Clinical Nurse Risk Manager

Petaluma Health Center is an eleven-time award winner in the North Bay Business Journal's Best Places to Work for 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011 and 2009 and we were named as one of the Healthiest Companies in the North Bay' by the North Bay Business Journal for the last 5 consecutive years.

The Petaluma Health Center's mission is to provide high quality health care with access for all in Southern Sonoma County & West Marin. We pride ourselves on our Patient-Centered care while maintaining an engaging environment for our staff. The Center accomplishes this mission through collaborative, innovative programs, services and referral resources that meet the economic needs of the entire community.

FULL TIME EMPLOYEE BENEFITS:

· 21 Days of Paid Time Off

· 10 Paid Holidays

· Medical Insurance (Entire deductible paid by us!)

· 30 Chiropractor and Acupuncture visits per year included with enrollment in our health insurance plans (Kaiser and WHA)

· Dental Insurance

· Vision Insurance

· Gym Membership Discounts at Active Wellness Center and 24-Hour Fitness!

· 401K Matching after 1 year of employment

· Flexible Spending Account, Dependent Care FSA

· Life Insurance (included at no cost to the employee)

· Long Term Disability (included at no cost to the employee)

· Employee Assistance Program (included at no cost to the employee)

Summary: The Director of Clinical Compliance & Risk Management is a Registered Nurse responsible for overseeing incident reporting, patient complaints, and the clinical training program across all sites. Oversees the clinical Risk Management program and chairs the Internal Risk Management Committee. Collaborates with Clinical, Operational and Informatics leadership to ensure that the training calendar adequately covers competency-based trainings, compliance/risk management trainings, and trainings related to the Electronic Health Record across all sites.

Areas of Responsibility:

Clinical Compliance & Risk Management

· Manages day-to-day operation of the risk management and clinical compliance programs.

· Promotes a culture of safety across the health center.

· Works with department directors and managers to ensure that all incidents and patient complaints are assessed for consistency with current policies and procedures, and leads the weekly Clinical Incident review meeting to identify opportunities for improvement.

· Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future

· Periodically reviews compliance policies (e.g., Standards of Conduct,

HIPAA and privacy, Occupational Health, Quality Credentialing) to ensure accuracy and relevance in providing guidance to management and employees.

· Collaborates with other departments (for example, Human Resources, Operations, Health Information) to direct compliance issues to appropriate existing channels for investigation and resolution

· Escalates potential litigation cases to the Chief Medical Officer, Chief Administrative Officer and malpractice insurance carrier Risk Management department and General Counsel as needed to resolve difficult legal compliance issues

· Ensures that compliance issues, incident reports and filed patient complaints, and allegations of violations of rules, regulations, policies, procedures, and Standards of Conduct are evaluated, investigated, and resolved

· Develops and oversees a system for uniform handling of such incidents / allegations. Maintains incident reports and tracking logs to identify trends. Manages HIPAA / Privacy violation review, reporting, notification process in compliance with federal and state laws and regulations

· Provides reports on a regular basis, and as directed or requested, keeps the Compliance Committee of the Board and senior management informed of the operation and progress of compliance efforts

· Directs risk management audit areas in conjunction with department managers

· Reports monthly risk management dashboard results to Board Risk Management Committee

· Participates in regulatory and program audits, working in coordination with the Clinical and Operations Directors.

Training Program

· Oversees compliance with the training program for clinical competency, compliance-based trainings, and electronic health record training.

· Ensures that all clinical support staff receive scheduled trainings and that adequate documentation is tracked for audit purposes.

· Evaluates the effectiveness of trainings. Identifies areas for improvement.

· Works with Operations Directors, Clinical Trainers and EHR Training Manager to delineate roles and responsibilities of each within the training program.

· Works with Operations Directors to create content for core competencies and opportunities for continual growth and development of trainers.

· Works closely with MA Team Manager overseeing Clinical Training.

Leadership & Management

· Models a strong belief in mission, vision, and purpose.

· Motivates individuals toward higher levels of performance that are aligned with the organization’s vision and values.

· Communicates a clear, customer focused vision, based upon the Patient-Centered Care Team Model.

· Clearly articulates, in words and behavior, the values of the organization.

· Holds effective 1:1 meetings with direct reports.

· Provides feedback and counsels on a continuous basis.

· Supports team members’ career growth by having regular development-focused conversations.

· Ensures compliance with required trainings and competencies, based on employee role.

· Using appropriate methods and a flexible interpersonal style, builds, motivates, and guides a cohesive team to complete team goals.

· Provides clear direction and structure for the team in order to support their success.

· Effectively manages the hiring process.

· Embraces workforce diversity.

· Establishes stretch but realistic team goals and motivates the team to work together to achieve them.

· Shares important and relevant information with the team.

· Ensures consistent and timely orientation and ongoing training is delivered to team members.

· Focuses on building team engagement by providing team building opportunities, addressing team member concerns, and guiding the team in conflict resolution.

· Promotes the Employee Assistance Program (EAP) as a resource for team members.

· Researches and resolves employee concerns timely and effectively.

· Provides feedback, instruction, and development guidance to help others excel in their current or future job responsibilities and plans and supports the development of individual skills and abilities.

· Conveys performance expectations and provides timely feedback to ensure performance standards are met.

Leading Change:

· Drives organizational and cultural changes needed to achieve strategic objectives, catalyzes new approaches to improve results by transforming organizational culture, systems, or products/services, and helps others overcome resistance to change.

· Identifies change opportunities that lead to improved customer service, efficiencies, cost reduction, and team member engagement.

· Creates momentum by explaining the purpose of change, taking action, and encouraging others to take

action to improve organizational culture, processes, or products/services.

· Facilitates transition for team members by helping them overcome resistance, seeking their ideas and feedback, and demonstrating sensitivity to concerns.

Financial Management:

· Strives to improve profitability year over year in line with owner expectations.

· Prepares and adheres to the department budget.

· Reviews monthly financial statements and implements plans of action for deficiencies.

· Manages key, non-labor operating costs in line with budgeted levels.

· Processes and submits monthly expenses, budget data, and grants data timely and according to policies and procedures.

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.

Education/Experience:

· Bachelor’s degree from an accredited college or university required.

· Master’s degree in a health care related area preferred

· A minimum of two years of experience supporting project- based work preferably in Quality Improvement and/or Risk Management required.

· Experience working with electronic medical records preferred

· Previous experience working at a joint commission accredited health care organization highly preferred

· Experience working in Federally Qualified Health Center highly preferred

Desired Skills:

· Knowledge of Quality Improvement methodologies

· Ability to read, analyze and interpret relevant journals and reports

· Ability to respond effectively in verbal and written form

· Ability to write reports and narrative text concisely

· Ability to effectively present information to management and board of directors

Licenses and Certifications:

· RN degree and current license required

· Certified in Healthcare Compliance preferred

Language Skills: Bilingual in English and Spanish, both written and verbal preferred

Salary Range: $110,000 - $130,000 annually