LUTHERAN SENIOR SERVICES
JOB DESCRIPTION
JOB TITLE: Risk Manager/Corporate Compliance Officer/Corporate Counsel.
DEPARTMENT: Home Office
REPORTS TO: Primary report is to the Chief Operating Officer, also reports to the President regarding corporate legal issues and compensable events.
PURPOSE: The primary purpose of this dual role is to provide guidance and counsel to the strategic goals of corporate compliance and risk reduction throughout the organization.
RISK MANAGER RESPONSIBILITIES
Responsibilities include directing risk financing and loss control programs; planning, development and implementation of processes that aim at reducing loss frequency and loss severity at Lutheran Senior Services. Prepares loss analysis, identifies exposures and recommends solutions; effectively supports management's strategic goals through the integration and application of risk management techniques that are supportive of Lutheran Senior Services mission and values. Provides legal consultation for corporate officers and administrators in loss prevention and claims management and carries out programs of the Caring Communities Insurance Company. Is available for consultation on matters outside of normal business hours.
Supports the mission and vision of Lutheran Senior Services and upholds the core values and code of conduct for Lutheran Senior Services.
Essential Duties:
- Develops, maintains and monitors the organization-wide risk reduction, risk control and risk transfer techniques program. Advises on, or recommends policies, procedures, and related activity that reduce organizational exposures to financial and/or legal liability. Drafts, reviews or recommends contracts, agreements or other documents to ensure effective and adequate protections for the organization or individuals in the organization.
- Develop and maintain event and accident reporting system for residents and visitors. Manages claims, related investigations and maintains system for securing documents. Conducts sentinel event investigations and root cause analysis and reports findings to appropriate parties and to the insurance carrier.
- Collects, analyzes, and evaluates relevant loss and exposure data. From this, plan, review and monitor adequacy of policies, procedures and work-practices regarding risk reduction, mitigation and control. Recommends and/or advises on course of actions that results in measurable risk reduction to the organization, staff, customers, vendors, contractors, visitors and the overall community.
- Works in a collaborative manner with Director of Safety, Director of Performance Improvement, Administrators and leadership of the organization. Provides support, and guidance to all departments reflecting sound risk management principles that support the service and financial goals and responsibilities of the organization.
- Works effectively with Home Office and insurance company claims management and legal counsel in the preparation of testimony, evidence or other matters related to actual or potential litigation. Manages professional liability claims including negotiating settlements, drafting agreements and waivers, compiling responses to discovery, preparation of witnesses and analysis of potentially compensable events.
- Researches and distributes current versions of related program manuals, regulatory updates, guidelines, advisory bulletins, fraud alerts and other documents as needed. Stays abreast of Fair Housing Laws, employment laws, and other laws affecting the organization. Provides reviews and analyses of recent health, compliance and employment law cases pertinent to the organization and its various divisions.
- Prepares annual Risk Management Report for Board of Directors and twice annual reports for the Operations Committee of the Board of Directors. Produces monthly report of reportable events by community or service line.
- Chairs Risk Steering Committee. Develops effective staff and leadership educational programs and implements the Risk Designee Training Program. Participates in community based Risk Committees in an advisory capacity. Participates in the Operations Council.
- Represents the organization in Missouri DHSS or Illinois Dept. of Public Health (IDPH) hearings, professional and general liability mediations, settlement negotiations, contractual issues, and in employment suits including participating in hearings, depositions and trials as appropriate.
- Acts as the liaison between the organization and insurance companies or third party administrators regarding lawsuits and claims for compensation. Selects or recommends outside legal representation in workers' compensation, professional and general liability claims.
CORPORATE COMPLIANCE OFFICER RESPONSIBILITIES:
In this dual role, the Officer is responsible for planning, coordinating, and assisting in the implementation and administration of the Integrity Management (corporate compliance) Plan. The CCO carries out these responsibilities within the guidelines of policies established by and with the authority of the Board of Directors. This position works in concert and provides performance improvement leadership, guidance and support to all levels of the organization.
Essential Duties:
- Promotes compliance with applicable laws and regulations and ensures the LSS Corporate Compliance Plan is implemented. Recommends changes to the plan as the organization evolves.
- Establishes organization/wide integrity management (compliance) and provide compliance related education, training and implementation of compliance processes.
- Develops and monitors compliance indicators and maintains documentation that demonstrates the effectiveness of the compliance plan.
- Conducts, oversees and/or coordinates with the appropriate management level to conduct internal investigations and coordinates as needed with legal counsel. Oversees corrective action is taken in the event LSS would be out of compliance with its plan or with regulatory agencies.
- Provides regular reports to corporate Officers and the Board of Director with regard to compliance program activity, corrective action plans, critical issues, training, procedure implementation and program effectiveness.
- Participates with Lutheran Senior Services leadership in developing and reviewing the organization's operational plans, and policies regarding compliance and integrity standards.
- Chairs the Lutheran Senior Services Corporate Compliance Committee. Provides leadership and support relative to compliance related matters concerning organizational contracts, services, policies as well as financial and standards of resident care and, where needed coordinates these activities with legal counsel.
SUPERVISORY RESPONSIBILITIES: Supervises Clinical Risk Manager
KNOWLEDGE, SKILLS AND ABILITIES:
To be effective in this role the individual must:
- Possess strong interpersonal skills and must be able to communicate effectively at all levels of the organization, ranging from executives to entry level workers. Maintains positive and effective working relationships with all the communities/departments and staff members.
- Have the ability to assess situations, consider alternatives and choose/recommend appropriate courses of action in a proactive manner. Must be able to analyze data, draw conclusions and make recommendations based on this data.
- Be knowledgeable in federal and state (MO and IL) laws that govern employment, disability, fair housing, OSHA, and licensed nursing care etc.
- Be knowledgeable in laws that govern Medicare and Medicaid program and reimbursements.
- Possess strong computer skills and is able to use various software programs such as Event tracking (Risk-Pro or similar programs), Microsoft Word, Excel, PowerPoint and Access.
- Have a strong working knowledge of ethical business practices, health law and corporate compliance.
- Be able to do public speaking and to teach people with a variety of learner abilities.
- Be able to create systems and work flow processes. Must be able to organize work efficiently and plan own work to meet schedules and must demonstrate accuracy in work.
- Be able to work independently, confidentially and collaboratively with members of the facility management team and members of the corporate office staff. Demonstrates a self-directed approach to completing work duties.
- Be able to stay focused on details, think creatively, and problem solve.
- Be proficient in the use of telephone, fax machine, copy machine, computer, calculator, Microsoft Office software, Internet, voice mail and other software data bases.
- Demonstrate a competence in principles of management, leadership, use of the organization's resources, and in ethics and integrity.
Interested Candidates please apply online to Requisition # 09-785. www.LSSLiving.org
EDUCATION AND/OR EXPERIENCE:
Education: Bachelor of Science Degree in nursing, or other related health care field is required. Juris Doctor in the state of Missouri and/or Illinois is preferred.
Experience: a minimum of five (5) years experience in leadership positions in health care organization and three (3) years experience in the area(s) of health law or as a risk manager in a health care setting. Knowledge and experience in long term care is preferred.
CERTIFICATES, LICENSES, REGISTRATIONS:
Licensure as an attorney in the State of Missouri is preferred; licensure as a Registered Nurse and/or Nursing Home Administrator is preferred.
· This position requires the incumbent to travel to all Lutheran Senior Services communities.
