Job description

Position Overview:

The Compliance Officer establishes and implements an effective compliance program to prevent illegal, unethical, or improper conduct. The Compliance Officer acts as staff to the CEO and Governing Board by monitoring and reporting results of the compliance and ethics efforts of the company and in providing guidance for the Board and senior management team on matters relating to reporting and compliance. The Corporate Compliance Officer, together with the Corporate Compliance Committee, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program. Functions as the HIPAA Privacy Officer for the organization.

Position Overview:

The Director of Quality and Risk Management is responsible for all aspects of the Quality Management Department including the coordination of the efforts of the medical staff and hospital's department managers in the performance and reporting of quality management activities.

Essential Functions:

• Development and maintenance of systems for support of medical staff quality assurance activities including peer review.
• Data collection and display for identified key result measures.
• Responsible for ensuring overall organizational TJC or other similar accrediting body requirements as well as Federal and Colorado State Health Department regulations
• Serves as Risk Manager and is the liaison between the hospital and its liability insurance carrier.
• Maintains internal incident reporting system as well as reporting mechanisms for incident reporting to the state health department, TJC, and federal agencies.
• Oversees the Infection Control Practitioner who maintains infection control surveillance and reporting activities as well as providing hospital wide infection control education for staff.
• Development and maintenance of the Personal Health Program including the Exposure Control and Tuberculosis Control Plans
• Responsible for oversight of TJC Accreditation.
• Oversees patient satisfaction.
• Ensures surveys are conducted through third party vendor and appropriate action is taken as a result of survey data.

Number of Weeks: 13

Shift Information: Day Shift

Best Regards,

Vishal Kr.,

Cell No: 281-809-6173

Healthcare Recruiter

Job Type: Contract

Pay: $85.00 - $89.35 per hour

Schedule:

• Day shift

License/Certification:

• RN (Preferred)

Work Location: In person

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