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SENIOR DIRECTOR OF CLINICAL COMPLIANCE & RISK MANAGEMENT

Company: IRISE Spine & Joint
Location: Boca Raton
Posted on: May 2, 2021

Job Description:

Why join our iRISE team?iRISE Spine & Joint is a place for compassionate and committed individuals to exercise and develop their passion for providing excellent health care services. Our vision is to be the preferred comprehensive treatment provider for the injured across the U.S. Why should you join our winning team of employees across the state of Florida and Tennessee? Because, we provide:

  • A team that invests the time and resources to foster your growth as a health care professional.
  • An environment that encourages health care research for more efficient patient care.
  • The opportunity for you to work with the latest technology and treatments.
  • The advantage of being a part of a nation-wide family of professionals with shared interests who work together to reach a common goal of better health for people in Florida.Must be based in South Florida, and be able to travel to clinic locations, as needed. Bilingual (English/Spanish) a plus!At iRISE, we are passionate about healthcare and compassionate about helping people restore their quality of life. If you share the same drive to help people find relief from chronic pain, push the limits of healthcare technology and create a patient-centric environment where our patients can thrive, then we want you to join our team. As a multi-modality spine and joint practice, we use advanced technology to help our patients feel better and get back to the physical activities most important to them. Our goal is not just to heal our patients, but to empower each patient with the resources they need to maintain their quality of life even after treatment. We're here to change the game by creating a space where our patients feel fully empowered and in control of their healthcare experience, and where they have the guidance of the best spine and joint specialists to help them on their road to recovery. iRISE employs over 30 providers within 18 clinics to work together to deliver the most advanced integrated care in Florida and Tennessee. In recent years, our team of more than 200 employees has experienced exponential growth, and we have an exciting 2021 growth plan. If you are chosen to join our team, you can enjoy the following benefits of being an iRISE team member:
    • Competitive salary and benefits, including a 401(k) plan
    • An environment that recognizes all aspects of employee well being
    • A company culture that encourages and empowers employees to continually growDo you think you have what it takes to join the iRISE team? Check out our current opportunity for a Senior Director of Clinical Compliance & Risk Management at our Corporate location in Boca Raton, FL (presently working partial remote), and send in your application. We look forward to hearing from you soon!OVERVIEW: The Senior Director of Clinical Compliance and Risk Management will be responsible for creating organizational clinical and compliance policies and procedures in collaboration with the VP Operations and other leaders, as well as other miscellaneous tasks. The Senior Director of Clinical Compliance and Risk Management is both a medical and health services manager, who manages in both administrative and medical capacities with the use of evidence-based practices producing high quality of care outcomes and a continuity of patient care.Reporting to the VP Operations and serving as a member of the Management Team along with the CEO and other leaders, this position's primary responsibility is ensuring organizational effectiveness by providing leadership for the organization's clinical and regulatory/compliance functions. Working with the management team, the position also contributes to the development and implementation of organizational strategies, policies and practices. This position will also interact with the Medical/Physician Team and outside referrers to the practice.Furthermore, the Senior Director of Clinical Compliance and Risk Management provides leadership, direction and ongoing administration and management for all aspects of the clinical, compliance, and risk practices and ensures policies and procedures are implemented for efficient, effective management. This position evaluates quality of patient care and patient outcomes related to infection prevention and control; collects and reports information, and leads the QAPI committee as it relates to infections and infection prevention, monitors employee program compliance; maintains program and documentation for compliance with Infection Prevention/Control monitoring, recording, and reporting requirements.ESSENTIAL DUTIES AND RESPONSIBILITIES: General Clinical Services and Administrative responsibilities:
      • Provides leadership in the delivery of a multi-disciplinary approach to clinical care and nursing within clinical aspect of patient care.
      • Participates in clinical/nursing/allied/medical assistant/etc. employee selection through interviewing and the hiring process. Directs all clinical personnel according to office philosophy and objectives, in partnership with other members of leadership team.
      • Plays a significant role in long-term planning, including an initiative geared toward clinical and compliance excellence.
      • Assist in the develop, implement and oversee overall financial management, planning, systems and controls of clinical and compliance functions.
      • Management of budget in coordination with the Vice President of Operations and Controller or CFO.
      • Regular meetings with other members of the management team and the Medical Director around fiscal planning and clinical operational issues, such as the provision of patient care, scopes of practice, evidenced-based clinical practices.
      • Oversee monthly and quarterly assessments and forecasts of organization's clinical and compliance operations, including meeting financial performance, financial and operational goals. Oversee short and long-term financial and managerial reporting.
      • Reconciling monthly activity, generating monthly and year-end reports.
      • Other duties as assignedRegulatory Compliance responsibilities:
        • Ensures entire organization adheres to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Presents findings and recommendations on matters involving specific follow-up and compliance, when necessary, and ensures appropriate follow-up is completed to ensure ongoing compliance by all staff and leaders.
        • Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
        • Identifies and recommends a course of action for approval to the leadership team on organizational and/or operational problems requiring intervention or resolution.
        • Provides oversight and accountability for all related AHCA and TJC requirements. Will assign clinical, technical or administrative responsibilities to others regarding the preparation and response to all standards identified in both the accreditation and regulatory matters.Functions regarding Patient Care: Provides oversight for a multitude of patient care processes including:
          • Provide oversight to the Director of Clinical Services and the clinical staff, including but not limited to training, advice and supervision.
          • Support and advise on efficient clinical practice of clinical staff ensuring appropriate skill mix to promote high standard of service.
          • Review and recommend alterations in prescribed clinical options regarding current and new protocol driven guidelines.
          • Review clinical documentation and maintain standards with regards to practice policy on documentation including educating staff and providers to documentation standards.
          • Identify the training needs of clinical staff and facilitate how to appropriately meet those needs.
          • Facilitate clinical practice training, in line with iRISE's values, as required.
          • Designs, plans, deploys, and ensures the essential clinical competencies of clinical staff are verified.
          • Other duties as assigned Risk Management responsibilities:
            • Develops and maintains a performance measurement work plan and reporting calendar to ensure timely data collection, aggregation, analysis, and reporting of established performance measures related to key operational and clinical processes and outcomes.
            • Oversees a corporate-wide Quality and Risk Management/incident reporting program, and annual evaluation of the Program's effectiveness.
            • Develops and oversees processes for internal incident reporting.
            • Reviews incident reports and conducts follow up investigations as warranted.
            • Leads improvement teams through the Plan Do Study Act cycle, or similar process and reports on trends and outcomes.
            • Walks through and conducts reviews/audits for each clinical location/facility to observe and seek input from staff to assess risk.
            • Recommend and organize staff training program that will mitigate risk.
            • Maintain and manage all incident reports and peer review process.
            • Work with Physician/PA's on identifying potential areas of risk with patient care.
            • Work with team to manage high risk patients.
            • Present Risk Management report to the Board on a quarterly basisQuality Improvement and Quality Assessment Program responsibilities:
              • Assists and recommends procedures to promote quality assurance activities to monitor patient satisfaction, safety practices, and practice compliance with regulations or operational policies.
              • Heading the Quality Assurance (QIQA) Committee, the Patient Safety Committee & Med Staff Dinner Meeting.
              • Ensures proper development/maintenance of a Board approved QI/QA program, leads the QAIC meetings, and ensures ongoing monitoring/reporting to the Board meetings.
              • With directions and guidance from the Medical Director, outcomes and trends will be analyzed; goals will be revised as projected outcomes and targets are achieved.
              • Improve the clinical operational systems, processes and policies in support of practice's mission -- specifically, support better patient care, regulatory compliance, and business processes.
              • Manage and increase the effectiveness and efficiency of patient care as well as well as practice revenue, through improvements to each clinical function as well as coordination and communication between operational and business functions.Infection Prevention/Control responsibilities:
                • Reviews Infection Prevention/Control and health principles, standards, laws, rules and regulations. Ensures the facility and IP program benefits from acquired knowledge.
                • Recommends action to achieve compliance with requirements for the outpatient health care setting.
                • Participates in the development of IP related facility policies and procedures.
                • Participates in IP-related orientation programs for new employees.
                • Participates in the development of IP-related continuing education programs for employees.
                • Develops data collection and evaluation systems to improve facility IP outcomes and program management.Credentialing responsibilities:
                  • Provides oversight and leadership to ensure all credentialing functions are completed in an accurate and timely manner.
                  • Provides oversight and support to the credentialing and medical staff functions.
                  • Assists with the selection and ongoing relationship with all Medical Staff and Medical Staff functions.EDUCATION, EXPERIENCE, and TRAINING:
                    • Bachelor's Degree required, with preference in Healthcare Administration, Nursing or related field
                    • Minimum of five (5) years' experience in the clinical field as well as administrative/management/infection control/compliance arenas. Must have a minimum of three (3) year's experience in leading/managing clinical operations.
                    • In-depth and up-to-date knowledge of multi-disciplinary clinical practices, federal/state regulatory practices/requirements, infection prevention practices, and medical practice administration.
                    • In-depth knowledge of AHCA and The Joint Commission standards and regulatory requirements.
                    • Prefer experience with multi-specialty healthcare locations or physician practice groups
                    • Interest and/or experience in collaboration with interdisciplinary health teams.
                    • Possesses medical/clinical/administrative skills at a high level of competency.
                    • Training/experience in infection control/prevention preferred
                    • Training/experience in Risk management preferredCERTIFICATES, LICENSES, REGISTRATIONS:
                      • Registered Nurse or Nurse Practitioner currently licensed to practice in the state.
                      • Must have graduated from an approved nursing program and have passed a national licensing examination.
                      • Current BLS certification
                      • Certification in Infection Prevention, desired (CIC) SUPERVISORY RESPONSIBILITIES:
                        • Supervisory responsibilities include oversight of all clinical staff functions. While direct reporting relationship may be alternatively assigned, this position possesses administrative oversight of all clinical staff, and therefore, has the authority to provide any level of managerial or administrative direction. KNOWLEDGE AND SKILLS:
                          • Demonstrated leadership and vision in managing staff groups and major projects or initiatives.
                          • Excellent interpersonal skills and a collaborative management style.
                          • Budget development and oversight experience preferred
                          • A demonstrated commitment to high professional ethical standards and a diverse workplace
                          • Excellent computer skills and proficient in excel, word, outlook, and access
                          • Excellent communication skills both verbal and written
                          • Experience in organizational effectiveness and operations management implementing best practices.
                          • Excels at operating in a fast pace, community environment
                          • Excellent people manager, open to direction and +Collaborative work style and commitment to get the job done.
                          • Ability to challenge and debate issues of importance to the organization.
                          • Ability to look at situations from several points of view
                          • Persuasive with details and facts
                          • Delegate responsibilities effectively
                          • High comfort level working in a diverse environmentPHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
                            • Requires frequent and constant judgment for timely response to infection prevention, investigation, control and health concerns.
                            • Requires language skills adequate for effective written and interpersonal communication in American English
                            • Requires visual and auditory acuity adequate for frequent use of word computers and occasional use of other business office equipment.
                            • Ability to sit for long periods, overhead and low reaching, bending, desk activities and ability to exert force of up to 10 lbs. constantly.
                            • Must function independently, have flexibility, personal integrity, and the ability to work effectively with patients, personnel, and support agencies
                            • The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus.
                            • While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
                            • The employee is frequently required to stand; walk and reach with hands and arms.
                            • The employee must be able to travel and sit for extended period of time in a vehicle.

Keywords: IRISE Spine & Joint, Boca Raton , SENIOR DIRECTOR OF CLINICAL COMPLIANCE & RISK MANAGEMENT, Executive , Boca Raton, Florida

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