Quality Risk and Compliance Specialist

Role Overview

• Assist in the implementation and oversight of Quality, Risk, and Compliance programs, ensuring adherence to Joint Commission standards and regulatory requirements.
• Help coordinate the verification and documentation of staff credentials, including licensure, certification, and registration.
• Support the competency assessment program for staff providing telehealth care, ensuring timely completion of initial assessments and ongoing evaluations.
• Assist in identifying, assessing, and mitigating quality, risk, and compliance issues, including participating in investigations and root cause analyses.
• Support the development and implementation of quality improvement initiatives, ensuring alignment with organizational goals.
• Help facilitate risk management activities, including incident reporting and documentation.
• Assist in ensuring compliance with state and federal regulations as well as Joint Commission standards, including facilitating internal audits and supporting accreditation activities.
• Coordinate the comprehensive internal auditing process, ensuring adherence to quality, risk, and compliance standards, including follow-up on corrective actions.
• Assist in the development and maintenance of policies and procedures related to quality, risk, and compliance to support the organization’s mission.
• Audit and coordination of audits for clinical documentation.
• Educate staff on quality, risk, and compliance policies, including telehealth-specific standards, and help promote a culture of accountability and continuous improvement.
• Help monitor and analyze quality, risk, and compliance data to identify trends and provide actionable insights.

Requirements

• 5+ years of experience in healthcare quality, operations, or equivalent experience in a related field.
• A master's or Doctoral degree in the health-related field is preferred.
• 5+ years of experience monitoring and analyzing quality, risk, and compliance data to identify emerging trends and provide actionable insights.
• Strong familiarity or proficiency with key regulatory standards, specifically Joint Commission standards and applicable state and federal regulations.
• Proven experience in coordinating and conducting comprehensive internal audits, including auditing for clinical documentation, and managing follow-up on corrective actions.
• Capability in identifying, assessing, and mitigating quality, risk, and compliance issues, including participation in investigations and root cause analyses.
• Experience in assisting with the development and maintenance of quality, risk, and compliance policies and procedures, and the ability to educate staff on these standards, including telehealth-specific standards.
• Experience using Google suite