Job Description - Director, Compliance & Risk Management
Director, Compliance & Risk Management - ( 3127677 )
Come join our Leadership Team at Newton-Wellesley Hospital! We
are in search of a ChiefCompliance Officer (CCO) and Director of
Risk Management. You will beresponsible for the vision, program
planning, development, implementation and maintenanceof the
hospital's Compliance, Risk Management and Insurance programs.
The CCO/Director isresponsible for managing the daily compliance
activities within theorganization including the monitoring of all
components of the NWH complianceprogram. S/he serves as an expert
on compliance issues, manages auditactivities and stays abreast of
new regulations and standards. Workingwith the Chief
Compliance Officer of the Mass General Brigham System, you will
ensurethe performance improvement and accreditation and
certification processessupport the regulatory compliance process.
The director also assures the compliancewith all issues surrounding
accurate billing practices to third parties andpatients and
prepares responses to financial inquiries.
This CCO/Directorconsults and collaborates with all levels of
the organization to ensure thatcompliance issues and risks are
identified and managed proactively to reduceinstitutional liability
and to promote safety. This CCO/Director overseesthe
investigation of all adverse events and collaborative case
reviews,prepares all external reports related to such events and
provides the requiredtime-based follow up and documentation to all
external agencies and regulatoryorganizations.
The focusof this role is in the following key areas:
Plans, organizes, directs and coordinates departmental
compliance program activities to help ensure that hospital
practices, policies and procedures comply with State and Federal
law as well as hospital standards and ethics.
Receives, reviews and initiates the investigation of all adverse
events. Based on initial investigation, develops reports and/or
plans for action and follow up.
Sets priorities for short-term and long-term goals for the Risk
Management Services. Monitors all functions, schedules and
Assists in review and development of hospital policies.
Coordinates with Accreditation and RegulatoryReadiness
Works with our accreditation and regulatory readiness efforts
across disciplines to ensure ongoing preparedness.
Works closely with the Regulatory Readiness Steering
Coordinates with the Office of Experience activities:
Collaborates on patient relations activities and provides
guidance to staff on complex complaint issues involving legal, risk
and patient safety or quality of care implications.
Ensures compliance with DPH & CMS rules related to complaints &
Data Management and Analysis:
Manages review and analysis of safety reports and manages
follow-up with all significant adverse events. Identifies trends
and collaborates with clinical teams to design programs to prevent
medical error and reduce loss.
Reviews and evaluates aggregate adverse events and claims data,
as well as other hospital information in order to identify
high-risk activities, procedures and departments.
Represents the hospitalas agent for service of legal process,
coordinates activities such as recordrequests, depositions,
Counsels hospitalemployees as necessary with regard to legal
proceedings in which they areprofessionally involved.
Provides oversight, monitoring and management of the physician
insurance product. Reviews and approves all physician applications
for CRICO under NWH sponsorship.
Acts as staff support to insurance product advisory group.
Serves as a role model for professionalism, accountability,
holding self and staff to hospital standards, coaching staff in
areas of need and addressing unacceptable performance according to
The ideal candidatewill have the following expertise:
· Minimum of 10 yearscompliance and risk management experience
required, advanced degree, (JD,Masters), Certified Professional in
Healthcare Risk Management (CPHRM) orCertified Healthcare
Compliance Professional (CHCP)
· Nursing or otherequivalent clinical experience
· Knowledge of Board ofRegistration in Medicine, DPH, The Joint
Commission and other relevantregulations.
· Prior experience withmanaging the CRICO product preferred.
· Knowledge of medicalmalpractice and healthcare law
· Experience in workingwith teams in a complex organization.
· Knowledge of statisticalprocesses and measurement techniques
· Ability to adapt tochanging demands, workflow and perform
under stressful situations in a calmmanner with excellent
SKILLS, ABILITIES ANDCOMPETENCIES:
Demonstrated excellent written and verbal skills.
Ability to communicate effectively and sensitively with
clinicians in stressful situations
Demonstrated command of risk prevention and risk management
Demonstrated command of data management and analysis, and fiscal
Requires ability to work independently and establish effective
relationships with physicians, office staff and health care
providers of all types and across all departments/functions of the
Requires autonomy in decision making using sound judgment based
on factual information, clinical experience, the clinical process,
the revenue process and hospital policies and procedures.
Requires ability to seek out and identify resources to problem
solve risk issues across departments.
Confidentiality, both in management of and modeling the
behaviors of oneself and the identified staff reporting to this
position, is absolutely imperative.
Newton-WellesleyHospital will provide equal employment
opportunities to all applicants andemployees without regard to
race, color, religion, gender age, national origin,disability,
marital status, genetic information, veteran or active military
status,gender identity or expression, or sexual orientation.
Primary Location MA-Newton-NWH Main Campus
Work Locations NWH Main Campus
2014 Washington Street
Organization Newton-Wellesley Hospital(NWH)
Standard Hours 40
Shift Day Job
Employee Status Regular
Recruiting Department NWH Risk Management