Responsible in conjunction with the Corporate HR/Chief Compliance Officer to manage risk and coordinate risk reduction activities organization wide, collect deficiency information and disseminate summaries of actions taken and results. Responsible for assessing compliance with Life Safety Code and has authority and jurisdiction to manage deficiencies when identified. Responsible for assessing and having authority to intervene when it is identified potential unsafe activities or environmental conditions exist. Work collaboratively with administrative officers, management team, front line staff, vendor representatives and hospital counsel. Participates in the onboarding process of new staff and leaders as a presenter in the organization's New Employee Orientation for Cultural Sensitivity, Life Safety & Risk Management. Participates as requested in the orientation and onboarding of high school and college students. Responsible for oversight of the organization's policy management system and event reporting system. Supports and participates with collaborative efforts at the local college. Works collaboratively and actively participates in emergency preparedness and emergency management efforts with local community providers.

Responsible for gathering and evaluating clinical data, analyzing data for patterns and trends in care delivery, discovering the root causes for specific patient care trends; ensuring compliance with all applicable laws and regulations; working with leadership and staff to create policies and procedures that ensure good quality care and minimize harm to the patient, keeping up to date with all federal and state laws and regulations; and constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement. Oversee the reporting of patient care benchmarks and measures to federal and state authorities.

Provided direct support to the Chief Operating Officer, Chief Quality Officer, Chief Nursing Officer and Chief Compliance Officer/Professional Services through personal document management, calendar organization and collateral preparation for board and management level meetings; coordinated project team meetings related to organization compliance required by regulatory agencies; responsible for the implementation, maintenance & updating of the organization's policy management system; responsible for policy management system user training; completed orientation & training for organization's Risk Reciprocal Retention Group - MSHRRRG; assisted with completing the organization's annual general insurance liability application; coordinated legal defense activities in collaboration with the Chief Quality Officer, liability carrier and legal counsel; responsible for acceptance/review/approval of legal correspondences; assisted with investigations related to risk complaints/issues; assisted in collecting information for the purposes of litigation/legal action for organization/outside attorneys; assisted with coordinating accreditation & licensing survey activities (i.e. Joint Commission, Department of Health); assisted with collecting & compiling data reports for performance improvement initiatives.

Under the direct report of the Vice President of Patient Care Services, responsible for assessing urgency and priorities before accepting or declining appointments and meetings;responsible for updating/maintaining organization wide policies; responsible for data collection (i.e. falls, medication errors, etc.); compiled data into reports presented at board and management level meetings; responsible for planning and coordinating logistics/materials for board and management level meetings; managed high call volumes while directing calls to the appropriate areas; documented and assisted with patient complaints.

Under the direction of the Home Care Services Director, assessed urgency and priorities prior to accepting/declining appointments and meetings for the director; planned & coordinated logistics/materials for committee meetings & staff events; coordinated, schedule and arranged meeting & travel calendars; responsible for updating department/organization-wide policy manuals; responsible for coordinating travel arrangements (i.e. airfare, hotel, transportation); answered & managed incoming/outgoing telephone call while recording accurate messages; responsible for the retrieval and distribution of department correspondence;prepared bi-weekly time sheets for 15 employees.

Provided basic office assistance to management. Responsible for planning and coordinating meetings.