Job Information
UNC Health Care Compliance Analyst - Compliance in Smithfield, North Carolina
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Compliance/Risk
Management/Audit Analyst is responsible for performing compliance, risk
management and internal audit activities that assure compliance with
established policies and regulatory/legal requirements. Operational
responsibilities include, but are not limited to, the maintenance of the
patient safety evaluation system, risk assessment, the compliance monitoring
plan, and other compliance, risk management and audit related activities. Must
be able to work with minimal supervision and have excellent communication
skills and the ability to collaborate with others across Johnston Health to
correct noncompliance and to minimize risk and exposure related to
noncompliance.
Responsibilities:
Risk Management: Primary Responsibility for maintaining data in the entity wide occurrence reporting system. This includes the review of individual reports and assessment of management follow-up as well as review and dissemination of aggregate data. Primary Responsibility for the patient safety evaluation system and submission of data to the Patient Safety Organization. Primary Responsibility for collaborating with departmental leaders to utilize patient safety data contained within the entity wide occurrence reporting system. Provides data to the Quality Department related to peer review. Actively involved in developing and implementing departmental and organization-wide risk management activities to ensure a proactive risk management program throughout the system. Actively involved in policy development and review for Risk Management. Provide risk management assistance/guidance to providers and staff throughout the organization. Actively involved in the investigation, reporting and resolution of claims referred to Risk Management. Active involvement with the litigation process and the coordinates with hospital legal counsel. Active member in hospital committees as the department representative. Provides data as requested for the various meetings and committees. Committees include but are not limited to Patient Safety, Regulatory Readiness, EOC, Products, Infection Control, P&T and others as assigned. Co-Facilitates the Root Cause Analysis process and maintains related findings and action plans. Performs other risk management duties at the request of the Director.
Patient Complaints and Grievances: Primary responsibility for the accuracy and completeness of the Johnston Health Grievance Log and approves written responses to the complainant. Prepares or reviews aggregate weekly grievance data for dissemination to hospital leaders. Prepares aggregate grievance data for hospital committee reviews and for purposes of board oversight of the grievance process per CMS. Receives incoming grievances in the absence of the department secretary and routes to the appropriate individuals for resolution. Provides secondary coverage for the Johnston Health Careline, coordinating with appropriate staff to ensure customer satisfaction and loyalty.
Compliance: Actively involved in the maintenance and continued development of the Compliance Program. Participates in development and delivery of compliance education to include new employee education as well as staff rounding. Auditing and Monitoring – participates in preparing the Compliance Monitoring Plan and operationalizing the plan. Aggregates data related to the Compliance Monitoring Plan and updates information to be reviewed by the Johnston Health Compliance Committee. Reviews the OIG workplan additions and new regulations for inclusion in the Compliance Monitoring Plan. Reviews on-going risk assessment with Director to determine additions and deletions to the Compliance Monitoring Plan. Attends Compliance Committee Meetings and provides administrative support. Actively involved in Policy Development and Review. Performs audits, reviews and projects as assigned by the Director. Receives Compliance Hot-Line Reports in the absence of the Director and addresses Hot-Line Reports as assigned by the Director. Participates in privacy related investigations as assigned by the Director. Performs EPIC access reviews as assigned in the EMR audit software. Performs other compliance duties as assigned by the Director.
Internal Audit: Participates in the development and implementation of the internal audit schedule. Participates in Internal Audit Fieldwork and projects.
General Duties: Provides secondary phone coverage for the Department. Provides secondary office coverage for the Department.
Other Information
Other information:
Education Requirements:
● Bachelor’s Degree in an appropriate discipline.
Licensure/Certification Requirements:
Professional Experience Requirements:
● Minimum of three (3) years related work experience.
Knowledge/Skills/and Abilities Requirements:
● Proficient with computer programs including Windows, Word, Excel, PowerPoint, etc.
● Excellent communication skills (both written and verbal).
● Excellent interpersonal skills with ability to work in team-oriented, collaborative, environment .
● Work effectively with others, possessing tact, discretion and diplomacy.
● Leadership skills.
● Ability to problem-solve, excellent time management and organizational skills.
● Ability to effectively deal with stressful situations.
● Flexible and able to adjust to departmental daily priorities.
Job Details
Legal Employer: NCHEALTH
Entity: Johnston Health
Organization Unit: Compliance
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $22.45 - $32.27 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Smithfield
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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