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Organization TypePublic Interest
Years of Experience
Date Last Verified
HIPAA Privacy Manager Duties: Establish, implement and maintain an ongoing, hospital-wide privacy and security compliance, education and training program. Facilitating and promoting activities to foster privacy and confidentiality awareness throughout the hospital. Establishing and administering a process for receiving, documenting, tracking, investigating, and taking action on all complaints and reported incidents concerning potential violations of patient privacy and confidentiality. Ensuring compliance with privacy and information security policies and practices and consistent application of sanctions for failure to comply for all staff and employees, in cooperation with Human Resources, as applicable. Maintaining preparedness and providing timely response to Office of Civil Rights, DPH, CMS, other legal entities, and organization officers in any compliance reviews, audits or investigations. Responsible for having a thorough working knowledge of all departmental policies and procedures as well as all aspects of the functionality of the unit, including any applications used within the unit and other applications used within the department. Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure Hospital adaptation and compliance. Establish and maintain a positive and productive team environment and a stable work environment through leadership, mentoring and coaching staff. Supervise staff in the day-to-day operational functions of the unit. Manage and delegate assignments of team resources in operations of the unit as well as other projects. Manage daily and on-call scheduling and timekeeping for unit team, including PTO approvals, and management of timekeeping exceptions Facilitate training and provide direction and guidance to direct reports in a complex environment to ensure that all staff are appropriately informed, trained, guided, supported and evaluated. Work to develop staff for operational projects and leadership roles. Hire, manage and develop staff of privacy specialists. Evaluate overall employee performance, authoring annual reviews, and developing the career action plans for staff in a timely manner. Work with staff to develop an individualized professional development plan by setting clear goals. Monitor the quality of work performed by staff throughout the fiscal year. Provides orientation and training to new staff regarding the operational and system policies and procedures. Perform ongoing, hospital-wide privacy risk assessments in response to changing environment, operational changes or significant events in order to continually safeguard patient and employee confidential and protected health information. Work collaboratively and consult with site information security officer to identify and refer matters requiring ISO participation or an information security risk assessment. Establishes with management and operations a mechanism to track access to protected health information, within the purview of the Hospital, as required by law, and to allow qualified individuals to review or receive reports on such activities. Works cooperatively with appropriate managers and other administration in overseeing patientsâ€™ rights to inspect, amend, and restrict access to protected health information. Participate in the development and maintenance of up to date documentation (privacy and confidentiality consent documents, authorization forms, and information notices), resources (publications, newsletters, web site, seminars, etc.) policies, procedures, business associate agreements, and guidelines that reflect current hospital and legal practices and requirements. This is done in collaboration with legal counsel, compliance, site management, and medical staff leadership to facilitate education and awareness of the hospitalâ€™s approach and ongoing adherence to HIPAA. Promote and encourage high quality customer service to all Partners departments, entities and affiliates through on-going communication, feedback and follow-through with customers and peers. Collaborate with clinicians and other health professionals in order to accomplish goals and maintain relationships required for cross departmental cooperation and projects. Serve as internal privacy consultant to all clinical inpatient and ambulatory departments as well as non-clinical departments.. Serves as a member of the enterprise and site Privacy and Security Committees and other meetings as assigned. Participate in professional development activities offered by relevant organizations and share information with committees and departmental staff. Uses the Partners HealthCare values to govern decisions, actions and behaviors.
Qualification and Experience
Qualifications: Bachelorâ€™s Degree in health information or related area. Masterâ€™s Degree in health care area or Law Degree strongly preferred. 5-7 years of progressive health related managerial experience. 5-7 years privacy and security or compliance experience. Exhibits strong professionalism and a highly proficient persona. Individual must possess the knowledge, skills and abilities in order to gain credibility as the internal privacy and security expert/consultant. Identifies privacy and information security knowledge gaps across the institution. Manage and leads successful educational campaigns, trainings and performance improvement processes. Ability to build relationship and motivate teams of people. Detail-Oriented with excellent analytical and problem solving skills. Ability to analyze, interpret and apply data towards operations, strategic planning and budget purposes. Excellent communication and written skills. Ability to plan and manage projects, staff, other resources, and timelines; and to prioritize and delegate accordingly. Ability to be flexible, versatile, and adaptable in day to day activities conducted in a multi-site environment Ability to manage workload and competing priorities in order to complete tasks within set limits Ability to produce quality work on a consistent basis Ability to work cooperatively and efficiently within all levels of the Partners HealthCare organization Ability to work independently and as a team player Demonstrates commitment to delivery of high quality customer service Ability to work cooperatively and communicate effectively with groups at various professional levels, i.e. physicians and other care providers, administrators, managers and staff in order to accomplish goals and objectives while maintaining good working, professional relationships. Ability to build consensus using negotiation and diplomacy. Ability to understand the work environment and competing priorities in conjunction with developing and meeting project goals. Strong PC skills including knowledge of PC applications.
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