Director Risk Management and Compliance

Company: Universal Health Services
Location: Mansfield
Posted on: January 6, 2021

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