Risk Manager

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Description

We hire to retire. Come join our amazing team of professionals offering total family wellness and healthcare to residents of 7 counties via our 13 offices in North Florida.

Position Summary

The clinical risk manager manages the operation of the organization-wide risk management program and provides guidance to clinical staff. The risk manager develops and maintains systems within the organization to detect, monitor, prevent, organize, measure, investigate, report, and manage patient adverse events, malpractice claims, incident reports, and other indicators of potential patient harm. The organization's key aims in this area are to be on the leading edge of improving health outcomes and service, increasing patient safety, and reducing error in healthcare processes.

Description of Primary Responsibilities

The employee must be able to perform each essential function effectively to be successful in this position.

• Proactively evaluate areas of organizational risk based on internal assessment and external benchmarking and implement strategies and policies that promote patient and staff safety.
• Promote the occurrence reporting process including trending and reporting of results, identification of problem-prone areas, and facilitation of prevention initiatives.
• Direct the investigation of all potentially compensable events (preventable adverse events).
• Lead the review of serious occurrences requiring root-cause analysis or failure mode and effects analysis. Disseminate lessons learned and process improvement plans.
• Meet regularly with leadership to provide detailed reports on all serious incidents, claims, and risk-related issues.
• Respond to sentinel events and other serious occurrences and provide expert advice on the management and reporting of such events to administrative and clinical leadership and staff.
• Conduct immediate/appropriate response to any serious occurrence/complaint representing actual or potential patient, visitor, or employee injury. Monitor and take subsequent actions to ensure learning, compliance, and documentation
• Analyze all statistical reports and advisories that identify risk management and patient safety patterns and trends for leadership.
• Ensure maximum protection from discovery of all claims/potential claims materials. Assist the EVP of Clinical Compliance in coordination of claims investigation and legal defense processes.
• Serve as liaison to external regulatory agencies for purposes of patient and physician reporting, event investigation, and response.
• Keep up to date with new and revised state and federal regulations and statutes related to patient care. Review and evaluate related policies and procedures and recommend revisions as needed. Create new policies for approval, as needed.
• Actively participate in a variety of committees as assigned.
• Annually evaluate risk management and patient safety program for improvement opportunities.
• Serves as a staff resource for infection control and prevention practices and coordinates regular audits to ensure compliance.
• Serves as resource for Palm's red chart program, assists in providing education on compliance and regularly audits the program.
• Is knowledgeable regarding accreditation, HRSA, and FTCA requirements and assists leadership in attaining compliance.
• Perform additional duties as assigned by the EVP of Clinical Compliance or CEO.

Requirements

Description of Primary Attributes

General Development:

• Must be organized, self-motivated, and detailed oriented.
• Job duties require the ability to work independently and as part of a team.
• Exhibit strong leadership skills.
• Expected to make decisions with little guidance.
• Expected to travel to all sites as needed to complete job duties.
• Expected to coach, mentor and train staff.
• Expected to perform employee evaluations objectively and fairly.
• Expected to provide constructive criticism and disciplinary actions when appropriate.

Professional & Technical Knowledge:

• Proven management ability and experience including a thorough understanding of quality improvement (QI) processes, tools, and techniques; quality measurement and reporting; root cause analysis and preventive risk management strategies; accrediting bodies' standards; and state and federal regulations.
• Experience with standard Microsoft Office or related products required and experience in database management and systems development desired.

Licenses & Certifications:

• Bachelor's degree required with master's preparation and risk management certification highly desirable. Clinical background desirable
• Experience may be substituted 1:1
• Current BLS (basic life support) certification

Communications Skills:

• Effectively and tactfully communicates complex and/or technical information to co-workers, patients and/or vendors

Physical/Mental/Emotional Demands:

• Standing for long periods of time
• Sitting for long periods of time
• Viewing a computer monitor for long periods of time
• Bending
• Stretching / Reaching
• Walking short distances
• Lifting up to 50 pounds
• Operating office equipment (computer, fax machines, telephones and copy machines)
• Reading forms / Instructions / Patients Charts
• Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone
• Exposure to potentially violent / irate patients
• Health / Safety Consideration of Position
• Exposure to chemical infectious / contagious illness
• Exposure to chemical and inhalation of antibiotics during reconstitution
• Exposure to X-Ray radiation
• Exposure to a variety of scents and odors
• Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws