Director Risk Management and Compliance
Company: Universal Health Services
Location: Mansfield
Posted on: January 6, 2021
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Job Description:
Responsibilities This position requires a master's degree in a
social services field. Two years experience in the field of mental
health preferred. The Director of Risk and Complaince is reponsible
for facility compliance with all risk management policies and
procedures and state/federal regulations. Assures consistency and
compliance in all aspects of the risk management function. Oversees
the transportation department and oversees employees that work at
the switchboard. Maintains/exceeds the standards of Service
Excellence by treating everyone as a guest, by demonstrating
professionalism and excellence in the position, and by practicing
teamwork. Maintains/exceeds the standards set forth in the UHS Code
of Compliance. Ensures data entered into the Behavior Health Module
timely and accurately. Is a member of the Senior Management Team
and attends and participates in meetings. Ensures the effective and
successful operation of the facility by performing other duties and
responsibilities as needed, by assuming Administrator-On-Call
duties as spelled out in the Policies and Procedures manual, and by
responding to occurrences that may not happen during regular
business hours. Attends conferences and trainings as a
representative of FFL as directed by CEO and/or UHS Corporate.
Oversees the Risk Management function by designing and implementing
systems to collect and analyze data. Uses analyses to make
recommendations to mitigate risk. Identifies problem areas,
develops committees as needed to work on the identified areas and
follows up on proposed solutions. Develops and maintains systems
designed to meet the requirements of the Ten Elements of Risk
Management (TERM). Ensures TERM requirements are met, by educating
staff and partnering with Senior Management to implement systems.
Follows corporate reporting procedures as outlined by UHS Term
requirements. Reviews issues to determine potential liability
potentials. Under the guidance of Corporate Risk, evaluates
incidents to determine appropriate response to minimize liability,
gather and secure documentation, and reports to administration
steps taken. Serves as facility liaison with the corporate office
on issues such as legal pleadings related to resident care
complaints. Makes recommendations to correct future liability
potential. Conducts investigations as per facility procedure for
investigation of abuse/neglect, prepares appropriate documentation,
reports occurrences to Corporate Risk, referring agencies and
regulatory agencies as required by procedure and law Upon
conclusion of investigation, prepares summary with systemic
recommendations, and communicates same as directed by CEO. Provides
oversight to ensure staff members are trained and meet all
regulatory and accreditation standards. Reports and reviews status
through Quality Council and makes recommendations for staff
training based on risk and quality data collected and analyzed.
Participates in new staff orientation. Participates in safety
initiatives by serving as active member of the Environment of Care
committee. Partners with the Safety Officer to identify and correct
facility/operational risks. Serves as a resource to the Safety
Officer by assisting with facility safety reviews, preparation of
appropriate safety policies and recommendations for improvement.
Works with the Patient Advocate and assists with complaint
follow-up. Monitors for potential liability issues. Oversees the
overall credentialing process ensuring consistent and complete
information gathering and review to monitor the quality of care
provided by independent practitioners, as per facility policy.
Monitors and reviews contracts for specific language, including
review of institutional and corporate requirements for insurance
coverage, including hold harmless agreements and indemnification
wording. Ensures a continuous and formalized process of contract
review and central location in administrative area. Oversees the
Performance Improvement function by designing and implementing
systems to collect and analyze data. Uses analyses to make
recommendations to mitigate risk and improve quality of services.
Identifies problem areas, develops committees as needed to work on
the identified areas and follows up on proposed solutions. Compares
facility with similar facilities within the company and utilizes
them as a resource for ideas. Gathers and analyzes data from
Satisfaction Surveys and reports the findings, with recommendations
through the Performance Improvement process (i.e, Senior
Management, Quality Council, Patient Safety Council). Maintains
knowledge of regulatory requirements and accreditation standards,
including, but not limited to ODJFS, ODMH, ODADAS, CARF. Oversees
the accreditation process and partners with Senior Management to
prepare for audits and communicate new standards with
recommendations for achievement. Develops and ensures the
implementation of the organization's policies and procedures
related to ongoing monitoring and improvement of quality care and
to ensure policies meet regulatory requirements. Qualifications
EDUCATION and/or EXPERIENCE Masters' degree in a social services
field. Two years of experience in the field of mental health and or
working with adolescents is preferred. CERTIFICATIONS, LICENSES,
REGISTRATIONS Valid Ohio State driver's license with appropriate
endorsements. Valid Ohio licensure to practice Social Work or
Counseling required.
Keywords: Universal Health Services, Mansfield , Director Risk Management and Compliance, Executive , Mansfield, Ohio
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