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The Clinical Risk Management Department supports and furthers the organization's objective of enhancing safe, compassionate and excellent quality care, while ensuring compliance with regulatory requirements, as well as minimizing loss to the organization. The Clinical Risk Manager promotes safety all with the objective of maintaining staff, visitor and patient safety, enhancing quality care, and minimizing loss to protect the assets of the facility.
Job Responsibility:
Participate in day-to-day risk management operations, including risk mitigation, investigations, and responding to safety events
Develops, coordinates, and administers facility-wide systems for risk identification, investigation, and risk reduction
Reviews collected data to identify trends regarding accidents or occurrences, and recommends corrective action to management
Informs leaders of events/incidents, issues, findings, and risk management recommendations
Proactive analysis of patient safety and medical errors processes
Prepares reports for leaders regarding trends/patterns and findings
Exercise professional judgment and critical thinking to facilitate focused investigation and root cause analysis and the development of appropriate corrective action plans
Leads investigations for adverse events and sentinel events
Prepares risk management and patient safety reports to be submitted to the senior leadership, board, and other appropriate committees
Active participation in patient safety activities by providing data to support priorities, clinical risk management expertise, and participating in patient safety projects
Supports the patient safety initiatives through direct participation on committees/task forces
Acts as resource, internal consultant, and educator for patient safety/risk management issues
Develops a consultative relationship with designated service area
Complies with various codes, laws, rules and regulations concerning patient care
Designs and implements risk management surveys and studies
Responsible for identifying and communicating regulatory requirements related to risk management
Facilitates and assists with disclosure of medical errors and supports providers through the process
Assists in resolving treatment issues, including patient decisions made against medical advice (AMA), refusals of treatment, and consent issues
Provides assistance to departments in complying with Joint Commission or other accrediting agencies regarding risk management related standards
Recommends appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences
Maintains awareness of legislative activities that may affect risk management programs
Organizes and manages facility-wide educational programs on healthcare risk management and related subjects for healthcare practitioners
Plans, develops, and presents educational material to administration, the medical staff, nursing personnel, and other department personnel on topics related to risk management
Develops and implements educational programs designed to minimize the frequency and reduce the severity of actual and potential safety hazards throughout the facility
Maintains a risk management education calendar
Manages/facilitates any of the following activities as assigned: Nursing peer review, Ancillary peer review, Physician quality review, Resident quality review
Collaborates with security and local police on procedures to reduce the frequency and/or minimize the severity of property loss or assets
Collaborates with the claims and insurance team regarding actual or potential injury to patients, visitors, and employees
Able to skillfully communicate and partner with others via email, telephone and in person
Uses time efficiently and effectively
Participate in taking risk management call
Requirements:
Bachelors Degree in Nursing from an accredited college or university
5 or more years of experience as a nurse in a healthcare setting
2 or more years of management experience or leadership role in a healthcare setting
2 or more years of experience in one or more of the following areas: risk management, quality improvement, health information management, healthcare administration, business administration, legal support, or insurance claims investigation, and settlement
Licensed Registered Nurse (LRN) - Single State - State Board of Nursing
Nice to have:
Master's Degree in a healthcare related field from an accredited college or university
Juris Doctor from an accredited college or university
5 or more years of experience as hospital or health system risk manager or patient safety officer
Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association Certification Center (AHA-CC) within 1-1/2 Yrs
Certified Professional in Patient Safety - Certification Board for Professionals in Patient Safety (CPPS) within 1-1/2 Yrs
Experience in quality, patient safety or risk management
ability to use statistical tools
and experience with human factors analysis, root cause analysis, apparent cause development, and common cause coding and trending
Knowledge of federal regulations regarding patient rights related to grievances
Broad knowledge of healthcare regulations including TJC and CMS, state and federal