Green Card Risk Management Specialist Jobs

Location: Within New Jersey-TBD

Pay: $90k-$100k annually

Hours: 35 hr work week, Exempt

Schedule: Full Time, 5-day work week

Position: Director of Quality and Risk Management, New Jersey

Benefits:

• Medical, Vision & Dental
• HSA, HRA & FSA Accounts
• 401k w/ a Generous Employer Match!
• Medical Discounts
• AD&D & LTD Plans Paid 100%
• Life Insurance
• Tuition Reimbursement
• PTO Time
• Holidays Off with Pay
• Student Loan Forgiveness
• Mileage Reimbursement
• NJ Family & Medical Leave
• Flexible Schedule & Hours
• Career Development
• Supportive Work Culture
• Paid Training!

JOB SUMMARY:

Under the direction of the Chief Quality Officer (CQO), the Director of Quality and Risk Management collaborates to oversee the agency-wide quality and risk management program, working within and across Medical Administration, Administrative departments and the health centers to monitor and evaluate the quality of delivery of patient care services within the agency. The Director assists the Chief Quality Officer in ensuring compliance with Planned Parenthood Federation of America (PPFA) standards, regulatory agencies, accrediting bodies, PPNCSNJ policies and procedures, and State and Federal regulations. The Director plays a critical role in enhancing patient safety, improving service quality and reducing organizational risk exposure by integrating quality improvement and risk management throughout affiliate systems.

ESSENTIAL FUNCTIONS:

Reasonable accommodation may be provided for individuals with disabilities to perform the essential functions of this position.

The Director of Quality and Risk Management performs a wide range of duties, including, but not limited to the following:

1. Assist CQO in monitoring the agency wide Quality and Risk Management (QRM) calendar.
2. Monitor health center compliance with all PPFA standards and guidelines, State, Federal and funder agencies’ regulatory requirements.
3. Assist CQO in preparing for and responding to State, Federal, funder and PPFA surveys and oversee corrective action plans.
4. Assist CQO in ensuring that all licenses for Ambulatory Care and Laboratories are renewed and upgraded as needed.
5. Conduct chart audits on all high-risk areas per PPFA MS&G’s; share findings and communicate with health center staff to ensure deficiencies are corrected.
6. Oversee compliance with State and Federal Laboratory regulations, including patient testing logs, control logs, and spore monitoring. Train and work with staff to ensure accuracy in lab proficiencies.
7. Review PPFA Medical Standards and Guidelines for implementation, alignment with NJ regulations and applicability to the affiliate. Work with VP of Medical Administration, Chief Medical Officer to help plan and coordinate implementation.
8. As assigned, oversee compliance with billing and collection practices. Facilitate coding audits to identify risk areas in coding, billing, and documentation accuracy. Arrange training and work with staff to improve identified areas.
9. Demonstrate commitment to established Workplace Values: Trustworthy; Effective Communication; Respectful; Supportive; Collaborative; Excellence. Practices behaviors that effectively demonstrate the Affiliate’s Workplace Values and supports goal to co-create a great workplace (see Workplace Values document received upon hire).
10. Travel throughout the State of New Jersey is required, including travel to health centers, administrative offices, and other affiliate locations as needed.
11. Participate in the Affiliate’s efforts related to revenue cycle, which includes but are not limited to: coding properly, achieving goals for productivity, meeting or exceeding revenue targets, and expense management as budgeted.
12. Performs other duties as assigned in support of mission and as required to ensure delivery of consistent high-quality services.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIREMENTS:

1. Commitment and demonstration of excellent internal and external customer service and the ability to model skills to center staff.
2. Attention to detail; ability to lead and follow processes and procedures from beginning to end.
3. Recognized excellence in interpersonal and relationship-building, project management, and staff management skills.
4. Ability to motivate and work collaboratively with staff throughout the agency to affect change.
5. Strong analytical, operational and organizational skills; ability to balance priorities, make effective decisions, and contribute as a team player within the organization.
6. Ability to utilize data to inform the decision-making process.
7. Demonstrated project management skills, including excellent follow-through for multiple projects at multiple locations.
8. Excellent written and verbal communication skills. Able to communicate information in an organized and clear manner.
9. Demonstrates commitment to established Workplace Values: Trustworthy; Effective Communication; Respectful; Supportive; Collaborative; Excellence. Practices behaviors that effectively demonstrate the Affiliate’s Workplace Values and support goal to co-create a great workplace (see Workplace Values document received upon hire).
10. Able to maintain and demonstrate strict confidentiality of all information.
11. Entrepreneurial spirit, intellectual curiosity, high energy, positive attitude and diplomatic.
12. Demonstrated knowledge of quality assurance and risk management skills; commitment to reflect quality assurance and risk management in daily tasks.
13. Has computer skills and ability to learn/operate software programs.
14. Maintains professional appearance and demonstrates professional attitude at all times.
15. Ability to work flexible schedules and maintain punctual attendance.
16. Able to work under pressure, remain calm, prioritize, and meet deadlines.
17. Ability to relate to diverse communities.
18. Ability to lead teams and desire to work as part of an interdependent team.
19. Ability to remain open and non-judgmental towards colleagues and customers.

Job Requirements:

Minimum Education: Bachelor’s degree or equivalent work experience in a related field. Registered Nurse (RN) credential/licensure is strongly preferred. Certification in infection control, strongly preferred.

Minimum Work Experience: Three + years’ experience in demonstrated leadership role in quality and/or risk management and/or regulatory compliance. Demonstrated knowledge of NJ State and Federal applicable laws and regulations. Other quantifiable work experience may be acceptable in lieu of this requirement.

Other Requirements: Valid driver’s license. Reliable transportation for required travel throughout the State of New Jersey.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

REASONING SKILLS

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret a variety of instructions and deal with several abstract and concrete variables. Ability to take decisive action. Ability to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives.

PHYSICAL DEMANDS/MOTOR COORDINATION

Requires hand-eye coordination; finger dexterity, and a combination of sitting, standing, climbing, stooping, balancing, kneeling, reaching, carrying, pushing, pulling, lifting (up to 15 pounds). Must be able to write, type, use telephone and computer systems, and other office equipment.

WORK ENVIRONMENT

Exposure to routine office conditions as well as adverse environmental conditions such as dust, temperature and noise extremes, etc. May be exposed to infectious or contagious disease.

This job description is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with this position. While intended to be an accurate reflection of the current job, management reserves the right to review and change this description as needed to maintain business goals and accomplishments. Job descriptions are reviewed periodically. This job description is not a contract.

NON-DISCRIMINATION STATEMENT/ACKNOWLEDGEMENT:

Planned Parenthood of Northern, Central and Southern New Jersey, Inc. (PPNCSNJ) does not discriminate on the basis of race, color, religion, sex, sexual orientation, national origin, age, marital status, veteran status, citizenship, disability, atypical hereditary cellular blood trait, genetic predisposition or carrier status or any other characteristic protected by applicable law. PPNCSNJ will make reasonable accommodations in compliance with Section 504 of the Rehabilitation Act of 1973; the Americans with Disabilities Act of 1990; and any subsequent revisions or additions to related law/regulations.

Our Commitment To Health Equity, Diversity, And Inclusion

At PPNCSNJ, our "Care. No Matter What" values extend far beyond our health center doors. We're passionate about uplifting diversity, equity, and inclusion across every aspect of our organization. This work includes building an environment where every employee can flourish, every patient can thrive, and every community can achieve its full health potential. We strive to make equity-centered decisions that empower our employees, patients, and volunteers to be their whole selves. These efforts are an ongoing journey, and on our best days, we remain committed to challenging ourselves to do better.

Note For Applicants

As we prioritize equity in our health care practices, we are equally committed to these values in our workplace culture. If you're excited about this opportunity but don't meet every qualification, we encourage you to apply. You may be a great fit for this role or others, and we value differing perspectives in our commitment to being an inclusive health care provider and workplace.

PPNCSNJ is an Equal Opportunity Employer.