Claims Risk Manager Jobs in Ceres, CA (NOW HIRING)

Highly regarded and valued for your Quality/Risk Director expertise. Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging and the opportunity to make a meaningful difference in patients' lives? Look no further than Encompass Health, the nation's leader in inpatient rehabilitation care. As a Quality/Risk Director, you will oversee a hospital-wide quality management program, collaborating with various stakeholders to monitor and enhance the quality of patient care services. Join a team that values collaboration, support, and inclusivity, and embark on a rewarding career close to home and close to your heart, complete with access to cutting‑edge equipment and technology and a comprehensive benefits package from day one.

At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:

• Affordable medical, dental, and vision plans for both full‑time and part‑time employees and their families.
• Generous paid time off that accrues over time.
• Opportunities for tuition reimbursement and continuing education.
• Company‑matching 401(k) and employee stock purchase plans.
• Flexible spending and health savings accounts.
• A vibrant community of individuals passionate about the work they do!

• Ensure compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures. Develop, implement, and maintain quality assessment and improvement programs.
• Assess compliance with federal, state, and industry regulatory and accreditation standards, facilitating processes to remediate and/or maintain compliance. Provide organizational education related to regulations and standards and coordinate local, state, federal, and accreditation surveys.
• Use a variety of applications (including, but not limited to, PatCom, UDS, ORYX, and Press Ganey) to identify improvement opportunities, generate reports, research issues, identify resources, and access external databases.
• Ensure the update and maintenance of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice of potential claims, corrective action planning, and incident reporting to the Corporate Risk Manager.
• Coordinate the review, development, and implementation of hospital policies.
• Communicate and collaborate with other departments to coordinate care and promptly resolve patient concerns or complaints.
• Celebrate the accomplishments and successes of our dedicated employees along the way.

• A bachelor's degree in healthcare or a related field is preferred.
• License or certification as required by state regulations.
• Experience in Quality and/or Risk Management, including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership, and risk management activities.

We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post‑acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!

At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.