Hours: Monday-Friday 9:00AM-5:00PM, Weekends Off

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Assures hospital compliance with CMS Conditions of Participation and TJC Accreditation Standards regarding hospital clinical documentation requirements.
• Chairs the Information Management and Record of Care (IM/RC) Team and manages the team's quarterly medical record audit process. Develops corrective actions with appropriate senior managers and clinicians to promote and ensure compliance.
• Ensures effective and timely response to medical record requests from patients, guardians, attorneys, and law enforcement.
• Oversees hospital compliance with the federal and state requirements for record retention.
• Collaborate with information security officer to ensure alignment between security and privacy compliance programs including policies, practices, investigations, and acts as a liaison to the information systems department.
• Conducts related ongoing compliance monitoring activities in coordination with the organization's other compliance and operational assessment functions.
• Cooperates with the U.S. Department of Health and Human Service's Office for Civil Rights, State regulators, and/or other legal entities in any compliance reviews or investigations.
• Develops and maintains policies and procedures related to the confidentiality and security of Protected Health Information (PHI).
• Develops annual mandatory training and new employee orientation materials on information security, confidentiality, and medical privacy.
• Collaborates with Quality, department heads and leadership teams to bring medical records statistics and information to the senior leadership and bureau teams.
• Oversees the medical record documentation quality control process.
• Oversees the ongoing medical record review process in conjunction with quality management, case management team, patient accounts team and medical services clinicians.

Preferred Qualifications:

• Supervisory or managerial experience in health care administration, business administration, business management, or public administration.
• Preferred experience in the arena of systems development, HIPAA, and personnel or organizational development.
• RHIT or RHIA is strongly preferred.
• Ability to anticipate and prioritize urgent items and use sound judgment to respond and enlist management appropriately.
• Ability to form effective working relationships with colleagues and subordinates, other DPH Departments, state agencies, federal agencies, and external stakeholders.
• Demonstrated leadership skills including the ability to build productive teams and motivate individuals at all levels of an organization in the pursuit of a common objective. Experience in systems change; quality improvement; as well as policy and systems development within finance.
• Strong interpersonal skills, ability to communicate with multiple and diverse audiences, and flexibility to accommodate the changing needs of a large-scale hospital organization.
• Works independently and is able to juggle multiple tasks and making data-driven recommendations.
• Knowledge of program monitoring and compliance/oversight and complaint resolution strategies, including investigative procedures.

About the Lemuel Shattuck Hospital:

Lemuel Shattuck Hospital is a fully Joint Commission accredited teaching facility that provides acute, subacute, and ambulatory care to patients referred by public agencies and private sector providers. Shattuck Hospital's services help economically and socially disadvantaged patients to get high quality, cost-effective care from a staff that respects their dignity.

Located in the heart of Boston's Jamaica Plain neighborhood, the Shattuck Hospital includes 248 inpatient beds including 95 Psychiatric beds and 29 Correctional Health beds. In addition, the Shattuck has a full outpatient clinic with many specialties that offers treatment to patients of the Department of Mental Health as well as Department of Correction and House of Correction inmates and community patients.

The Shattuck hospital is on the forefront of substance use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services located on the campus, serving patients struggling with addictions and homelessness.

Learn more about: what it's like to work as a DPH nurse

Learn more about Shattuck Hospital: https://www.mass.gov/locations/lemuel-shattuck-hospital

Relocation information: https://www.mass.gov/service-details/dph-renovation-for-shattuck-hospital-replacement-building

Pre-Hire Process:

A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division before the candidate is hired.

Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website, http://www.mass.gov

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form

For questions regarding this requisition, please contact Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4

Qualifications

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience.

II. A Bachelor's degree in a related field may be substituted for two (2) years of the required experience.

III. A Graduate degree in a related field may be substituted for three (3) years of the required experience.

IV. A Doctorate degree in a related field may be substituted for four (4) years of the required experience.

Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.