Third Party Risk Manager Jobs in Michigan (NOW HIRING)

• Assist in the review, revision, and formulation of appropriate policies and procedures that will meet the objectives of the Corporate Compliance Program to guide the Facility’s employees in compliance activities; develop the mechanisms to administer those policies and procedures and to evaluate their effectiveness;
• Identify potential compliance vulnerability, including a review, at least annually, of any deficiencies identified by either state or federal surveys;
• Monitor policies, procedures, and practices in areas of high risk or unlawful activities;
• Ensure that the staff and all third-party contractors are educated in the Corporate Compliance Program, specific policies and procedures, and the legal requirements relative to their work;
• Develop a reporting structure to handle employee calls and reports regarding known or suspected violations; ensure all employee calls and reports regarding detected or alleged violations are investigated;
• Consults with facility Administrator regarding legal matters of investigation of possible violations of the Program and/or state or federal law;
• Measure activities related to the Corporate Compliance Program and report data to the Corporate Compliance Committee and the DHHS Board;
• Respond, in conjunction with legal counsel, to external agency requests regarding compliance issues;
• Review departmental and administrative activities regarding implementation of the Facility’s compliance policies;
• Participate and chair the Corporate Compliance Committee;
• Ensure that any deficiency identified in any survey or complaint are responded to and addressed in a proper manner and that appropriate safeguards are taken to ensure future compliance;
• Determine recommendations for needs and actions for future reviews and policies;
• Coordinate with Human Resources all matters involving the hire of new employees and potential discipline of current employees (i.e., ensuring that orientation of new employees on corporate compliance occurs; monitoring of training to ensure appropriate facility personnel are training new hires on proper charting, coding, billing, etc.; distribution of the facility’s Corporate Compliance Program; meeting with Human Resources and/or Administrator regarding discipline and/or discharge of employees for violation of the Corporate Compliance Program or work rules relating to the same);
• Provide other assistance as directed by the Corporate Compliance Committee;
• Review on a periodic basis, the Office of Inspector General (OIG) list of excluded individuals/entities, and the Government Services Administration (GSA) list of debarred contractors to verify that any such Facility employees or affiliated entities, independent contractors, vendors, etc. are not excluded from participation in federal and state health care programs.
• Ensure that all contracts with physicians, vendors, subcontractors, etc. are reviewed to ensure compliance with state and federal law, including by way of example, anti-kickback statutes, self-referral laws, and other such laws, and to ensure that contractual agreements between the Facility and all other entities and person are entered into fairly, without illegal inducements, and in a manner that is in the best interests of the Facility and its’ residents; and
• Ensure that appropriate policies are in place to maintain necessary records relating to corporate compliance, and to maintain a log of all complaints regarding matters covered by this plan document.
• Manage and coordinate the Ethics Committee.
• Assist in establishing policies pertaining to total resident care, personnel, etc., as required by the Administrator;
• Explains policies and procedures to the staff, residents, visitors and family members;
• Review compliance with established policies by personnel and nursing staff;
• Meets with department heads periodically to discuss departmental problems and possible solutions;
• Participates in and conducts in-service education training to nursing home staff;
• Receives suggestions from department heads on matters pertaining to department operations and discuss them with the Administrator;
• Reviews and checks competence of workforce on a regular basis;
• Informs the Administrator of nursing home needs and recommends purchases;
• Makes daily inspection of building and reports to Administrator;
• Attends required meetings, and other duties as assigned by the Administrator.
• Ensure performance of certified nursing assistants remains in accordance of facility policy and procedures and within state and federal regulations and guidelines by observing transfers, ADL care, repositioning, etc during resident care.
• Ensure performance of licensed nurses remains in accordance of facility policy and procedure and within state and federal regulations and guidelines by observing medication passes, documentation, administration of medications, etc.
• Perform regular nursing rounds to ensure quality resident care and safe environment.
• Ensure resident plan of care is followed during nursing rounds and supervision of direct care.
• Develops and implements plans for the direction and supervision of nursing services and for the improvement of existing methods in the care and treatment of the resident.
• Evaluate documentation in medical records to ensure compliance.
• Participate in reviewing and revising current nursing policies and procedures.
• Identify training/educational needs of staff.
• Investigate and evaluate all employee incidents occurring in the facility for ways to improve and minimize future incidents.
• Investigate and evaluate all resident incidents occurring in the facility for bruises, skin tears, and unknown origin injuries.
• Ensure that staff follow established policies and procedures governing lifting techniques and the use of safety equipment and supplies to prevent work-related injuries and illnesses.
• Notify Maintenance department of any equipment not in safe operating condition.
• Participates in/on a variety of meetings, committees, and/or other related groups in order to receive and convey information.
• Attends routine meetings with RN’s, LPN’s and CNAs (minimum of monthly).
• Participates in the QA process for nursing and compliance issues.
• Collect data for numerous QA projects.
• Provide feedback to Director of Nursing regarding patterns of nursing care evidenced in day-to-day practice.
• Maintain and foster cordial relationships with residents, their families and friends, and interested persons and/or groups in the community.
• Maintain and foster cordial relationships between nursing staff.
• Keep current in the field of Nursing through reading current literature, workshops and conferences.
• Print EMARS monthly.
• Oversee wound care of residents and assure preventative measures are in place. Assure care plans are updated.
• Other duties as assigned by Director of Nursing or Administrator.

Minimum Requirements: Bachelor’s degree in a health or human services field, or an equivalent combination of education and relevant experience; OR a current Registered Nurse (RN) license in the State of Michigan. A minimum of two (2) years of healthcare experience and prior supervisory experience is preferred. Nurse management experience is preferred.