Director, Quality & Risk Managment
Company: Adventist Health Rideout
Location: Yuba City
Posted on: January 27, 2023
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Job Description:
Director, Quality & Risk ManagementSalary Range: $139,003.59 -
$173,754.48The estimated base pay for this position is above.
Additional individual compensation may be available for this role
through years of experience, differentials, extra shift incentives,
bonuses, etc. Base pay is only a portion of the total rewards
package, and a comprehensive benefits program is available for
qualifying positions. Please contact our Talent Acquisition team
for more information.Job Details:Adventist Health is more than an
award-winning health system. We provide whole-person care to our
communities and champion the greater good - from the operating room
to the boardroom, we are driven by our unique passion to live God's
love through health, wholeness and hope. From Oregon to Oahu, we
have a calling to always do more. Now is your chance to apply your
passion to our mission.Yuba County is California's gateway to the
historic Mother Lode Country, with a diverse landscape that boasts
grand rivers, thriving farmland, friendly communities and numerous
recreational possibilities that extend into the Sierra foothills.
Sutter County is home for the Sutter Buttes, known as the Smallest
Mountain Range in the World. Considered "sister cities" our
communities have that small town feel so many people are seeking.
Our rivers, lakes, mountains, year-round festivals and fairs,
entertainment, diverse recreation opportunities, hunting, camping,
hiking, boating, fishing, community events, fine dining
establishments, first-rate lodging, bikeways, and historic downtown
shopping makes the Yuba and Sutter Counties a great place to live.
With a lower cost of living, you can enjoy California life with
Tahoe, Napa or the Bay Area only being a 2-hour drive.We're looking
for someone to join our team as a Director, Quality & Risk
Management who: maintains responsibility for the direction and
management of the department. Oversees the review of hospital and
medical staff functions including assessing quality of patient
care, evaluating use of resources, identity risk and safety factors
for patients/visitors/staff and identity and assessing loss
potential to the organization. Oversees Quality, Accreditation and
Risk Management functions. Supervises and directs the activities of
various levels of assigned personnel using both professional and
supervisory discretion and independent judgment.ESSENTIAL FUNCTIONS
Directs the development of programs/processes related to Quality
Management, Environmental & Employee Safety, Licensure &
Accreditation and Performance Improvement. Maintains responsibility
for developing policy/procedure, monitoring performance,
developing/reviewing metrics, assessing/prioritizing risk,
conducting mock inspections and reporting results to senior
management. Establishes, maintains and implements
policies/procedures for department operations. Maintains a database
of regulatory and accrediting agencies, including their defined
role with the organization. Ensures staff is compliant with
hospital guidelines and regulatory agencies. Communicates/educates
staff regarding knowledge/information necessary to ensure Quality,
Safety, Licensure/Accreditation. Develops and implements an ongoing
preparedness regulatory agencies' plan. Directs data entry process
for incident reports. Coordinates mock surveys, as indicated.
Initiates and monitors efforts to preserve evidence (surveillance
video, equipment memory, etc.) and/or litigation holds. Reviews
charts and presents a monthly peer review report to medical staff
coordinator for credentialing of physicians. Facilitates
development of proactive programs to minimize risk. Initiates and
monitors efforts to preserve evidence (surveillance video,
equipment memory, etc.) and/or litigation holds. Risk Management /
Liability Claims Liaison: Acts as Site Administrator for RADAR
Claims Module (Potentially Compensable Event) and maintains legal
case files. Investigates and reports potentially compensable events
(PCEs) and asserted claims (demands for compensation, services or
litigation) to the Trust pursuant to the corporate policy for
reporting to the Trust. Provides investigation findings/information
to claims staff including identity of location/site/clinic
involved, identity (full name, job title) of involved parties,
witnesses (how they are/were involved) etc., narrative description
of the events, issues identified and recommendations for additional
investigation. Investigates and responds (in writing) to requests
from patients/visitors for compensation or payment for services,
e.g., physical therapy, home health, specialist consultation, etc.
Serves as primary contact for defense counsel and corporate claims
staff. Facilitates/verifies discovery and requests for documents,
information, interviews and depositions. Obtains concurrence for
settlement, trial, etc. Works with legal counsel to coordinate
investigations, process and defend claims against the facility.
Obtains/maintains records and documents and provides them to
defense attorneys for preparation of testimony in pending
litigation. Safeguards materials obtained or developed for root
cause analysis to ensure documents/proceedings are protected from
discovery. Initiates and monitors efforts to preserve evidence,
i.e., surveillance video, equipment memory, etc., and/or litigation
holds. Attends trial as site representative, coordinates litigation
activities involving site interviews, depositions, witness
preparation, etc. Approves payment for replacement of lost property
after claim evaluation. Negotiates settlement of small claims
within administrative authority and advises collection department
of appropriate action for unpaid accounts involved in litigation.
Performs other job-related duties as assigned.You'll be successful
with the following qualifications: Education: Bachelor's degree in
a healthcare-related field or equivalent combination of
education/related experience: Required Master's degree:
PreferredWork Experience: Seven years' technical experience:
Preferred Five years' leadership experience: PreferredAdventist
Health is committed to the safety and wellbeing of our associates
and patients. Therefore, we require that all associates receive all
required vaccinations, including, but not limited to, measles,
mumps, flu (based on the seasonal availability of the flu vaccine
typically during October-March each year), COVID-19 vaccine
(required in CA and HI) or the option of COVID-19 vaccine or weekly
testing (required in OR), etc., as a condition of employment, and
annually thereafter. Medical and religious exemptions may apply.Job
Type: Full-timePay: $139,003.59 - $173,754.48 per yearBenefits:
Keywords: Adventist Health Rideout, Yuba City , Director, Quality & Risk Managment, Executive , Yuba City, California
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