Ocean Beach Hospital and Medical Clinics is seeking a full-time Risk Manager / Compliance Officer!

Build your career with us! We believe in collaborative mentorship in a family feel atmosphere. We are a mission driven non-profit, where we provide compassionate, patient focused care for our community. We value our staff, and our community, and it shows! Unlike the big corporations, we have the time to invest in you and your future. Working for a non-profit also means you would qualify for the Public Service Loan Forgiveness program.

Our website: Ocean Beach Hospital - Health Care for Long Beach, Ilwaco, Oceanview, Ocean Park, Seaview, Chinook

In addition to being part of our amazing staff, you would have the pleasure of living here! The Long Beach Peninsula, in beautiful Pacific County, is located in the very southwest corner of Washington state. It's an easy and scenic drive from both Portland and Seattle as well as a classic Highway 101 destination and part of two scenic byways.

Plan your trip to the Washington Coast - Visit Long Beach Peninsula

Why should you choose us?

• Excellent medical, dental, and vision insurance.
• 232 hours of PTO in your first year.
• 9 paid holidays.
• 8 volunteerism hours.
• Short term disability.
• Retirement plans with a 3% employer match after one year.
• Excellent EAP provider.
• And more!

The ideal candidate will have the following:

• Associate's degree in nursing, risk management, healthcare administration or 6 years' experience in healthcare risk management required.
• BA/BS degree preferred.
• 6 years progressive responsibility in related field such as risk management, patient advocacy, and medical claims management.
• 6 years' experience in healthcare.
• Certified Professional Healthcare Risk Management (CPHRM) required.
• Epic experience required.

Performance Responsibilities:

Risk Manager:

• Coordinating insurance coverage and risk financing.
• Managing claims against facility-interfacing with the insurance company claims management team and with defense legal counsel including Investigating, analyzing, and documenting actual and potential problems. Assessing the liability and probability of legal action. Notifying insurance carriers of potentially compensable events.
• Coordinating communication with claimants, attorneys, insurance companies and others. Negotiating settlement of small claims-below deductible-within administrative authority.
• Administering the risk management program on a day-to-day basis to include a System for risk identification, investigation, and reduction. Maintaining a network of informational sources and experts-including coordinating with the facility QI program.
• Performing or coordinating risk surveys and inspecting patient care areas. Working with Health Information Management Department to identify concerns. Facility wide incident reporting system to identify actual and near misses.
• Participate in product evaluation system.
• Taking steps to ensure follow-up actions on regulatory/insurance survey report recommendations/deficiencies.

Patient Advocate:

• Interpret the policies of the organization to patient, family, or visitor.
• Assist with service recovery for the patient.
• Interpret the Patient's Bill of Rights and Responsibilities.
• Intervenes: When a patient has a question about missing or lost personal items. When a patient or family member might benefit from a little extra special attention. When a department seems to be unable to resolve a patient related issue.
• The point person for complaints and grievances that are not resolved by the department manager.

Compliance Officer:

• Ensuring that the Compliance Program effectively prevents and/or detects violations of the law, regulations, organization policies, or Code of Conduct.
• Tracking all issues referred to the Compliance Office.
• Presenting periodic and annual reports on the Compliance Program to the Board of Commissioners.
• Providing input and/ or direction to Human Resources policies and procedures and the performance appraisal and incentive programs. Ensure proper conduct is encouraged and support conformity with the Compliance Program as part of the performance evaluation process for all employees.
• Formalize and monitor a system to enable employees to report any non-compliance without fear of retribution, ensuring that the reporting systems adequately publicized and that the allegations of non-compliance are investigated and responded to promptly.
• Coordinating as appropriate with outside legal counsel, conducting, authorizing, and overseeing investigations of matters that merit investigation under the Compliance Program.
• Regularly reviewing the Compliance Program and recommending appropriate revisions and modifications, including advising administrative leadership and the Board of Commissioners of potential compliance risk areas.
• Ensuring that the internal controls can prevent and detect significant instances or patterns of illegal, unethical, or improper conduct by employees, agents, affiliated providers, or others working with the hospital.
• In consultation with the Human Resources Department, help ensure that there is a mechanism in place for disciplining instances of noncompliance (including the failure to prevent, detect, or report any noncompliance), appropriate to the nature and extent of the deviation, and ensure consistency in the application of disciplinary action.

Peer Review Coordinator:

• Facilitates the Medical Staff Peer Review process.
• Ensures the program and its activities comply with regulatory requirements and Medical By-laws.
• Performs case review of potential peer review issues and presents information to the reviewer.

Privacy Officer:

• Oversees the organization's compliance with privacy laws, such as HIPAA.
• Point of contact for patient privacy concerns.
• Lead all matters related to patient privacy, including investigations.
• Works closely with the Information Technology Department and Medical Records Department.

Required Skills and Abilities:

• Develop long and short-term planning and evaluate accomplishments of set goals.
• Interpersonal skills with respect to personnel management, including supervisory skills.
• Comprehensive knowledge of latest computer hardware, software, and applications.
• Effectively present information and recommendations, both in oral and written form and at a professional business level.
• Effectively work in a demanding political environment. Establish and maintain effective working relations with other department leaders, employees, vendors, and the general public.
• Excellent customer service, analytical, problem solving, and time management skills.
• Able to maintain confidentiality regarding sensitive and confidential issues.
• Employees are required to complete all training on time.
• Contributes to a culture of People Centered Care.
• Contributes to a safe work environment.
• Demonstrates commitment to the team and serves as a mentor to co-workers.
• Employee maintains practices of financial stewardship.

If this sounds like a good fit for you, apply today! Contact Human Resources with any questions at employment@oceanbeachhospital.com.