Risk/Compliance Manager

Summary: The responsibilities of the Risk/Compliance Manager will be to assist Heart of Ohio Family Health’s Compliance Department in managing compliance and risk management initiatives. The manager will coordinate day-to-day compliance and risk management activities, including incident reporting, patient grievances, risk assessments, policy updates, emergency preparedness, and compliance-related training. The manager will also assist with FTCA, UDS, HRSA- Operational Site Visit (OSV) preparation, and other compliance-related activities.

Reports to: Director of Compliance

Supervises: No

Dress Requirement: Business Casual

Work Schedule:

Monday through Friday during HOFH’s standard business hours Times are subject to change due to business necessity

Exempt

Salary Range: $ 68 -78K

Job Duties, these are considered essential to the successful performance of this position:

• Provides ongoing assistance to employees with incident reporting, including use of the Incident Reporting Dashboard (IRD), and helps ensure incident reports are completed and submitted appropriately.
• Uploads, organizes, and maintains incident reports in the IRD and routes reports to the appropriate staff for investigation.
• Monitors incident reports for completeness, follow-up, trends, and escalates significant or unresolved concerns to the Director of Compliance.
• Monitors the Patient Experience Line for patient complaints and makes outreach attempts when appropriate to obtain additional information before assigning matters for investigation.
• Maintains the integrity and confidentiality of risk management records, incident reports, investigations, grievances, and related documentation.
• Manages patient experience surveys via the Press Ganey Dashboard, monitors survey information for data trends and follows up when issues arise
• Assists with healthcare risk management training, prepares or distributes educational materials, and communications related to compliance and risk management initiatives.
• Collaborates with General Counsel to track organizational policies and procedures and initiates the update process when policies and procedures reach their review period.
• Coordinates with policy owners to obtain updates and maintains the SharePoint policy and procedure dashboard.
• Coordinates Emergency Preparedness initiatives across all clinic sites and tracks drills, documentation, follow-up items, and other related activities.
• Tracks annual training completions (corresponding with FTCA compliance) within our learning management system (LMS) and sends reminders and past due correspondence to employees.
• Assists with UDS information gathering and other compliance-related reporting activities.
• Assists with preparation of staff and documentation for HRSA Operational Site Visits (OSV) and other compliance-related site visits.
• Assists with Heart of Ohio Family Health’s 340B quarterly auditing and monitoring program.
• Assists with compliance initiatives pertaining to onboarding new employees during orientation.
• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice

Equipment Operated

• Telephone
• Computer
• Printer
• Fax Machine

Facility Environment:

Heart of Ohio Family Health operates in multiple locations, in Columbus, OH area. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are ADA compliant.

Physical Demands and Requirements: these may be modified to accurately perform the essential functions of the position:

• Mobility = ability to easily move without assistance
• Bending = occasional bending from the waist and knees
• Reaching = occasional reaching no higher than normal arm stretch
• Lifting/Carry = ability to lift and carry a normal stack of documents and/or files
• Pushing/Pulling = ability to push or pull a normal office environment
• Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly
• Hearing = ability to accurately hear and react to the normal tone of a person’s voice
• Visual = ability to safely and accurately see and react to factors and objects in a normal setting
• Speaking = ability to pronounce words clearly to be understood by another individual