Mercy Medical Center Clinton Director Integrity, Compliance, Privacy and Risk Management in MercyOne Siouxland Medical Center - Sioux City, Iowa
Your best life. Our one purpose.
At MercyOne Siouxland, we understand that elevating patient-centered care comes from the efforts of all colleagues. We imagine and embrace bold new ideas to revolutionize health care.
What we offer:
We care about your wellbeing, both physical and mental, which is why our benefit package includes:
Personalized health insurance plans including dental and vision
Paid time off
Long- and short-term leave
Life insurance coverage
About the job:
Under general direction, is responsible for the design, oversight, implementation and maintenance of the Organizational Integrity, Compliance and Privacy Programs and ensures that MercyOne and its affiliates comply with various laws and regulations pertaining to its business activities and privacy of information. The program includes development and maintenance of systems, policies, and procedures designed to sustain MercyOne and its business partners in fulfilling their legal, professional and ethical responsibilities consistent with the Mission, Vision and Values of MercyOne/Trinity Health. Provides oversight to MercyOne’s network facilities in establishing an effective corporate responsibility program. Oversees the performance of on-site audits and/or reviews quality monitoring performed by the Ministry Organization while serving as a technical resource on assessment, documentation, coding, billing and general compliance questions.
This position is also responsible for the oversight, implementation and maintenance of the Risk Management & Patient Safety Program across the entirety of MercyOne Siouxland, with the objectives of minimizing risk to patients, visitors, staff and physicians and reducing potential liability and litigation for MercyOne. Oversees the day-to-day activities related to coordinating insurance coverage, assisting the local claims process, interfacing with outside legal counsel, administering the risk management plan on a day-to-day basis, managing and analyzing risk management data, and directing risk management educational programs. Interfaces with Trinity Health’s Insurance and Risk Management Services department (IRMS) and will coordinate new and existing initiatives with Trinity Health as those initiatives are implemented within MercyOne Siouxland.
What you will do:
Chairs the Integrity Operations Committee (IOC), which provides oversight of the day-to-day operations of the Organizational Integrity Program.
Designs, implements and administers a comprehensive, uniform Organizational Integrity Program including Standards of Conduct; policies and procedures addressing areas of compliance risk; employee, governance and business partners education and training programs in risk areas; efforts to monitor activities to assess the effectiveness of the overall program; and ongoing communication of compliance and responsibility issues. Develops and/or gives input to organizational policies and procedures on loss control and patient safety. Incorporates MercyOne Health Services Insurance/Risk Management recommendations when applicable.
Serves as a member and provides regular reports to the Local Integrity Committee (LInC). The Local Integrity Committee provides senior management support and assistance in the design and operation of the Organizational Integrity Program.
Through the IOC, coordinates the Organizational Integrity Program with other organizational departments such as Educational Services, Finance, Human Resources, Mercy Home Care, MercyOne Medical Services, and Mission Services.
Serve as the Section 1557 Coordinator responsible for monitoring and implementing MercyOne's compliance with federal laws prohibiting discrimination in federally funded health care programs, including Section 1557 of the Patient Protection and Affordable Care Act ("ACA"). The major responsibilities are (1) to prevent discrimination against patients, employees and others; and (2) to ensure compliance with all procedures and procedural safeguards required under Section 1557.
Serve as MercyOne's liaison to OCR for issues regarding Section 1557 discrimination generally.
What we are looking for:
Requires a Bachelor's degree in Nursing, Business Administration, Law, Quality or Risk Management or other related field, Master's preferre. Active nursing license preferred.
Requires certification in Health Care Risk Management. Within one year of employment, must attain certification in Healthcare Compliance and Privacy (HCC).
Requires a minimum of 5-7 years of related experience in an acute care setting.
Must demonstrate working knowledge of relevant Federal, State, Joint Commission and other external agency regulations and requirements in the areas of responsibility required.
Must possess analytical and problem-solving skills necessary to develop and implement policies, procedures, budgets and prepare special reports and analyses.
Must be comfortable operating in a collaborative, shared leadership environment.
Must be able to cope effectively with stressful situations and time constraints.
Human relation and communication skills needed to maintain rapport and working relationships with medical staff, administration, department personnel, external agencies, patients and their families. Must have good negotiation, consensus building and presentation skills.
Why MercyOne Siouxland?
MercyOne Siouxland Medical Center is a 238-bed regional center that provides residents in a 33-county tri-state region an entire continuum of preventive, primary, acute and tertiary healthcare services. MercyOne Siouxland Medical Center is home to the only Level II trauma center in western Iowa - one of only four trauma care facilities in the state to receive verification from the American College of Surgeons - and MercyOne Air Med, a regional helicopter ambulance service.
About MercyOne and Trinity Health
We are MercyOne: a connected system of health care facilities and services dedicated to helping you and your community live your best life.
More than 20,000 colleagues strong, our care providers and staff make your health and happiness their highest priority, so you can get well—and stay well. With 420 care locations, our clinics, medical centers and affiliates are never too far from home, allowing us to improve the lives of individuals and communities across the state of Iowa and beyond.
MercyOne Siouxland is a proud member of Trinity Health, one of the nation's largest Catholic healthcare delivery systems, our network spans 22 states, 94 hospitals and 133,000 colleagues nationwide.
About Siouxland (include this on positions recruiting outside the region)
The tri-state region, referred to as Siouxland, is highlighted by safe and friendly communities, excellent schools and a mix of peaceful rural areas and vibrant city atmosphere where Iowa, Nebraska and South Dakota meet at the Missouri River.
Situated in the heart of Downtown Sioux City, MercyOne Siouxland Medical Center is also well positioned for urban living in any of the newly renovated apartment, downtown loft, or townhome living options. The downtown also features a historic district with excellent restaurants and social spots and you'll just be steps away from the beautifully-renovated Warrior Hotel for dinner and the gorgeous Orpheum Theatre for entertainment.
The MercyOne Mission Defines Us:
MercyOne serves with fidelity to the Gospel as a compassionate, healing ministry of Jesus Christ to transform the health of our communities.
Our timeless values guide us:
Commitment to the Poor
MercyOne Cultural Beliefs Direct Us:
Be ONE: I benefit from and strengthen MercyOne.
Personalize Care: Your experience. My responsibility.
Own It!: I own my actions to deliver our key results.
Improve Daily: I make improvements every day for those we serve including each other.
Innovate: I imagine and embrace bold new ideas to revolutionize health.
MercyOne Siouxland and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.
Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.
Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org at http://www.trinity-health.org/ . You can also follow @TrinityHealthMI on Twitter.