ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)
- Strategy - Acts as the company’s expert advisor to management and senior leadership in the area of clinical risk.
- Recommends, develops and implements cutting edge and innovative programs and clinical protocols that represent best practices in patient and staff safety.
- Reviews data, identifies emerging trends, and makes proactive recommendations on programs to address concerns.
- Evaluates areas of organizational risk based on site risk assessments and external benchmarking; and implements strategies and procedures promoting patient and staff safety.
- Represents the function in due diligence, strategic investment and integration activities in support of company growth plans.
- Administration - Implements and maintains systems and processes to monitor and mitigate risk.
- Implements and administers effective data and activity tracking systems, appropriate KPI’s & benchmarks, and reporting to senior management and regulatory authorities.
- Maintains compliance with all federal, state and local laws & regulations.
- Interacts with regulatory authorities and represents the programs and company in relation to clinical risk management.
- Implements and carries out effective incident response systems and programs. Provides immediate and appropriate responses to any safety events and complaints from actual or potential patients and/or visitors. Acts as lead investigator and utilizes Root Cause Analysis (RCA) or Failure Mode and Effects Analysis (FMEA) on incidents or other serious safety events. Provides consultative risk management advice in the management and reporting of such events to providers, staff and administrative leadership.
- Assures that the department provides exemplary customer service to providers, staff and patients. Works closely with providers in evaluating patient experience.
- Collaborates with the corporate legal department in the development of privileged incident or claim reporting systems, legal investigations, and the resolution of legal/risk issues facing the company.
- Leads the company’s disaster response preparedness team.
- Training & Communications - Provides effective training & communications to management, clinical staff, and patients.
- Develops and implements clinical incident, crisis and business continuity management plans with legal and business teams.
- Develops and administers education programs for providers and staff regarding risk management/patient safety issues. Maintains a risk management education calendar which includes general & targeted education as well as new employee/physician/ leadership training & orientation.
- Measures the effectiveness and compliance of training activities.
- Communicates effectively and in a timely and proactive manner with management, senior leadership, and legal advisors.
- Represents the clinical risk management functions on internal committees and workgroups.
- Develops and manages direct and matrix reporting staff.
- Manages departmental budgets, activities, and resources in alignment with company and departmental goals.
TYPICAL WORKING CONDITIONS: Working in a professional office environment. The position involves high & frequent call volumes. Environment requires ability to multi-task, communicate clearly & concise, data entry for extended period of times. Will require sitting, standing and walking for long periods of time. Travel between locations will be required.
Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.
- Expertise in legislative, regulatory and industry best practices around the subject of clinical risk management.
- Must be an organized, and creative individual with, super judgment, strong communication, interpersonal and critical thinking skills.
- Experience with electronic health records and knowledge of risk management electronic event reporting systems.
- Proven experience in program and training development and delivery including different modalities and training technology.
- Demonstrated integrity, sound judgment and subject matter expertise enabling the incumbent to manage and respond to medical/legal inquiries regarding patient care issues (i.e., consent, disclosure of adverse events, documentation, mandatory reporting, etc.) is essential to success.
- Must have strong presentation skills inclusive of the ability to create comprehensive educational materials and presentations to executives, management, employees and regulators.
- The ability to represent the Company both internally and externally as the authority on clinical risk.
- Proficiency in Microsoft Office, including PowerPoint, Word and Excel is required.
Experience (Required): A minimum of 5-7 years progressive experience in Risk Management or Patient Safety within a hospital or ambulatory care setting providing advice and training on risk related issues to internal clients.
Experience (Preferred): Proven experience in a growth setting with due diligence and integration activities; A clinical and/or business related Bachelors or Graduate degree in addition to an RN; Pediatric experience preferred.
Education: Requires a degree in Nursing (RN) or other advanced clinical degree such as APRN or PA
Licensure/Certification: Certified Professional in Healthcare Risk management (CPHRM).
*Upon hire, and for the duration of the employment period driver’s license must be active and valid.*
Knowledge, Skills & Abilities: Excellent oral and written communication skills; Demonstrates commitment to maintain professionalism in the face of deadlines and ability to clearly communicate progress updates to the team; Effective communication and presentation skills; Knowledge in project tracking software; Strong analytical, problem solving and decision making skills; and Strong business management acumen.