Risk Management Coordinator
Hours | Full-time |
---|---|
Location | Carlsbad, California |
About this job
TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.
The Risk Management Coordinator is responsible for conducting timely investigation, coordination, and responsiveness to reported occurrences as well as facilitating satisfactory resolution of patient concerns, complaints, and grievances as presented through the risk management system. Formal Peer Review Administration oversight and coordination of all document as necessary for Quality of care issue reviews. The Risk Management Coordinator also assists with reporting requirements related to compliance privacy, confidentiality and protection of health information. Supervision will provide administrative task logistic oversight for the Clinical Data Analyst.
Responsibilities:
Quality Improvement
- Investigates reported occurrences and complaints presented through the risk management system; researches medical records, policies and procedures to gather information required for further analysis.
- Interviews health care providers, patients and family members involved in occurrences in a timely manner.
- Prepares and maintains summaries of investigations, recommendations and corrective action plans.
- Assists the Quality Improvement (QI) VP in investigating, evaluating, and recommending problem-solving methodologies where outcomes would necessitate corrective actions and maintains an internal department log for any coaching/corrective actions follow-up.
- Maintains risk management and HIPAA professional educational information.
- Works with VP Quality, Risk, Case Management to provide reports, develop educational processes, training, and best practices with clinicians and ancillary staff to improve risk management, clinical compliance, and HIPAA privacy.
- Participates within-service training programs as requested.
- Develops and maintains monthly risk management, compliance and performance improvement reports.
- Provides administrative support with data mining and coordination of data deliverables to maintain uniform organization-wide risk management reports.
- Provides administrative support and oversight of timely deliverables for the QI departments various related committees, for example the Peer Review Committee, QI Safety Council, Employee Safety, Compliance, and others as needed.
- Integrates patient safety goals into the organization (e.g., Institute for Healthcare Improvement (IHI)).
- Ensures continued education with proof of trainings for annual risk management role updates.
- Assists in the identification, development, implementation and maintenance of the organizations information privacy policies and procedures in accordance with federal and state Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Performs ongoing compliance monitoring activities by annually conducting onsite HIPAA privacy monitoring and walk-throughs with the individual health center sites and prepares for distribution individual site reports quarterly and annually.
- Assists with planning privacy training programs and activities including internal HIPAA audits.
- Bachelor's Degree required in public health, business administration or a related field.
- Three (3) years of healthcare risk management or comparable experience.
- At least two (3) years experience in a documented HIPAA compliance role.
- Continued education in the field of health care risk management for 2 years.
- Knowledge and experience with information privacy laws and regulations, including access and release of information and the Health Insurance Portability and Accountability Act (HIPAA).
- Computer proficiency, particularly with the Microsoft Office suite, including Outlook, Word, Excel and PowerPoint.
- Masters Degree in Public Health or health care field.
- Knowledge and application of pertinent healthcare regulatory requirements and statutes.
- Experience working in a Federally Qualified Health Center or healthcare environment.
Benefits:
- Competitive Compensation
- Competitive Time Off
- Low-cost health, dental, vision & life insurance
TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin, ancestry, sex, gender, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state, or local law. Our goal is to promote and ensure authentic inclusion, belonging and support for all team members recruited or employed here. In the spirit of pay transparency, we are excited to share the base salary range for this position.
If you are hired at TrueCare, your final base salary (within the pay range), will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical to allow for future and continued salary growth. We also offer generous benefits and retirement plans.
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Compensation details: 25.41-35.57 Hourly Wage
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