Premier Community Healthcare
  • 21-Dec-2018 to 31-May-2019 (EST)
  • Administration
  • Dade City, FL, USA
  • Salary
  • Full Time

Yes


Our Mission:

To provide accessible health care services to all.

Our Vision:

To have a community where everyone is healthy.

Core Values:

Teamwork

Respect

Integrity

Compassion

Excellence

Patient hours:

Monday: 7am-7pm

Tues-Fri: 7am-4pm

SUMMARY: Provide leadership and expertise for the organization's risk management and compliance program.

ESSENTIAL DUTIES AND RESPONSIBILITIES: includes the following, other duties may be assigned.

1.  Create and revise compliance program policies and procedures.

  1. Develops and maintains a written compliance manual.
  2. Conducts annual evaluation of the compliance plan effectiveness.
  3. Review documents for accuracy to prevent illegal, unethical or improper conduct.
  4. Ensures rules and regulations of regulatory agencies are followed.
  5. Ensure security standards are followed.

2.  Board reporting.

  1. Prepare quarterly compliance reports for the board.
  2. Monthly risk management reports.

3.  Lead and monitor compliance program and committee.

  1. Direct all activities for the compliance program, risk management, HIPAA, security and safety.
  2. Maintain updates compliance program with state and federal laws, and regulation standards.
  3. Ensures that corrective action plans are documented in a timely manner and effectively implemented.
  4. Conduct compliance orientation program for new hires.
  5. Oversees investigations and acts on reported or allegations of unethical /improper conduct.

4.  Compliance Audits.

  1. Develops and oversees audits to ensure compliance with state and federal laws, and regulation standards (i.e.: HRSA, CMS, 340B, etc.).
  2. Monitor and handle excluded parties' system.
  3. Check all board members and staff against the office of Inspector General's Excluded list.

5.  Lead risk management program.

  1. Develops and maintains risk management plan.
  2. Conducts annual evaluation of the plans' effectiveness.
  3. Develops and maintains policies and procedures elated to the risk management program.
  4. Develops and directs process for internal incident reporting.
  5. Reviews incident reports and conducts follow-up investigations as warranted.
  6. Coordinates health center risk management, incident investigation and Federal Tort Claims Act (FTCA) activities.

6.  HIPAA adherence.

  1. Serves as the HIPAA Privacy Officer.
  2. Ensures privacy practices are followed (HIPAA).
  3. Disseminate periodic awareness reminders of various threats of privacy related issues.
  4. Ensure patient confidentiality and EMR security is adhered at all times.

7.  Formal Patient Complaints.

  1. Investigate any report or allegation of unethical or improper conduct or business practices and implement appropriate corrective action.
  2. Ensure timely response to patients.
  3. Ensure corrective action is issued when appropriate.

8.  Collaborates with Chief Medical Officer (CMO).

  1. Leads in the investigation of clinical events, sentinel events, near misses, and significant adverse events.
  2. Leads and/or participates in the development of root cause analyses as directed by the CMO.

9.  Consistently participates in and actively adheres to patient care expectations to attain clinical goals set forth in the PCHG Health Care Plans and the Quality Improvement/Quality Assurance (QI/QA). 

SUPERVISORY RESPONSIBILITIES: None

GENERAL DEVELOPMENT:

  1. Maintains a professional relationship and positive attitude with co-workers, the public, patients and the entire organization.
  2. Maintains the highest professional and work ethics.
  3. Displays enthusiasm toward the work, mission and vision of the organization.

PROFESSIONAL KNOWLEDGE, SKILLS AND ABILITES:

  1. Master's degree in Public Health, Healthcare Administration, or bachelor's degree with three years of experience working in the healthcare field.
  2. Minimum of three (3) years of healthcare risk management and/or healthcare compliance, legal, internal audit or regulatory role.
  3. Certification in Healthcare Compliance (CHC) or Certified professional in Healthcare Risk Management (CPHRM) preferred.
  4. Working knowledge of healthcare regulatory/fraud/abuse laws, Medicare/Medicaid regulatory/ billing requirements and HIPAA.
  5. Comprehensive knowledge of clinical operations and management of an effective compliance and ethics program, including training, risk assessment, monitoring, auditing, investigating issues and addressing violations.
  6. Demonstrated leadership skills, ability to communicate with diverse groups of individuals and reputation of integrity and willingness to challenge management on compliance issues.

COMMUNICATIONS SKILLS:

  1. Exceptional Customer Service skills.
  2. Ability to communicate effectively, verbally and in writing.
  3. Excellent grammar, spelling and interpersonal skills.

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally.
  2. Ability to sit for long periods of time.
  3. Direct exposure to computer screen.
  4. May be exposed to contagious/infectious diseases.

This job description in no way states or implies that these are the only duties to be performed by the employee(s) serving in this position. Employee(s) will be required to follow any other job-related instructions and to perform any job-related duties requested by any person authorized to give instructions or assignments.

 

Premier Community Healthcare
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