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  • Nationwide, Our Risk Management & Analytics team is hiring!  Our Risk Consultant will primarily service our NY, MA and NH insureds. The primary goal of this role is to provide proactive data driven risk management strategies and/or control of general and professional liability risks, effective risk treatment, performance improvement measures and improved patient safety and patient outcomes.    Essential Duties & Responsibilities Participates in implementing the goals and strategic plan of the Coverys Risk Management Department.  Provides proactive, knowledgeable, consultative marketing of Coverys Risk Management products and services to insured clients and prospective insured clients. The consultant serves as a trusted advisor to support the client’s risk management and patient safety needs. Performs risk management and patient safety consultation which includes on-site or virtual assessments and telephone advice, including Helpline, focusing on risk identification and risk reduction implementation strategies. Capable of independently performing  High-Risk Clinical Assessments with mentoring as needed for  specialty specific (e.g. Infection Prevention; Wounds and Hyperbaric) clinical areas in the hospital setting and all general Practice Risk Assessments with mentoring on Medical Practice Leadership Assessment (MPLA). Capable of researching questions for policyholders. Prepares reports including recommendations, loss review and benchmarking data. Assists clients in the implementation of assessment recommendations providing proactive risk reduction guidance to mitigate exposures and improve patient safety. Exercises discretionary judgment and utilizes appropriate research/information when acting as a resource and providing direction/consultation/education to insureds.    Demonstrates effective collaboration with Core Units such as Underwriting, Claims & Business Development. Consults with insureds and  prospective insureds (as assigned) to review and analyze relevant risk exposure data offering unique and practical solutions appropriate to the setting and a customized risk service plan and consultation.  Able to develop a customized risk management strategy for each assigned client. Participates in approved healthcare risk management organizations and stays abreast of current risk management and patient safety topics. Maintains technical and professional expertise in order to provide current, innovative, customer focused risk management and patient safety consultation/education. Able to develop risk management and patient safety materials, with mentoring, at a professional publication level (e.g. new assessment tools, instant emails) Provides educational presentations to facilitate the understanding and implementation of the risk management and patient safety process within the department and company, to clients and at regional meetings. Documents all client and potential client interactions and service, within defined timeframes, utilizing the appropriate information location. Develops and updates Coverys Risk Management materials as assigned utilizing current and professional resources.  Able to independently research and develop new consulting and educational tools that are proactive, data driven, comprehensive and cutting edge. Able to manage diverse and large accounts as assigned with high-level customer satisfaction. Assists in meeting new business and retention goals by actively supporting other Coverys business units with client consultation and referrals.  Able to market the products and services of Coverys Risk Management and Coverys Business Units to potential insureds. Collaborates with assigned Coverys Risk Management team leads to identify, develop and implement risk management and patient safety products, education and services. Ability to organize, prioritize, communicate and meet established deadlines. Produces accurate, quality and professional consulting reports, tools and educational materials in keeping with established timelines. Travels and manages travel schedule so as to maximize efficiency and minimize cost. Understands and follows client and company confidentiality and HIPAA policies.       Education, Requirements & Competencies Bachelor’s degree in a health related field, or RN preferred.  Certification in Health Care Risk Management (CPHRM), within the first year. An understanding of health care delivery, risk management and patient safety principles and related insurance systems obtained from 5+ years of health care, risk management/patient safety and/or loss prevention experience.  Proficient in working with the following computer applications:  Word, Outlook, PowerPoint and Excel. Familiarity with SharePoint a plus. Overnight travel is required of this position - up to 50% travel may be expected.   Coverys is an equal-opportunity employer. Coverys’ job openings are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status, or veteran status.
  • Fort Mill, South Carolina, POSITION SUMMARY: The Assistant Chief Nursing Officer is responsible for assisting the Chief Nursing Officer in planning, implementing and evaluating the nursing services to ensure the delivery of adequate and competent patient care. In the absence of the Chief Nursing Officer, the Assistant Chief Nursing Officer has responsibility for the Nursing Supervisors, Nursing Directors and Clinical Education. He/she functions as an expert nurse who facilitates the development of the Nursing areas. Facilitates mechanisms designed to guide the provision of nursing care required for all patients. Participates in the design and development of systems compatible with the ANA Code of Ethics, Nursing standards, the goals and resources of the organization, and changing societal/community needs and patient/family expectations. Assists CNO with developing, maintaining, and evaluating organizational planning systems to facilitate the delivery of patient care services. Assists with the development of standards of nursing practice and standards of care with nursing leaders. Advocates organizational processes that allow for creativity in the development of alternative plans for achieving desired, client-centered, cost-effective outcomes. Promotes the integration of applicable contemporary management and organizational theories, nursing and related research findings, and practice standards and guidelines into the planning process. Assists and supports staff in developing and maintaining competency in the planning and management of transitions. Advocates integration of policies into action plans for achieving desired client-centered outcomes. Utilizes clinical, human resource, and financial data to appropriately integrate standards of nursing and patient care, facilitating continuity across a continuum. Ensures CNO is informed of critical issues within assigned departments; reporting managers and staff are fully informed on organization issues and development; collaborates with other departments relative to changes originating within the nursing department that potentially impact their individual operations. Provides a leadership role in professional, community, and governmental bodies that shape healthcare policy, thereby contributing to the development of the health care delivery system, and better health care for society. Provides leadership direction in the identification of clinical nursing goals and directions. Collaboratively participates with nursing leaders in the development and implementation of systems and processes to achieve clinical and administrative goals. Evaluates and revises the systems and processes of organized nursing service to enhance achievement of identified, desired client/family-centered outcomes. Provides leadership and support to nursing management in critical thinking, conflict management, and problem solving. Ensures the ongoing evaluation and innovation of services provided by organized nursing services and the organization as a whole. Supports the research process, dissemination, and utilization of research findings in the areas of nursing, health, and management systems. Serves as a professional-role model and mentor to motivate, develop, recruit, and retain staff and future nurse administrators. Collaborates with recruiter to develop successful recruitment and retention strategies. Systematically evaluates the quality and effectiveness of nursing practice and nursing administration. Ensures processes for viability of performance improvement programs. Identifies key quality indicators for monitoring and evaluating. Participates in the peer review process and privileging process for advanced practices nurses/Allied Health Professionals. Participates in interdisciplinary evaluation teams. Demonstrates current knowledge of JCAHO Standards, State and Federal Regulations and ANA Standards for nurse administrators. Demonstrates knowledge of the legal aspects and liabilities of nursing practice. Ensures that all staff membersâ?? function within the legal boundaries and guidelines established by the state nurse practice act. Assists CNO in assuring that nursing leadership and nursing staff are aware of current standards, policies and procedures and compliance are met. Evaluates his/her own performance based on professional practice standards, relevant statutes and regulations, and organizational criteria. Engages in self-performance appraisal on a regular basis, identifying areas of strength as well as areas for professional/practice development Seeks constructive feedback regarding his/her own practice. Takes action to achieve goals during performance appraisal. Acquires and maintains current knowledge in administrative practice. Seeks experience to expand and maintain skills and knowledge base. Networks with peers in state/region/corporate to share ideas and conduct mutual problem solving. Maintains professional affiliations and enhances professional growth and development. Collaborates with nursing staff at all levels, interdisciplinary teams, executive officer, medical staff, and other stakeholders. Collaborates with nursing staff and other disciplines at all levels in the development, implementation, and evaluation of programs and services. Collaborates with the human resources staff to develop and implement recruitment and retention programs for staff. Provides the opportunity for ongoing communication between self and staff. Collaborates with other providers of nursing/patient care within the delivery system for provision of seamless delivery of services. Decision and actions are based on ethical principles. Advocates on behalf of recipients of services and personnel. Maintains privacy, confidentiality, and security of patient/client, staff, and organizational data. Advocates organizational adherence to the ANA code for nurses, organization ethics, and corporate ethics. Fosters a non-discriminatory climate in which care is delivered in a manner sensitive to socio-cultural diversity. Supports the system to address ethical issues within nursing and the organization. Participates in the development, implementation, and use of a system for preventing and reporting abuse of patients, patientâ??s rights, and incompetent, unethical, or illegal practices by health care providers. Accepts supervisory responsibility for department functions and promotes hospital-wide leadership image. Confers with nursing supervisors and Directors on tour of duty to assess status of nursing department. Follows policy and procedure for recruitment and interviewing of potential new hires. Responsible for ensuring all new employees attend orientation within their first thirty (30) days of work. Responsible for monitoring competency levels of employees and providing staff development through education. Conducts monthly staff meetings, keeps minutes and attendance logs on file. Submits all completed employee performance reviews to Human Resources in a timely manner. Notifies supervisor and Human Resources of all disciplinary action. Documents clearly all disciplinary action and submits originals to Human Resources while keeping copies in departmental file. Attends nursing, hospital, and medical staff meetings as requested and reports agenda discussions, recommendations, and approvals to the CNO. Facilitates revisions of job descriptions for all departmental positions. Responsible for employee knowledge and comprehension of all hospital and departmental policies and procedures. FUNCTIONAL EXPECTATIONS & REQUIREMENTS: The Assistant Chief Nursing Officer has responsibility for complying with all policies and procedures that pertain to HIPAA including the minimum necessary requirements for this position. As part of the requirements for this position, this employee has access to the entire medical record for the purposes of improving clinical staff performance. Activities include review of staff documentation, assessments and diagnostic reports to enable processes for improving staff competency. In addition, the ACNO will limit the PHI disclosed or requested to the amount reasonably necessary to achieve the purpose of the request. The disclosures or requests that occur on a routine or recurring basis include: information regarding staff documentation of assessments and nursing care to the clinical staff, managers, risk manager and/or Chief Nursing Officer. The ACNO makes these disclosures for the purpose of identifying staff training/management issues and developing interventions to meet the identified needs. Criteria established for the PHI disclosures/requests is based upon individual clinical staff performance indicators as necessary. The Assistant Chief Nursing Officer: Understands individual role in the HICS Structure. Has knowledge of the Emergency Code System. Demonstrates/verbalizes required responses to the Emergency Code system. Accepts/participates on assigned Team for Hurricane (Code White) response. Serves as a clinical resource to nursing personnel, patients, and significant others, providing consultation as needed through sharing of expertise, providing information, demonstrating technical skills, and relating theoretical concepts to clinical practice. Participates in interdisciplinary rounds and provides guidance in the delivery of nursing care. Acts as a preceptor to affiliating graduate nursing students involved in CS programs as requested. Responsible for the selection and preparation of all educational materials purchased by the hospital. Assumes responsibility for all school affiliations. Reviews annually and updates the orientation program as indicated by evaluations. ORGANIZATIONAL LEADERSHIP - EXPECTATIONS & REQUIREMENTS: As a leader in healthcare, Tenet is committed to providing the best possible care to every patient, with a clear focus on quality and service. Strong leadership is essential to delivering on this commitment, and we believe that the quality of our leaders can give us a significant long-term competitive advantage. We want to ensure every current and future leader in Tenet is successful, and we support that through our selection and hiring process and by providing coaching and training to our leaders. In this regard, we have identified core competencies that will enable a leader to succeed at Tenet, and have defined them within the following five areas critical to performance: Use Astute Judgment Promotes decisions that are patient-centered (e.g., plans to reduce noise in patient areas at night). Promotes â??systems thinkingâ?? as a value in the nursing organization. Synthesizes and integrates divergent viewpoints for the good of the organization (e.g., implements shared governance councils). Considers impact of nursing decisions on the healthcare organization as a whole (e.g., reduces falls, pressure ulcers, and other nurse sensitive patient outcomes). Provides leadership in building loyalty and commitment throughout the organization (e.g., builds career development path for high performing staff). Assures that the clinical perspective is included in organizational decisions (e.g., leads work that results in successful JC accreditation). Shape Strategy Formulates objectives, goals, and specific strategies related to the organizationâ??s mission and vision (e.g. participates in preparing the budget with cost improvements in nursing departments). Promotes a results-oriented environment (e.g., cascades and measures BSC, CQ BSC, and CNO BSC targets). Represents nursing/patient care issues within the organizationâ??s governance and medical staff structures (e.g. actively participates in governing board by presenting a monthly nursing report). Represents nursing/patient care in strategic planning and quality initiatives with the governing body (e.g., presents new ideas and external and internal benchmarks at board meetings). Monitors and evaluates quality through public reported measure (e.g. core measures, nurse sensitive patient outcomes, infection control, VBP risk protection, etc.) in collaboration with the facility DCQI and ICP, as well as national resources. Supports the development of a facility wide patient safety program (e.g. zero never events; reduced falls with injury, reduced facility acquired pressure ulcers, etc.; meets targets on CNO BSC). Apply Financial Insights Allocates nursing resources based on measurement of patient acuity/care needed (e.g. meets JC conditions of participation for nursing services). Demonstrates sense of urgency in management of labor expense (e.g., meets targets for SWB). Ensure Collaboration Effectively communicates with all internal and external constituents, including staff, colleagues, and physicians (e.g., holds weekly staff meetings with Department Directors, routinely rounds with physicians). Builds â??privileged relationshipsâ?? with key internal stakeholders (e.g. CEO, RSVP, etc.) and manages organizational relationships in a manner which builds mutual trust and respect. Addresses and manages conflict in a constructive and productive manner (e.g., immediately addresses a conflict situation between a nurse and physician to a positive outcome). Actively networks and creates peer relationships with other internal and external nursing leaders (e.g. leadership role in industry organizations, actively mentors, etc.). Drive Organizational Success Understands and articulates patient care standards reflected in federal and state regulation, TJC, the state Nurse Practice Act, and organizational policies and procedures. Ensures that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients. Supports and embraces role in the adoption of EMR within facility and successfully implements within SWB budget. Recognizes the utility of nursing involvement in the planning, design, choice and implementation of information systems in the practice environment. Monitors and evaluates service indicators (Press Ganey Patient Satisfaction Reports) and implements action plans in collaboration with related team members at the facility level (e.g., action to implement formal discharge calls). Actively facilitates Physician satisfaction survey, monitors results and collaborates with facility team members to develop and implement action plans (e.g., action to improve communication with physicians). Develop Organizational Talent Participates in workforce planning to ensure an adequate and competent workforce. Recruitment and retention strategies, employee development/education program (e.g., meets targets for People pillar for nursing including turnover, Consider and/or implement nurse residency programs (e.g., successfully implement Versant program). Effective facility level competency program (e.g., meets JC requirements for unit-based competency across the continuum of care). Develops succession plan for nursing leadership (e.g., promotion of RN Directors to ACNO and CNO roles). Assumes personal and professional accountability (e.g. meets or exceeds requirements for licensure as a Registered Professional Nurse in the state where employed; maintains required CEUs, actively seeks out career development opportunities, etc.). Qualifications: CANDIDATE EXPERIENCE, ATTRIBUTES AND EDUCATION REQUIREMENTS: Required Background Established record of progressive administration and leadership responsibility in a comprehensive tertiary health care facility. Highly effective interpersonal and communication skills. Strong labor relations background. An individual able to effectively and efficiently organize patient care promoting optimal outcomes, patient safety, and patient, physician and employee satisfaction. A proactive nurse executive who takes the lead in complying with regulatory standards, rules and laws. Professional and Personal Attributes Ability to plan strategically and implement new processes and programs through data analysis and cost effective interactions. One who is positive, creative and innovative with a strong understanding of the business aspects of healthcare and the acumen to play a substantive role in developing strategies, budgets and business plans. Financially astute, with a solid understanding of cost issues and initiatives. Clearly a leader by example, able to articulate a clear vision and expectations for patient care services and other areas of responsibility. An individual of highest personal and professional integrity, principle and knowledge, earning respect and support when making difficult decisions and choices. Able to establish immediate credibility with peers, senior leadership, medical staff, and the Board. A collaborative and operational manager who will give employees a voice and encourage full participation of all team members. Excellent interpersonal skills; a dedicated listener, comfortable in a variety of settings dealing with diverse constituencies; a broad thinker. The ability to communicate clearly and effectively both verbally and in writing. A leader who will inspire confidence and establish a sense of common direction and vision for the medical staff. Education/Certifications Required: Associate degree from accredited nursing school with a Bachelorâ??s degree in a health care related field or a BSN and a MSN or Masterâ??s in a health care related field. Active and current registered nurse license in the state of residence/practice is required. Current CENP or NEA certification preferred. Compensation A competitive compensation program will be tailored to the selected candidate. Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance. Travel Approximately 25 percent. Job: Executive Search Primary Location: Fort Mill, South Carolina Facility: Tenet Executive Search Job Type: Full-time Shift Type: Days Employment practices will not be influenced or affected by an applicantâ??s or employeeâ??s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
  • Phoenix, Arizona, Primary City/State: Phoenix, Arizona Department Name: Quality Improvement-Hosp Work Shift: Day Job Category: Risk, Quality and Safety The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. Our team has come together with the common goal: Make health care easier, so life can be better. The future of health care starts here. If you're ready to change lives, we want to hear from you. Apply today. You will work at Banner University Medical Center, which is a Magnet Facility, Academic Medical Center, Level 1 Trauma Center, and Designated Stroke Center. Teamwork is strong in this department and Banner University Medical Center is truly a collaborative environment between nursing, physicians, and other therapies. Join us as we improve the lives of the patients we care for through outstanding nursing care. Bring your passion for quality patient care that supports Our Nonprofit Mission "Making health care easier, so life can be better." This Mission statement drives the Quality Team to remain focused on the consumer. As a Quality Specialist you will be part of a team dedicated to reducing variation and increasing reliability across the facility, Banner Academic division, and the entire Banner Health system. As a Quality Specialist you will have the opportunity to participate in implementation of evidence based practice and project to improve patient care. You will work at Banner University Medical Center, Mondays - Fridays during business hours. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. University Medical Center Phoenix Banner - University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet(tm) recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, a number of unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics, and with a new $400 million campus investment, a new patient tower and 2 new clinic buildings will be built. POSITION SUMMARY This position provides ongoing assessment of performance, facilitates prioritization of improvement activities, oversees performance improvement projects and ensures successful clinical project implementation at operating entities. The position works closely with both system and operating entity initiatives. All work processed by the incumbent is considered confidential and protected from discovery, pursuant to state statutes. CORE FUNCTIONS 1. Supports implementation of clinical practices. May support and facilitate implementation and performance improvement activities related to or resulting from patient safety, harm reduction, clinical performance, peer review, and compliance with the requirements of regulatory and accrediting agencies such as TJC, CMS, Quality Improvement Organization and DHS. 2. Provides ongoing assessment of performance, analyzes clinical outcome data, and identifies performance improvement opportunities or trends. Conducts high level assessments, gathers information and collaborates with the appropriate process owner(s) to identify opportunities for improvement. Analyzes data for administrative and clinical decision making. 3. Facilitates prioritization of improvement activities with system and facility leadership. 4. Supports development of annual quality plans with service line/process owners. 5. Initiates and oversees performance improvement projects in collaboration with project lead. Serves as a resource and/or facilitates improvement teams to plan, implement, and coordinate entity activities to maximize clinical and operational outcomes. Participates on improvement teams, guiding/coaching them on the system defined improvement process. 6. Serves as a resource for assessment of clinical performance and performance improvement methodologies throughout the facility and system. 7. Maintains clinical performance assessment, performance improvement, change management and project facilitation expertise through independent study as well as attending education workshops, reviewing professional publications, establishing personal networks, and participating in professional societies. 8. Responsibilities cross all levels of internal customers including the department, facility and system, and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies. MINIMUM QUALIFICATIONS Requires Bachelor's degree or equivalent in nursing or other healthcare related field. RN license in state worked OR a clinical background with current license/certification or equivalent experience. Requires a proficiency level typically attained with 5 years acute care clinical experience. Requires ability to perform complex statistical analysis and highly developed problem solving skills. Requires the ability to manage programs and projects. Requires demonstrated excellence in interpersonal and written communication skills. PREFERRED QUALIFICATIONS Registered Nurse (RN) license preferred. Certified Professional in Healthcare Quality (CPHQ) certification is preferred. Experience with process improvement, regulatory/accreditation programs, data management, and analysis including graphic development and presentations is highly desirable. Additional related education and/or experience preferred.
  • Sanford, Florida, Job Summary: Develops and administers organizational safety and health programs, oversees risk management program, ensures clinical compliance, and organizational adherence with the Health Insurance Portability and Accountability Act (HIPAA).  Monitors and reports results of audits, inquiries, investigations, and status on areas of responsibility and provides guidance for senior management team.  Play a major role in teaching and coaching staff in areas of responsibilities. Position Expectations and Responsibilities: Develops, initiates, maintains and revises policies and procedures for all regulatory, clinical compliance programs, risk management, and HIPAA compliance. Ensures adherence with OSHA regulations and other federal, state, local or organizational safety requirements. Promotes safety and health awareness through internal training programs. Ensures that clinical compliance issues and concerns are appropriately evaluated, investigated, and resolved in a timely manner. Identify potential areas of clinical compliance vulnerability and risk, develop and implement corrective action plans for resolution or problematic issues, and provide general guidance on how to avoid or address similar situations in the future. Provides reports on a regular basis, and as directed or requested, keep the senior management team informed of the operation and progress of compliance efforts. Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate or required. Collects, manages, and evaluates appropriate documentation related to clinical education, and other related training programs. Demonstrates proficiency in systems used to track compliance data and generate exception reports. In coordination with the IT Department, helps to ensure alignment between security and privacy practices to ensure HIPAA adherence. Responsible for records retention either by electronic and/or hard-copy.  Participates in regular safety inspection tours of facilities and ensures documentation of findings.  Follows up on inspection outcomes to ensure resolution of deficiencies. Monitors lost-time injuries/illnesses and worker's compensation claims. Collaborates with the Human Resources Department to ensure appropriate and consistent sanctions are taken in response to employee violations. Collaborates with the liability insurance and worker's compensation broker, addressing products, services, contracts, and broker fulfillment with clauses of contracted products/services. Perform other duties as assigned. Qualifications: Bachelor's degree in Clinical Services Management, Nursing, Risk Management, Health Sciences, or related field preferred.  Master Degree highly preferred. Four years progressive responsibilities in Risk Management, HIPAA/Quality. Assurance.  Registered Nurse or Licensed Healthcare Risk Manager highly preferred. Certified Safety Professional and or; Certified HIPAA Compliance Officer and or; Certified in Healthcare Privacy Compliance and or; Certified Professional in Healthcare Risk Management and or; Certified Information Privacy Professional. Physical Requirements: Ability to stand, walk or view a computer screen for extended periods of time Ability to use hands and fingers to handle or feel Ability to reach with hands or arms Ability to perform repetitive hand and wrist motions for extended periods of time. Ability to effectively talk and listen to internal and external customers Relationship Reporting: Reports to the Chief Nursing Officer  
  • Pleasant Prairie, Wisconsin, Risk Manager, New Hospital/Ambulatory Sites - Pleasant Prairie, Wisconsin Primary Purpose: Identifies, analyzes, mitigates and prevents risk at assigned sites, with the overall objective of improving clinical outcomes, team member safety, and reducing litigation potential. Major Responsibilities: Utilizes a proactive risk management approach that relates to an enterprise scope of practice Establishes relationships with site executive and medical staff leadership to identify and facilitate development and resolution of system and site risk identification and reduction measures. Oversees the development of site risk management programs, ensuring standard assessment and measures.  Supports appropriate risk management coverage within site. Addresses health outcomes, risk identification, loss prevention, and claims management to improve the quality of patient care; prevent, mitigate and/or reduce risk of potential and actual financial, physical and reputational loss at assigned sites. Participates in site health outcomes goals and strategic plan development, implementation and measurement including provision of data and recommendation within the site. Participates in site level safety huddles; participate in weekly risk huddles. Identifies, in conjunction with site and other departments, high risk areas requiring proactive risk assessments. Coordinates resources to achieve review, findings and action plan. Presents results to applicable groups. Develops goals and plans through multiple internal data sources including the complaint and event reporting system, claims, write-offs, risk and quality assessments, recalls; and external sources such as literature evidence based practice, and alerts from national and international sources. Shares quarterly site-based Risk Management reports with appropriate groups. Develops educational programs for site and departments addressing risk management issues, outcomes, and topics. Manages assigned site Risk Management roles, processes responsibilities in regard to claims management and the insurance program. Reviews, analyzes, and develops improvement actions based on claims loss runs.  Submits site and physician exposure data for the annual insurance renewal. Maintains site adverse event reporting, investigation, and resolution process. Participates in web-based reporting design, access, training and implementation. Reviews and tracks reported events. Maintains and improves process to identify significant events and notify appropriate system and site executives, claims, patient safety, legal, compliance, safety/security, and media relations. Facilitates patient disclosure meetings. Tracks, trend, analyzes data to mitigate, reduce or eliminate harm and/or liability issues. Works with public safety/security to identify, mitigate and prevent safety issues and exposure for the organization, including teammates and visitors. Acts as the site risk expert and resource for medical/legal inquiries of physicians, nurses, administrators, and others regarding emergent patient care issues and loss control, in conjunction with Legal Counsel; for policy and procedure development, including event reporting, consent, and disclosure policies; for applicable contract review. Works with site, and if needed other sites, to address patient complaints and grievances.  Ensures regulatory compliance and appropriate responses.  Ensures referral, review and response of patient complaints with significant quality or service concerns.   Involves language services and civil rights departments as needed.  Tracks and trend complaints and grievances, identifying risk or liability issues. Works collaboratively with Legal and Compliance on site issues, contracts, regulatory and accreditation issues, operational and policy issues, governmental, litigation and other relevant issues. Keeps management informed of site-based issues; coordinate communication to site from system. Licensure, Registration and/or Certification Required: Certified Professional in Patient Safety (CPPS) designation issued by the Certification Board for Professionals in Patient Safety (CBPPS) needs to be obtained within 1 year, or Certified Professional in Health Care Risk Management designation issued by the American Hospital Association (AHA) needs to be obtained within 1 year. Education Required: Bachelor's Degree in Health Care Administration or related field. Experience Required: Typically requires 7 years of experience in in system healthcare setting, experience with risk management, patient safety and quality.   Knowledge, Skills & Abilities Required: Proficient in Microsoft Office (Excel, Word, PowerPoint, Access) or similar products. Ability to guide and mentor physicians, including disruptive behavior and in situations where failure to follow policy is not an option. Strong decision-making and critical thinking skills. Significant successful high-level interaction with medical staff. Strong skills in successfully managing multiple units. Strong skills in diplomacy and conflict resolution at various levels within the organization. Strong aptitude in human resource management. Ability to handle multiple demands simultaneously. Excellent communication skills (oral and written, group and one-on-one). Extensive knowledge of statistical methods, data analysis and presentation. Physical Requirements and Working Conditions: Frequently lifts up to 10 lbs. and occasionally lifts over 100 lbs. with assistance. Must be able to sit 50% of the workday and stand 35%. Must have clear speech, hearing and vision. Will be exposed to mechanical, electrical and chemical hazards. Must wear protective clothing (i.e., lead aprons, isolation gowns, protective eyewear, etc.) as needed. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. See above

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