Risk Management And Regulatory Officer - Full Time
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Job Description
In this role you will:
- Risk Management
o Identify, assess, and mitigate risks across clinical, operational, and financial areas.
o Investigate adverse events, patient safety concerns, and liability claims, coordinate with legal counsel and insurance carriers.
o Maintain confidentiality regarding medical, legal, regulatory, safety, and patient privacy issues.
- Accreditation & Regulatory Oversight
o Serve as the primary liaison for PA Department of Health (PA DOH), The Center for Improvement in Healthcare Quality (CIHQ), The Centers for Medicare and Medicaid (CMS), and all other accrediting and/or oversight bodies.
o Ensure continuous survey readiness through mock surveys, tracer activities, and compliance audits.
o Develop corrective action plans for deficiencies and monitor implementation and sustainment.
o Stay current on regulatory changes and communicate updates to leadership and staff.
o Prepare and submit required documentation and reports to accrediting and regulatory agencies.
- Performance Improvement & Operational Excellence
o Act as an expert resource for performance improvement, hospital regulatory compliance, and accreditation standards.
o Drive continuous improvement using PDCA (Plan-Do-Check-Act) cycles and operational excellence tools.
o Utilize problem-solving methodologies, root cause analysis, and data-driven decision-making.
o Provide consultative assistance for department-specific quality programs and initiatives.
o Compile, review, and interpret data, coach others on data analysis and interpretation.
- Collaboration & Leadership
o Serve as a member of interdisciplinary teams in roles such as leader, facilitator, and contributor.
o Partner with Quality, Compliance, and Patient Safety teams to integrate risk management and accreditation strategies.
o Facilitate peer review processes and act as a resource to the Medical Staff Quality and Collaboration Committee.
- Education & Training
o Deliver training on risk prevention, patient safety, regulatory compliance, and performance improvement tools.
o Promote a culture of safety and readiness through education and communication initiatives.
- Technology & Documentation
o Use various electronic documentation programs and tools for risk and quality data management.
o Maintain accurate records and reports for leadership and regulatory bodies.
- Other Core Competencies
o Demonstrate understanding of 24/7 hospital operations in an acute care setting, including clinical knowledge.
o Organize and prioritize work to meet multiple deadlines and adapt to frequent changes in priority.
o Utilize excellent organizational and interpersonal communication skills.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
QUALIFICATIONS
Required:
- EDUCATION:
o Bachelor's degree in healthcare-related field or equivalent
o Master's degree in healthcare or organizational leadership desirable
- EXPERIENCE:
o Minimum 5 years experience in a hospital setting including 3 years managerial/leadership responsibilities
o Experience in patient care processes in the acute care setting
- LICENSURE/CERTIFICATION:
o Current Pennsylvania licensure if appropriate required
o Certified Professional in Healthcare Quality (CPHQ) desirable
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.