Compliance Director (Banking) jobs in Saginaw, MI

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Position Summary

Responsible for planning, organizing, developing and directing applicable performance improvement, quality assurance, risk and compliance activities and service initiatives including, but not limited to, accreditation, medical home, vaccine management, clinical quality and risk, standards and practice in accordance with current applicable federal, state, and local standards, guidelines and regulations.

Responsibilities

Quality Improvement

• Collects, coordinates and maintains informational reports from all departments and committees as outlined in the Performance Improvement (PI) Plan
• Provides direction and oversight for practice transformation initiatives including:
• Medical Home
• Meaningful Use and related projects
• Accreditation
• Plans, develop and implement clinical quality initiatives
• Coordinates and monitors the organization-wide PI Plan to maintain compliance with The Joint Commission, CMMS, and other regulatory agencies.
• Evaluates and improves the systems, forms, procedures, methods, and motions used in accomplishing all PI work.
• Prepares reports for Board of Director meetings, Medical Executive Staff meetings, and Medical Staff meetings.
• Assists Medical Staff in evaluating the quality of patient care and in developing criteria and methods for such evaluation.
• Provide direction and oversight for the vaccine management program, including training and education
• Assists the Chief Medical Officer in the planning, development and implementation of clinical education strategies of medical clinical support staff and providers Participates with IT staff as a clinical resource and operation liaison
• Plans, develops and implements organizational health and safety programs
• Provides clinical metrics support and analysis for various federal, state and grant specific reporting including 330 Operations Assessment, UDS, IAP and OHIT

Compliance

• Updates, implements and administers the HCHN corporate compliance plan and policies to assist staff in meeting regulatory compliance expectations.
• Communicates and updates changes in regulatory compliance standards to the HCHN staff including the HRSA compliance manual, PINs, PALs, etc. Acts as a clinical resource to other departments in compliance areas.
• Monitors complaints in the area of compliance and reports any compliance issues to the CEO.

Risk Management

• Updates, implements and administers the risk management plan in cooperation with the performance improvement committee.
• In cooperation with clinical leadership, researches, writes and implements risk management policies that decrease HCHN’s potential liability and risk exposure.
• Investigates and tracks clinical risk management incident reports to identify adverse trends. Coordinates with clinic leadership in reviewing communication and response to patients and families regarding complaints and incidents.
• In cooperation with CMO, coordinates peer review activities
• Coordinates and provides risk management training for staff.
• Coordinates with site leadership to administer patient experience surveys and formulates action plan to respond to patient experience survey results.
• Tracks patient complaint/grievance processes and collaborates with site leadership on resolution before they evolve into liability claims.
• Coordinates with HR and medical records departments in the risk management segment of the medical malpractice claims program.
• Works with CMO and clinic providers to review perform risk assessment as part of the malpractice claims management process to ensure that providers are operating with their scope of practice and proper standards of care are being met.
• Performs other duties as assigned.

Education and/or Experience Requirements

• Licensed Practical Nurse (LPN) in the State of Michigan
• Three to five years experience in a healthcare facility, with a minimum of one (1) year in a supervisory capacity,
• Measurable experience in planning and development of new programs

OR

• Equivalent combination of education and experience requirements sufficient to successfully perform the duties of the job as listed above.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to travel out-of-town if necessary.
• Ability to make independent decisions when circumstances warrant such action.
• Ability to deal tactfully with personnel, patients, family members, visitors, government agencies/personnel and the general public.
• Must possess leadership and supervisory ability, and the willingness to work harmoniously with other personnel.
• Ability to plan and develop new programs.
• Ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle personnel based on whatever maturity level at which they are currently functioning.
• Ability to maintain good personnel relations and employee morale.
• Maintains confidentiality of all pertinent patient care information to assures patient rights are protected, including the right of refusal.
• Ability to communicate policies, procedures, regulations, reports, etc. to personnel, patients, family members, visitors, and government agencies/personnel.
• Ability to communicate effectively with diverse populations.

Physical Demands

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.

• While performing the duties of this job, the employee is regularly required to talk or hear.
• The employee may be required to stand, walk, sit for long periods of times; use hands to handle or feel; reach with hands and arms; and stoop, kneel, or crouch.
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision requirements include the ability to see at close range.
• At times, may require more than 40 hours per week to perform the essential duties of the position.
• Fine hand manipulation (keyboarding).
• Travel between sites using own vehicle.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Internal office space.
• The noise level in the work environment is usually moderate.
• May be exposed to communicable diseases.