Registered Nurse (Compliance and Risk Management)

Overview

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

The Compliance and Risk Registered Nurse is responsible for managing clinical incident mitigation, competency evaluations, and the clinical training program across all sites. This role participates in the clinical Enterprise Risk Management program and works closely with Clinical, Operational, and Informatics leadership to ensure adherence to regulatory body requirements (HRSA, FTCA, Joint Commission, etc.).

The Compliance and Risk Management RN is on-site (non-remote) and available to answer questions and provide direction and guidance at the medical clinics. 

Specific Requirements:

• Bachelor of Science in Nursing (BSN) or equivalent clinical credentials required.
• Master’s degree in Health Law (MLS) compliance/risk management concentration a plus. 
• Certified Professional in Healthcare Risk Management (CPHRM) highly desired.

• Certified Professional in Healthcare Quality (CPHQ) a plus. 

• A minimum of 3-5 years of work experience in compliance and risk management healthcare environment desired. 
• A minimum of 1-2 years of experience supporting project based work preferably in Quality Improvement and/or Risk Management required.
• Ability to travel to other local clinics as needed. 

Responsibilities

• Manages mitigation efforts of the clinical risk management and clinical compliance programs. 
• Promotes a culture of clinical safety across the health center.  
• Works with operations and clinical teams to ensure that all incidents and patient complaints are assessed for consistency with current policies and procedures, and leads Clinical Incident review meetings to identify opportunities for improvement.
• Identifies potential areas of compliance vulnerability and risk, develops and implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future
• Periodically reviews compliance policies (e.g., Standards of Conduct, HIPAA and privacy, Occupational Health, Quality Credentialing) to ensure accuracy and relevance in providing guidance to clinical management and employees.
• Collaborates with other departments (for example, Human Resources, Operations, Health Information) to direct compliance issues to appropriate existing channels for investigation and resolution
• Escalates potential litigation cases to the Chief Medical Officer, Compliance Department, Risk Management Committee and General Counsel (if applicable) as needed to resolve difficult legal compliance issues
• Ensures that compliance issues, incident reports and filed patient complaints, and allegations of violations of rules, regulations, policies, procedures, and Standards of Conduct are evaluated, investigated, and resolved
• Develops and oversees a system for uniform handling of such incidents / allegations. Maintains incident reports and tracking logs to identify trends. Manages HIPAA / Privacy violation review, reporting, notification process in compliance with federal and state laws and regulations
• Provides reports on a regular basis, and as directed or requested, keeps the Compliance Committee of the Board and senior management informed of the operation and progress of compliance efforts
• Participates and manages regulatory audits (ie. 340B, VFA, Partnership Health Plan, etc.), working in coordination with the Clinical and Operations teams.
• Conducts internal risk management audit areas in conjunction with department managers
• Reports monthly risk management dashboard results to Risk Management Committee and to Quality Committee for quality improvement.

Additional Responsibilities:

• Coordinates the implementation and compliance of training programs for clinical competencies, compliance-related education, and Electronic Health Record (EHR) clinical training. Partners with stakeholders to develop content for core competencies and foster continuous growth and development opportunities for trainers.
• Track and document completed required trainings and competencies for regulatory reporting.
• Identifies opportunities for change that will enhance customer experience, increase efficiency, and improve team member engagement.

Qualifications

Education and Experience:

• Bachelor of Science in Nursing (BSN) minimum required.
• Master’s degree in Health Law (MSL) compliance/risk management education a plus. 
• Certified Professional in Healthcare Risk Management (CPHRM) highly desired.
• Current California professional Registered Nurse (RN) License required.
• Current BLS certification. 
• Certified Professional in Healthcare Quality (CPHQ) a plus.
• A minimum of 3-5 years’ experience with compliance and risk management  and/or Joint Commission in healthcare environment, in community health FQHC environment preferred. 
• A minimum of 1-2 years of experience supporting project based work preferably in Quality Improvement and/or Risk Management required.
• Experience working with EPIC electronic medical records preferred.
• Experience working in Federally Qualified Health Center highly preferred.
• Knowledge of all HRSA, FTCA, Joint Commission, CalOSHA, DHCS and CDSS rules/regulations for FQHC outpatient clinics in California.

Required Skills and Abilities

• Promotes a culture of effective change management by actively addressing concerns, inviting feedback, and demonstrating empathy to reduce resistance and support successful transitions.
• Exemplifies a strong commitment to the organization's mission, vision, and values.
• Demonstrates and reinforces the organization's values through both words and actions.
• Knowledge of Quality Improvement methodologies
• Strong communication abilities verbally and written. 
• Ability to read, analyze and interpret relevant journals and reports
• Ability to write reports and narrative text concisely. 
• Bilingual in English and Spanish, both written and verbal preferred.
• High level of computer literacy and proficient in MS Office (Word, Excel and Outlook), electronic medical records and web applications.

Physical Requirements and Working Conditions

• Ability to write by hand, use phone, use computer keyboard and mouse extensively to perform general office functions.
• Repetitive motion with word processing and data entry.
• Ability to frequently lift and or move up to fifteen (15) pounds.
• Ability to coordinate multiple tasks simultaneously.
• Ability to travel to other local clinics as needed. 

Benefits:Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.Marin Community Clinics is an Equal Employment Opportunity Employer

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