Assistant Director Risk Management and Compliance

Assistant Director of Risk Management

Risk Management Development Position

Three Rivers Treatment Center | Kenbridge, VA

Three Rivers Treatment Center is seeking a motivated, detail-oriented, and compassionate Assistant Director of Risk Management to join our team. This position is designed for an individual who is interested in developing a career in Risk Management, Regulatory Compliance, Quality Improvement, and Healthcare/Behavioral Health Operations.

The Assistant Director will work closely with the Risk Manager and organizational leadership to support incident management, investigations, safety, regulatory compliance, quality improvement, and risk reduction throughout our residential treatment environment.

This is a developmental leadership position with progressively increasing responsibilities and the opportunity to be considered for advancement to a Risk Manager position when an appropriate opportunity becomes available.

What You Will Do

Incident Management

Review and assist with processing incident reports involving residents, employees, visitors, and facility operations.

Monitor reports for completeness, accuracy, timeliness, and appropriate follow-up.

Identify trends, patterns, and recurring concerns.

Ensure incidents are appropriately routed to leadership.

Assist in determining when additional investigation, notification, or corrective action may be needed.

Maintain organized and accurate incident documentation.

Track required follow-up activities through completion.

Follow established procedures for serious, critical, unusual, and reportable incidents.

Incident Investigation

Under the direction of the Risk Manager, you will:

Assist with fact-finding investigations.

Review documentation, medical records, authorized video, photographs, statements, and other relevant information.

Interview employees and other individuals as appropriate.

Maintain objectivity, professionalism, and confidentiality.

Prepare investigation summaries for review.

Identify contributing factors and potential system issues.

Assist with recommendations designed to reduce the likelihood of recurrence.

Risk Identification & Assessment

Participate in routine environmental and safety rounds.

Identify potential risks related to resident care, staffing, equipment, documentation, communication, and facility operations.

Assist with risk assessments and mitigation plans.

Report significant concerns promptly.

Monitor corrective actions and follow-up activities.

Quality & Performance Improvement

Collect and analyze incident and risk data.

Track trends involving injuries, aggression, restraints, elopement attempts, medication concerns, allegations, property damage, staff injuries, and other significant events.

Assist with reports, dashboards, and presentations for leadership.

Participate in Quality Improvement initiatives.

Identify opportunities to improve processes and reduce risk.

Assist with monitoring corrective action plans.

Regulatory & Accreditation Support

Develop working knowledge of requirements applicable to residential behavioral health, including:

Virginia Department of Behavioral Health and Developmental Services (DBHDS)

Joint Commission standards

Virginia Human Rights requirements

VASEIF requirements, when applicable

OSHA requirements

HIPAA and confidentiality requirements

Virginia and federal laws and regulations

Organizational policies and procedures

Responsibilities may include:

Assisting with regulatory and accreditation surveys and audits.

Preparing requested documentation.

Tracking compliance findings.

Assisting with corrective action plans.

Monitoring completion of required actions.

Maintaining organized compliance records.

Safety & Environmental Risk

Participate in safety rounds and environmental assessments.

Identify and report safety hazards.

Assist with emergency preparedness activities.

Review safety concerns involving residents, staff, visitors, equipment, and the physical environment.

Participate in emergency drills and post-drill reviews.

Assist in identifying opportunities to strengthen facility safety.

Risk Management Meetings & Debriefings

Attend Risk Management meetings and incident debriefings.

Prepare meeting materials and documentation.

Participate in post-incident reviews.

Help identify lessons learned, trends, and system improvements.

Track follow-up items to completion.

Documentation & Confidentiality

Maintain accurate, organized, and confidential Risk Management records.

Assist with incident logs, investigation files, audits, corrective action plans, and risk assessments.

Ensure documentation is completed within established timelines.

Protect confidential and sensitive information.

Follow HIPAA, privacy, security, and organizational requirements.

Education & Training

Assist with identifying training needs based on incident trends.

Support staff education related to safety, incident reporting, documentation, and risk prevention.

Participate in Risk Management training and professional development.

Develop competency in investigation and root-cause analysis techniques.

Communication & Collaboration

The successful candidate must be able to communicate sensitive information professionally, objectively, and respectfully and appropriately escalate significant concerns.