Job Summary:
The Risk Management and Compliance Coordinator will ensure that Saint James Health operates in accordance with federal, state, and local regulations. This role includes oversight of federal grant compliance, ambulatory care licensing compliance, Federal Tort Claims Act (FTCA) compliance, and maintaining board meeting documentation. The ideal candidate will have compliance experience in a hospital or Federally Qualified Health Center (FQHC).
Key Responsibilities:
Federal Grant Compliance:
- Monitor and ensure compliance with all federal grant requirements
- Prepare and submit required reports and documentation to federal agencies
- Conduct regular internal audits to ensure adherence to grant conditions
- Collaborate with the finance department to ensure accurate financial reporting and compliance
Ambulatory Care Licensing Compliance:
- Ensure the facility and operations comply with ambulatory care licensing regulations
- Maintain up-to-date knowledge of state and federal licensing requirements
- Prepare for and coordinate inspections and audits by regulatory bodies
- Address compliance issues identified during inspections and audits
Board Meeting Coordination:
- Schedule and organize monthly board meetings
- Prepare and distribute agendas, meeting materials, and notices
- Record, transcribe, and maintain accurate minutes of board meetings
- Ensure compliance with board governance requirements and bylaws
Federal Tort Claims Act (FTCA) Compliance:
- Ensure compliance with FTCA requirements for liability coverage
- Prepare and submit FTCA-related documentation and reports
- Conduct risk assessments and implement risk management strategies
- Provide training to staff on FTCA requirements and compliance
General Compliance Duties:
- Develop and implement compliance policies and procedures
- Conduct compliance training sessions for staff
- Investigate and resolve compliance issues and complaints
- Maintain detailed records of compliance activities and prepare reports for senior management
- Stay current with changes in healthcare laws and regulations and adjust compliance programs accordingly
Other Duties:
This job description is not intended to be a comprehensive list of all duties, responsibilities, or activities. Duties may change at any time with or without notice.
Qualifications:
- Bachelor's degree in healthcare administration, business administration, or a related field
- Minimum of three (3) years of compliance experience in a hospital or Federally Qualified Health Center (FQHC)
- Thorough knowledge of federal grant compliance, ambulatory care licensing regulations, and FTCA requirements
- Strong organizational and communication skills
- Ability to work independently and manage multiple tasks simultaneously
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and compliance management software
Preferred Skills:
- Experience with electronic health records (EHR) systems; EPIC experience preferred
- Familiarity with Health Resources and Services Administration (HRSA) guidelines
Working Conditions:
- Full-time position based in Newark, NJ
- Occasional travel may be required for training and conferences
- Must be able to work flexible hours to attend monthly board meetings
- Must be available one evening per month for board meetings