Job Description
The RISK MANAGER reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsible for managing all aspects of clinical risk management for the local region and general risk management for NMHC at the direction of the Director of Risk Management or Regional Manager where applicable. Administers the risk management program on a day-to-day basis, identifying, analyzing, and managing potentially compensable events, managing and analyzing risk management data, conducting risk management educational programs, performing risk assessments, and complying with risk management related standards required by The Joint Commission, CMS, and other relevant agencies with the objective of improving patient safety.
RESPONSIBILITIES:
- Provide complete and integrated clinical risk management services for regional NMHC entities.
- Identify, investigate, and manage all incidents (includes management of incident reporting system, stabilization of environment, disclosure and documentation advice, evidence retrieval, record analysis, interviews, research, billing management, staff support, and follow-up).
- Assist department heads and clinical chairs in designing risk management programs and policies within their departments.
- Provide 24/7 risk management consultative services to physicians, management, and staff.
- Conduct, coordinate, facilitate, and participate in quality committees and process improvement efforts such as the Clinical Care Evaluation Committee, root cause analysis, and failure mode effect analysis.
- Participate in proactive risk management activities such as risk management rounds, risk assessments, program/policy evaluations.
- Conduct system analyses to identify and improve patterns/behaviors that do not meet risk management best practice and could result in increased liability exposure
- Develop and conduct educational presentations on clinical and general risk management to physicians and employees.
- Monitor, manage, and analyze risk management data collected through the incident reporting system (includes identification and tracking of incident trends, monitoring and addressing compliance with incident reporting policy, identification of system issues, and development and implementation of process improvements).
- Manage, advise, and direct Patient Representatives, physicians, and staff to resolve significant patient complaints.
- Identify and report those occurrences as required by the Safe Medical Devices Act.
- Work closely with legal and quality/patient safety staff to assure alignment and advance shared goals
- Other duties as assigned.