Compliance-Healthcare Risk Management Program Manager (O-5 Billet) Non-Supervisory

PHYSICAL DEMANDS: Sitting and/or standing for extended periods of time [6-8 Hours]. Performing repeated bending motion. Average manual dexterity for computer operation. Phone use for extended periods of time. If licensed clinician or administration specialist, will be tasked to TDY within the department for a minimum of 30 days annually to assist with field operations. May require physical exertion such as lifting objects greater than 30 pounds. Required to perform CPR/emergency care standing or kneeling.

Must have the ability to assist sick, injured or aging detainees or staff exiting the building (may require lifting, dragging, wheeling or carrying someone who weighs significantly more than self). The work may necessitate some physical characteristics that will be required when responding to an emergency situation, such as running short distance, prolonged sitting or standing (6-8 hours) and working in an austere environment.

Must perform the duties of job in a stressful and often austere environment without physical limitations. Must be able to travel (up to 30%).

DUTIES AND RESPONSIBILITIES: Develop and implement risk management program initiatives, and enact the changes in clinical practice, policy and procedures to preserve the agency's assets, reputation and quality of care. Provide policy guidance, consultation and review of sentinel events. Assist in the development, review and revise policies and guides related to risk management annually, or as necessary to reduce mitigating risks to the agency.

Provide oversight, monitoring and training of the incident reporting electronic tool. Coordinate risk management activities with facilities, e.g. root cause analysis (RCA) of incidents that occurred in the facilities and provide proactive risk reduction strategies. Collect data, monitor trends and report results to Team Lead. Conduct medical record audits using electronic Clinical Works (eCW) for review of appropriate delivery of quality health services.

Ensures established standards of care are monitored in IHSC-staffed facilities as well as in non-IHSC staff facilities throughout the United States. Maintains accountability and monitoring of risk management activities and identifying areas of improvement. Participate in the identification of opportunities for CQI, recommendation of solutions for local facility issues and agency-wide concerns and implementation of plans and follow up activities related to the risk management.

Coordinate and assist with developing a corrective action plan for risk management and CQI issues identified. Provide oversight for monitoring and completion of assigned corrective action plans. Provides consultation or assessment of conditions in a detention facility which may originate from ICE/ERO, IHSC, non-governmental organizations, or from detention facilities themselves. Assesses request to identify key issues through additional fact-finding, if necessary, and determines appropriate level of response.

• Conducts appropriate level of inquiries in order to minimize risk to health and well- being of detainees and to the health of the public at large.
• Maintains accountability and monitoring of resources essential to program activities and meeting the mission and goals of IHSC.
• Maintains up-to-date calendar of activities in order to coordinate activities with other unit and division staff and administration.

Conducts and/or coordinates inquiries related to risk management and CQI deficiencies and coordinates corrective actions with appropriate subject matter expert. Preform data analysis for tracking, trending, and reporting on incidences to drive change. Serves as key advisor to IHSC National Quality Assurance (NQA) Committee. Other duties as assigned.