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Director of Risk, Compliance and Privacy
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CareWell HealthEast Orange, New Jersey, US- Full-time
Remember to check your CV before applying Also, ensure you read through all the requirements related to this role.
Job Summary
The Director of Risk, Compliance and Privacy is responsible for the facility’s risk management activities, which includes but may not be limited to a general knowledge of the insurance programs, assisting with claims / losses at the facility, interfacing with legal counsel, administering the risk management program on a daily basis, managing and analyzing risk management data, conducting risk management education programs, leading projects focused on loss reduction and patient safety, and complying with risk management standards of The Joint Commission, and other accreditation agencies. Should also be able to work on development, implementation and daily operation of the CareWell Health Compliance Program as well as all related laws and regulations pertaining to CareWell Health. The position also has responsibility for overseeing CareWell Health Medical Center compliance program, ensuring compliance with all privacy and confidentiality laws including the Health Insurance Portability & Accountability Act (“HIPAA”) and privacy rules and regulations.
Essential Functions :
- Continuously carries out the CareWell Health Medical Center mission to attain excellence in the provision of healthcare services by consistently fulfilling the commitment to quality, and by compassionately and skillfully delivering continuously improving total patient centered service.
- Participates in formulating policy and / or organizational changes.
- Must be highly skilled at working with various departments, and will manage initiatives from inception through implementation.
Risk Responsibilities :
Compliance Responsibilities :
Privacy Responsibilities :
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.
Minimum Education / Certifications
Bachelor’s degree in Nursing or related field, Clinical background required. Master’s Degree preferred.
CPHRM certification preferred or equivalent of 5 plus more years of experience.
CPC, CHC, CPA, CIA or similar professional credentials desirable.
Minimum Work Experience
At least 3 years of experience in risk management required.
Experience in quality management and risk / claims management or other related field in health care, preferred.
Risk management, professional liability or loss control experience required.
Position Type / Expected Hours of Work : Must be willing to work holidays, weekends and provide additional coverage as needed. Strong computer skills including working knowledge of Microsoft Office Suite : Word, Excel and Power Point. Ability to build strong, effective relationships internally throughout the organizations locations and externally as needed to support the company’s business activities. Strong initiative, leadership, analytical, verbal and written communication skills. Highest integrity and excellent judgment. Strong planning, organizational, and change management skills.
Location : CareWell Health
Schedule : Full Time, Regular, Days, 8 : 30-4 : 30pm
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