The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support services. Broadlawns accepts all forms of insurance and its approach to healthcare and quality outcomes earned a Level 3 rating from the National Committee for Quality Assurance, the highest achievable status for a medical delivery model.

We are a safety net hospital and our Patients are our North Star! With a dedicated staff of over 160 physicians and 1,600 employees, Broadlawns Medical Center ensures that our community has access to high quality healthcare that is coordinated, compassionate and cost-effective. We provide our employees a top-rated benefits package, supportive work culture, and more! 

General Description:

Reporting to the Chief Physician Quality Officer (CPQO), the Manager of Risk, Regulatory Compliance, and Accreditation is responsible for the day-to-day clinical risk management and clinical compliance activities for Broadlawns Medical Center, including mitigating organization risk, ensuring regulatory body compliance, and achieving continuous accreditation readiness across the medical center.

Characteristic Duties:

Provides leadership to the organization for regulatory compliance, facilitates continuous survey readiness, and guides the organization in developing action plans to address any findings or deficiencies.Serves as l resource for the Centers for Medicare and Medicaid Services (CMS) regulatory requirements; Department of Inspections, Appeals, and Licensing (DIAL) regulations; Iowa Department of Health and Human Services (Iowa HHS) regulations; and The Joint Commission (TJC) standards. Disseminates requirements, monitors through rounding and mock surveys, and helps department leaders operationalize processes to implement Joint Commission (or other licensure and accrediting bodies) standards across the organization.Conducts risk assessments to inform the development of risk management plans and goals and identifies organizational risk through analysis of trends, incidents, data, grievances, checklists, and audits.Leads the development and revision of policies and procedures related to Quality Assurance, Joint Commission accreditation, and Risk Management.Works collaboratively with the PI nurse manager, including the completion of the annual Quality Assurance and Performance Improvement Plan and Report.Functions as Risk Manager in coordinating and investigating sentinel events/serious adverse events per BMC policy including investigation, timely completion of the root cause analysis (RCA), and external reporting as appropriate. Works with the PI nurse manager and other staff to address all other patient safety events and incidents.  Maintains the risk management plan/program in order to efficiently and safely provide services across the health system and in conjunction with legal counsel minimize exposure to general and professional liability events.Responsible for external reporting to regulatory agencies (e.g. DIAL) and functions as lead staff in coordinating the medical center’s response to regulatory agency investigations, on-site regulatory agency visits, and surveys.Responsible for regulatory compliance to maintain health system licensure, including state hospital licensure, residential homes licensure, and other licensure issued by DIAL or Iowa HHS.Assists in the development of educational programs and training to raise staff awareness of risk exposure and professional liability.Manages a small team within the Quality and Safety Department.Performs other related duties as assigned.

Performance Standards:

Accurately collects and reports clinical information and works with data specialists to analyze relevant data.Ability to effectively manage several ongoing projects simultaneouslyMaintains confidentiality of all medical information and peer review data acquired through the performance of assigned duties

Minimal Qualifications:

Active Iowa RN license with at least 5 years of clinical nursing experience.Bachelor of Science in Nursing with a master’s degree in management or healthcare related field.At least two years of healthcare regulatory experience and/or responsibility for health system accreditation.At least three years of healthcare management experience.Ability to effectively utilize Excel.Excellent written and verbal communication skills and ability to build and maintain professional relationships.

Preferred Qualifications:

ASHRM Certified Professional in Healthcare Risk Management (CPHRM)Meditech Experience

Work Shift

Benefits (FT/PT) 

Retirement - IPERS 

Education Assistance 

Employee Health & Wellness 

PTO 

Free Parking

Health Insurance 

Supplemental Insurance 

529 College Savings Plan 

And more! 

Broadlawns Medical Center is an Equal Opportunity Employer