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SENIOR DIRECTOR OF CLINICAL COMPLIANCE & RISK MANAGEMENT

Company: IRISE Spine & Joint
Location: Boca Raton
Posted on: May 3, 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 grow Do 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 assigned Regulatory 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 basis Quality 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...... click apply for full job details

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

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