Risk Manager - Compliance & Risk Management Non-Un

ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES

• Planning and Organization – Assists the Director of Risk Management in the daily operations of the Risk Management Program. Assists the Risk Management Department with system-wide projects i.e., Culture of Safety, Risk/Patient Safety, Team STEPPS ensuring programs support unique needs of the designated assigned area.
• Communication – Builds and maintains trust relationships with both internal and external customers to enhance communication regarding risk and safety. Collects and communicates significant information and data to appropriate members of the healthcare team. Facilitates various risk-related meetings, i.e., critical debriefing, investigations, and other meetings with internal and external key stakeholders. Collaborates with units throughout the healthcare setting to identify and assess unusual incidents, unexpected outcomes, and potential risks, translating learnings into the development of loss prevention strategies.
• Consultation – Acts as liaison to Administration, management, and healthcare staff to provide guidance on issues such as consent, patient-family concerns, documentation, disclosure, family conferences, and policy and procedure, development. Serves as a resource and consultant for risk management activities on and on-going basis and per request.
• Education – Assists in efforts to increase understanding in the healthcare setting of patient safety and risk management principles through dedicated educational programs for staff.
• Patient Safety Events Review, Investigation and Follow-up – Performs comprehensive system analysis of patient safety events utilizing just culture principles and standard processes. Completes required reporting and documentation in accordance with legal, regulatory, accreditation standards and requirements. Investigates, evaluates, and analyzes events that threaten or potentially threaten patient safety through the following: review of medical records, identification and interview of staff, collection of data and/or creating timelines, review of related literature, and review of event reporting.
  
  Demonstrates knowledge and competency of maintaining event reporting system and review, investigation, and evaluation of harm events per defined process and policy. Focuses on high reliability concepts and when developing improvement initiatives and corrective actions.
• Special projects/Initiatives – Facilitates and/or participates with various task forces, cabinets, and ad-hoc committees both at the system and entity level to implement identified patient safety and clinical risk initiatives as needed with on-going monitoring and involvement to assure continued progress. Coordinates the selection, presentation, and follow-up of cases to assigned committees.
• Leadership – Supports the organization and leadership. Acts as a role model to others.
• Risk Management – Participates in implementing, monitoring, and documenting an integrated, comprehensive, and proactive risk management program for the Risk Management Program s includes identifying and tracking risk through trend analysis of incidents, leading investigations of adverse events, conducting risk assessments, creating risk registers, prioritizing risk, developing risk mitigation plans, developing corrective action plans and risk reduction strategies, and assisting with formulation and implementation, strategies for best practices and risk reduction strategies, facilitates the development of written procedures and guidelines, as needed, to direct the provision of risk management services effectively across the healthcare setting.
  
  Maintains current and accurate knowledge of regulations, laws and standards pertaining to the healthcare setting at USCAH, including, but not limited to FDA, TJC, AAAHC, NCAA, CDPH and CMS Medicare Conditions of Participation. Knowledge of and abides by the American Society for Healthcare Risk Management (ASHRM) Healthcare Risk Management code of Professional Conduct. Reports to external agencies, as applicable.
• Data Management – Works within the incident reporting system to collect information related to incidents. Collects and trends…