Job Description

Location: Carney Hospital
Posted Date: 4/8/2021

TITLE: Risk Manager— 40 hours per week, Monday – Friday, 9:00 AM – 5:00 PM, weekends required as needed.

At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.

We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.

In support of this, we commit ourselves to the following values:

Compassion

Accountability

Respect

Excellence

Stewardship

Position Summary:

The risk manager is responsible for coordinating all aspects of the risk management program, including the identification, evaluation, and treatment of risk in the organization. The risk manager develops and manages a systematic process to identity, assess, and treat actual and potential exposures to loss.

Assists the Director of Quality and Safety and the Manager of Regulatory Readiness with the implementation of the System-wide Quality and Safety Plan consistent with board approved plans and regulatory and standard setting agencies.

Union and Steward Benefits to help you live well!

  • Low cost Medical/Prescription Drug Insurance through BCBS
  • Dental and Vision Insurance
  • 401k via Fidelity for eligible employees with company match
  • Flexible Spending Accounts
  • Worldwide Travel Assistance
  • Short- and Long-Term Disability Insurance
  • Auto and Home Insurance
  • Hospital Indemnity Insurance

Essential Functions and Duties:

Collaborates with the following staff, by job category:

  • Vice President, Medical Affairs
  • Vice President, Patient Care Services/Chief Nursing Officer
  • Patient Care Directors
  • Physician Leaders
  • Case Managers
  • Patient Care Assessment Coordinator
    • Infection Control Nurse

Serves in a consultative role to the following:

  • Quality & Safety Task Forces
  • Directors of Support Services
  • Medical Staff Service Committee

Serves on Hospital committees as directed including but not limited to:

  • Quality and Safety Committee
  • Patient Safety Triage Team/Grievance Committee
  • Patient Care Assessment Committee

Supervised and/or reportable to the following, by job category:

  • Director of Quality and Safety

Responsibilities:

  • Manages a risk identification process for the organization’s operations, departments, and services. Educates and assists other managers in assessing their areas of responsibility for exposures to loss and unsafe processes and conditions.
  • Maintains the risk management information system. Collects, evaluates, and reports on events, incidents, and claims. Performs statistical analysis and trending of events and claims to pinpoint high risk areas for management attention.
  • Reviews and analyzes incident reports, rates by severity and conducts all follow-up as identified from review. Completes trending analysis to identify top priority areas for improvement
  • Investigates all serious events. Assists with communication and documentation of errors or serious events in accordance with legal requirements and/or accreditation standards.
  • Develops and maintains positive working relationships with providers, management, and staff to promote open communication and accurate flow of information.
  • Coordinates risk and safety management orientation and continuing education programs for providers, management, and staff to enhance awareness of their role in patient safety, risk reduction, and event reporting.
  • Chairs or coordinates the patient safety triage team/grievance committee(s) and serves on other patient care and safety related committees as member, or ex officio, as needed to communicate findings, recommendations, actions, and results.
  • Acts as liaison to outside agencies such as local, state, federal, or voluntary accrediting agencies.
  • Prepares reports of events as required by law or in accordance with voluntary participation.
  • Coordinates internal surveys and inspections, monitors reports, and coordinates corrective actions or recommended improvements with management and staff.
  • Remains knowledgeable about and promotes compliance with professional standards and guidelines. Implements changes to ensure consistency with regulatory requirements.
  • Works with general counsel to coordinate the investigation, processing, settlement, and defense of claims and suits against the organization. Notifies insurance carriers of potential and actual claims. Coordinates the release of information in response to subpoenas, court orders, attorney requests, etc.
  • Reviews patient complaints which may result in legal action. Works with patient advocate to offer solutions to patient grievances. Works with billing and compliance officer in deciding on appropriateness of billing waivers/write offs.
  • Supports process of root cause analysis in the event of a sentinel or near miss event. Coordinates review of medical information, debriefs all individuals as identified, performs cause and effect analysis and coordinates expert panel review, root solution and follow-up for all incidents identified
  • Supports FMEA analysis when high volume, high risk opportunities as discovered through incident report analysis. Organizes team, creates process maps, creates failure modes analysis, identifies prevention and/or corrective action strategies and implants as identified
  • Understanding and implementation of programs related to national and local patient safety initiatives
  • Available on beeper/phone at all times during scheduled working hours
  • Performs all other job-related duties as requested by the Director of Quality and Safety
  • Shall be accountable for the on-going integration of the System Quality and Safety Plan
  • Shall be accountable for abiding by all relevant departmental/hospital policies and procedures
  • Shall be accountable for maintaining the confidentiality and security of all hospital related, medical staff related and patient related data and information
  • Shall be accountable for the timely and complete review and investigation of all incidents and grievances reported into the department
  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

1. Commits to recognize and respect cultural diversity for all customers (internal and external).

2. Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed.

  • Performs other duties as assigned

Required Knowledge & Skills:

  • Strong organizational skills
  • Strong interpersonal skills, ability to work across disciplines
  • Ability to analyze data, formulate meaningful information
  • Ability to work with highly sensitive and confidential information with appropriate discretion
  • Ability to communicate verbally and in writing in the English language
  • Strong organizational skills
  • Strong interpersonal skills, ability to work across disciplines
  • Ability to analyze data, formulate meaningful information
  • Ability to work with highly sensitive and confidential information with appropriate discretion
  • Ability to communicate verbally and in writing in the English language
  • Training in patient safety or risk management and or quality/performance
  • Improvement methodology, concepts, education and implementation

Education / Experience / Licensure / Technical & Other Requirements:

  • BS required, MS or JD preferred
  • Certified Professional in Healthcare Risk Management (CPHRM) preferred
  • Two to five years experience in a healthcare setting focusing on Patient Safety, Risk Management or Quality Improvement. Experience and understanding of the Root Cause Analysis and FMEA Analysis.

Additional Information

Important COVID message

Please note, Carney Hospital is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience: Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.

Equal Employment Opportunity Notice:

Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

Application Instructions

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