IL Patient Safety, Risk, & Regulatory Compliance Coordinator

Position Overview:

The Patient Safety, Risk, & Regulatory Compliance Coordinator plays a pivotal role in ensuring patient safety, supporting regulatory compliance, ensuring patient privacy and managing risks within our healthcare organization. This position involves identifying, assessing, and mitigating risks that could impact patient safety or quality of care, applying known patient safety tools to prevent patient harm, research and application of regulatory guidelines, and supporting compliance and privacy investigations for the facility. By integrating compliance and risk management efforts, this role contributes to fostering a culture of accountability, transparency, and continuous improvement across the organization.

Key Responsibilities:

1. Compliance Responsibilities:

• Assist in the development, implementation, and maintenance of compliance policies, procedures, and training programs to ensure adherence to applicable laws, regulations, and industry standards (e.g., HIPAA, CMS regulations, healthcare fraud and abuse laws).
• Conduct regular compliance audits and assessments to identify areas of non-compliance or potential risks as warranted.
• Collaborate with departments to address compliance gaps and implement corrective actions and preventive measures and report to regional leader and/or at compliance committee meetings as directed.
• Provide guidance and training to staff on compliance-related matters, including privacy and security requirements.

2. Risk Management Responsibilities:

• Identify, assess, and prioritize risks across various areas of the organization, including clinical operations, patient safety, environment, information privacy or security, and billing/financial risks.
• Develop and implement risk management strategies, policies, and protocols to mitigate identified risks and enhance resilience.
• Conduct risk assessments, including root cause analyses and scenario planning, to evaluate potential threats and vulnerabilities.
• Monitor key risk indicators and trends, report findings to senior management and relevant stakeholders.
• Lead risk mitigation efforts and crisis response activities in collaboration with cross-functional teams.
• Assist internal and external legal counsel in acquiring documents and medical records or supporting materials as needed.

3. Regulatory Responsibilities:

• Stay abreast of changes in healthcare regulations, accreditation standards, and industry best practices, and help support organizational compliance.
• Serve as a liaison to regional compliance leadership for regulatory agencies, accrediting bodies, and external partners to facilitate completion of compliance inquiries and audits.
• Assist as needed to prepare regulatory responses or disclosures as required.

4. Patient Safety Officer/Liaison to Patient Safety Organization:

• Address events entered in the event management system.
• Foster a culture of safety throughout the facility and among staff.
• Complete RCAs, ACAs, and facilitate the completion of any appropriate corrective actions.
• Facilitate the Good Catch/Speak Up for Safety Program as determined by leadership.
• Reporting appropriate events to Patient Safety Organization
• Participate in the Regional Safety Committee
• Facilitate the Regional Fall Prevention Committee

5. Privacy Responsibilities:

• Address privacy related events entered in event reporting system
• Complete walkthroughs of locations to assess privacy related risk processes or behaviors
• Facilitate appropriate reporting to patient and regulatory agencies when inappropriate disclosures are identified

6. Quality Improvement Collaboration Responsibilities:

• Collaborate with quality improvement teams to integrate compliance and risk management principles into quality improvement initiatives.
• Participate in quality assurance activities as requested, including but not limited to incident reporting and patient safety initiatives.

7. Other Duties As Applicable to the Role

• Related Committee and Subcommittee attendance and data submission
• Supporting others in this role, cross covering, cross training team members
• Supporting Complaint and Grievance Coordinator and this process
• Assisting Regional Leadership and other leaders in regulatory guidance
• Facilitating staff education and training where requested

Education and Experience:

• Bachelor's degree in healthcare administration, nursing, business, or a related field preferred. Minimum of associate's degree required.
• Experience in clinical care role/patient care setting or equivalent applicable education required. Nursing (CNA, LPN, RN), Therapy (PT, OT, RT, COTA), or other similar license/certification preferred.
• Certification in compliance, risk management, or healthcare management preferred.
• 2+ years of experience in healthcare compliance, operations, revenue cycle, risk management, quality, patient safety, or patient care role or equivalent classwork/degree study required, with a thorough understanding of healthcare regulations or accreditation standards preferred.\

Compensation:

Hourly Range: $27.16 - $40.74

Skills Preferred:

• Strong analytical, problem-solving, and decision-making skills, with attention to detail.
• Ability to rely on experience, knowledge, and judgment to apply critical thinking skills.
• Working knowledge of Microsoft Office products including Word, Excel, Outlook, Teams.
• Excellent communication, interpersonal, and leadership skills, with the ability to engage and influence stakeholders at all levels of the organization.
• Ability to calculate figures such as discounts, interest, commissions, percentages.
• Demonstrated ability to work independently and collaboratively in a fast-paced, dynamic environment.
• Knowledge of risk management and compliance frameworks, methodologies, and best practices in healthcare settings.

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 accommodation 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 sit and talk or hear. The employee is often required to stand and walk. Specific vision abilities required by this job include close vision.

Other Requirements:

This role may require assignment at more than one facility in the Illinois region. Travel or multi-site work locations should be expected. Some opportunities for mileage reimbursement may apply when traveling for non-routine purposes.

Benefits:

We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer:

• Flexible work schedules- Full time/part time/supplemental- Day/Eve/Night
• Tuition reimbursement
• Student Loan Repayment Program
• Payactiv-earned wage benefit-work today, get paid tomorrow
• Career advancement opportunities

Explore All Benefits

https://www.deaconess.com/dil-benefit-guide