Risk Manager (Rn) And Compliance Analyst

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).
Compensation (Pay): $65,927.17 to $95,594.40/yearly, based on experience.
Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/careers/employee-benefits-guide
Job Summary: Under the direction of the Manager of Compliance & Risk Management the Risk Manager/Compliance Analyst works to ensure that Peak Vista Community Health Centers' (PVCHC) operations and procedures meet government and industry compliance and risk management standards within all departments of the organization. This position completes day-to-day compliance and risk management activities to include the management of the incident reporting system and evaluation of incidents to mitigate potential risks and liabilities for the organization, completion of simple to moderately complex internal audits to evaluate/assess compliance with internal policies and procedures, state and federal laws, and Health Resources and Services Administration (HRSA) and accreditation standards and requirements, and other duties as assigned.
Essential Duties and Responsibilities include the following:

• Ensures Regulatory and Accreditation requirements are met to include Health Resources Services Administration (HRSA), Federal Tort Claims Act (FTCA), Accreditation Association of Ambulatory Health Care (AAAHC), Occupational Safety and Health Administration (OSHA), etc.
• Identifies, assesses, and mitigates organization risk using formal and informal mechanisms for risk identification such as incident reporting processes, root cause analysis, risk assessments, audits, review of patient complaints, analysis of trends, claims analysis and review of pertinent quality improvement information with a goal of improved patient safety and protection of the organization assets.
• Evaluates, investigates, routes, and directs the resolution of incident reports.
• Completion of quarterly and annual risk management reports to the Compliance Officer and Board of Directors.
• Makes recommendations concerning protocols and processes throughout the organization as these relate to risk prevention and mitigation.
• Collaborates with clinical staff to ensure timely risk management review and management of serious patient events and medical errors to improve the quality and safe delivery of patient care.
• Completes quarterly risk assessments. May collaborate on site visits with Nursing, as indicated, to assess Health Centers for risk management concerns.
• Develops and implements an annual Risk Management Plan and annual Risk Training Plan for all staff based on identified areas/activities of highest clinical and organizational risk.
• Monitors and responds to the Patient Grievance phone line; provides investigation and resolution in real time when possible. Provides guidance and coordinates efforts with applicable department leadership and/or Medical Directors, Vice Presidents, Human Resources, as necessary.
• Provides guidance for investigations and confirms appropriate follow-up actions are completed for patient behavior incidents. Ensures documentation is completed and coordinates patient discharge from care when appropriate.
• Completes and presents a bi-monthly "Medication, Immunization, and Prescribing and Dispensing Error" report for the Pharmacy and Therapeutics Committee.
• Assists in the administration of the incident and policy management platform.
• Helps coordinate compliance with AAAHC accreditation program application to include coordination of site visits, preparation of written reports of findings including recommendations for correction of deficiencies and follow-up with departments to ensure correction of findings.
• Gather data needed to assist in the completion of monthly, quarterly, and annual Compliance reports and insurance claims updates for the Board of Directors.
• Analyze and ensure appropriate policy and procedures are in place to support regulatory compliance and collaborate with departments to write and/or update policies and procedures to address identified gaps or areas of non-compliance.
• Develop and perform compliance auditing activities, conduct investigations, respond to patient complaints, monitor corrective action plans and implementation of recommendations.
• Assist in the development and delivery of compliance and risk management training programs for PVCHC's Board members and staff (via a Skills Fair, HealthStream, or other appropriate method) annually and as needed, based on trends and risks identified.
• Act as a resource to support the Compliance department with subpoenas, depositions, Federal Tort Claims Act ("FTCA") claims, Department of Regulatory Agencies ("DORA") complaints, and other legal requests.
• Conduct initial regulatory and requested research as needed.
• Embraces cultural diversity amongst ourselves and our community.
• Responsible for the human, financial, and material resources as well as data and information entrusted to us.
• Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
• Strives to deliver the best outcomes and highest quality service.
• Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
• Enhances the effectiveness, efficiency, and productivity of the department by contributing to and participating in departmental performance improvement goals.
• Performs other tasks as assigned by the Compliance Officer, Director of Compliance & Risk Management, and the Manager of Compliance & Risk Management.

Supervision Exercised: N/A
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.
Education/Experience: Education: Bachelors' degree in business or health care related field preferred. Registered Nurse preferred.
Work Experience: Four (4) years of experience required in one or more of the following fields: compliance management, risk management, healthcare administration, business administration, or legal support. Candidates with healthcare experience are preferred.
Computer Skills: Intermediate level of experience and skills with Microsoft Office (Word, Excel, Outlook, Power Point) and internet search skills is required. Experience with SmartSheet is preferred.
Other Skills: Ability to read, write, and interpret general business documents, government regulations, reports, business correspondence, and Policies and Procedures ("P&Ps") and to effectively present information and respond to questions from employees, patients, and the general public. Excellent organizational, listening, tracking and documentation skills required.
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.
OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details. The noise level in the work environment is usually quiet.
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.
The employee must occasionally lift and/or move up to 20 pounds and experience moderate bending, moderate energy requirements and frequent fine motor skills. While performing the duties of this job, the employee is frequently required to stand, walk, sit, and look at a computer screen continuously for long periods of time.
*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace an an Equal Opportunity Employer.
**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com.