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Summary The Compliance - Healthcare Risk Management Program Manager oversees risk management within ICE/IHSC, focusing on preventing, reducing, and controlling organizational loss while improving healthcare and safety for detainees. Responsibilities include incident reporting, root cause analysis, and enhancing patient safety. Requires healthcare expertise, advanced education, and certification in risk management. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates. Responsibilities 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. Requirements Conditions of Employment Qualifications 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%). Education REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Must be a Registered Nurse, Nurse Practitioner/Physician Assistant, or in a Healthcare or Healthcare Administration related field. Qualifying degree for the officer's category and an advanced degree (e.g., R.N., MPH) from an accredited institution plus a minimum of four years of professional experience relevant to the officer's category. Of the total professional experience, officer must possess at least two years of experience related to management, administration, evaluation of public health programs; quality improvement or related areas of expertise, such as health care risk management and/or compliance. If the incumbent holds a clinical license, it is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position may be required to perform clinical activities with the scope of clinical license in times of critical needs within the agency. Advanced degree (e.g. MA, MS) from a recognized accredited institution. Three years of experience related to healthcare quality management, administration and/or health program management. Certification in Healthcare Quality or Risk Management or able to obtain certification within 1 year of employment; experience in healthcare quality management CPHQ certification, strongly recommended. Maintains clinical professional skills, via continuing education opportunities. Maintains basic readiness status. Experience with information systems and computer programs. Experience in program development, review, implementation and evaluation; to include developing fiscal year planning reports. Proficient knowledge of applicable detention health care standards, specifically, PBNDS, NCCHC, and ACA, and ICE FRS (as applicable). Ability to independently perform the functions/duties listed above, where applicable, with minimal to no supervision. Ability to communicate effectively in both written and oral formats; highly effective teaching skills to ensure goal directed outcomes. Ability to interact well and collaborate with all levels of personnel and management in ODCR, IHSC, ERO, ICE, and DHS offices, and with the Federal GS employees and contractors. Possess strong project management skills and abilities, including the ability to plan and prioritize projects under tight deadlines and occasional stressful situations. Eligible to become a certified FactFinder (must meet agency requirements). Knowledge of program policies, guidelines, and operating procedures. High degree of initiative, and follow through on a wide range of sensitive, complex and program issues. Proficient in the use of electronic health records and have the ability to quickly develop competency with IHSC's electronic health record. Skilled in the use of Microsoft Word® and Excel®, proficient in creating basic statistical graphics, and have the ability to manage, organize, and analyze complex information using electronic spreadsheets and other data management tools. Effective in written and verbal professional communications in English. Additional Information This is a U.S. Public Health Service position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Health Care Compliance, Medical Quality Management (MQM) Unit. The incumbent will report directly to the Supervisory Compliance Healthcare Risk Management Program Manager. This is a nonsupervisory position. IHSC has a multi-sector, multidisciplinary workforce of more than 1700 employees, including U.S. Public Health Service (PHS) commissioned officers, federal civil servants, and contract staff. The IHSC provides on-site direct patient care 19 IHSCstaffed facilities throughout the country and manages the provision of off-site medical care 128 contract (non-IHSC-staffed) facilities. IHSC provides direct care to more than 131,000 noncitizens. The ICE detainee population is approximately. The IHSC also provides medical support during ICE enforcement operations in the air, on the ground and at sea. As the Compliance-Healthcare Risk Management (HRM) Program Manager, the incumbent is responsible for performing various duties related to managing potential risks and liabilities within ICE/IHSC. This includes prevention, reduction and control of loss to the organization, creating and implementing policies that improve both the healthcare and safety of the detained population and employees assist in the prevention of sentinel events, and educating and training staff about potential mitigating risks. SUPERVISORY CONTROLS: The Compliance Healthcare Risk Management Program Manager works under the general supervision of the Supervisory Compliance Healthcare Risk Management Program Manager for Medical Quality Management. The incumbent manages potential risks and liabilities within ICE/IHSC. This includes prevention, reduction and control of loss to the organization, creating and implementing policies that improve both the healthcare and safety of the detained population and employees assist in the prevention of sentinel events, and educating and training staff about potential mitigating risks. Recurring assignments are not accompanied by instructions; however, objective, priorities, and deadlines are provided on new assignments. The incumbent selects and develops his/her own methods, plans and organizes own work, and solves most normal problems arising during the course of work. Completed work is usually evaluated for technical soundness, appropriateness and conformity to relevant standards and requirements.