UnityPoint Health system service leaders. Provides leadership for regional efforts to assure compliance to regulatory agency standards and continuously improve the quality and safety of care. Responsibilities: Risk Management Program * 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. Accreditation Preparedness Program * 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. Qualifications: Education: * Bachelor's degree in Nursing, Health Related Field or Risk Management Experience: * 3-5 years of clinical leadership experience in process improvement. * Prior experience in risk management, accreditation, facilitation, data analysis, leadership development, teaching and presentation preferred, but not required Certification/License: * Certification in Risk Management or Accreditation preferred * Clinical license related background as appropriate is preferred
Share this job:
