Risk Management and Accreditation Program Manager

Area of Interest: Business Professionals

FTE: 1.0

Department: Nursing Administration

Shift: Monday - Friday days for 80 hours per pay period.

Job ID: 180033

Overview Shift: Full-Time Monday - Friday days for 80 hours per pay period.

The Risk Management and Accreditation Program Manager serves as a highly visible champion of regulatory compliance and managing clinical risk throughout the region. Works closely with the Director of Quality, Chief Nursing Officer, and the UnityPoint Health system service leaders. Provides leadership for regional efforts to assure compliance to regulatory agency standards and continuously improve the quality and safety of care.

Why UnityPoint Health At UnityPoint Health you matter. We are proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage you are in. Here are just a few:

• Paid time off
• Parental leave
• 401K matching
• Employee recognition program
• Dental and health insurance
• Paid holidays
• Short and long-term disability
• More
• Pet insurance for your four-legged family members

Early access to earned wages with Daily Pay, tuition reimbursement to help further your career, and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Risk Management Program

• Identify and implement industry best practices related to managing clinical risk.
• Oversees investigations or incidents that could lead to professional general liability claims.
• Identifies occurrences that are potentially compensable events and reports to system law office and third-party insurers.
• Facilitates support of professional liability litigation including discovery responses and trial preparation in conjunction with legal department.
• Works with patients, families, visitors to resolve outstanding issues in conjunction with the Service Excellence process.
• Facilitate dissemination of information related to changes in regulatory requirements and clinical research pertinent to patient consent, potential liability exposures, and risk management issues.
• Develops/implements educational programs for employees and clinical staff regarding risk management as needed.

Accreditation Preparedness Program

• Develops and implements policies and procedures that guide and support compliance with Det Norske Veritas (DNV), Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs), Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA), and other regulatory agencies.
• Works closely with Performance Improvement, Patient Safety, Patient Care Directors, Managers, UnityPoint Health Legal Team to ensure compliance with statutory mandates, regulatory requirements, and accreditation standards of professional organizations such as DNV, OSHA, Food and Drug Administration (FDA), etc.
• Manages regulatory agency survey process, post-survey action plans, and reporting to the appropriate regulatory agency, hospital leadership, and hospital committees.
• Individually provides or works with others to provide the identified educational opportunities related to accreditation and regulatory standards. This may include education to leadership and department staff.

Qualifications

Education

• Bachelors degree in Nursing, Health Related Field, or Risk Management.

Experience

• 3-5 years of clinical leadership experience in process improvement.
• Prior experience in risk management, accreditation facilitation, data analysis, leadership development, teaching, and presentation preferred but not required.

Certification

• Certification in Risk Management or Accreditation preferred.

License

• Clinical license related background as appropriate is preferred.