Clinical Risk & Quality Leader

Mohawk Valley Health System; City of Utica (NY); On-site; USD 110,000 - 140,000; Full time

Job summary

Mohawk Valley Health System seeks an RN - Clinical Risk Manager to lead MVHS’s risk management program across the system, ensuring patient safety and regulatory compliance. You will document, analyze and mitigate risk, coordinate incident investigations, and provide risk education to staff and leadership.

The role requires at least 5 years in risk management or related fields, NYS RN licensure, and strong analytical and communication skills.

Qualifications

• Bachelor's degree in a related field.
• At least 5 years of experience that may include a combination of risk management, clinical, quality and/or legal work.
• Leadership, critical thinking and analytical skills.
• Outstanding written, verbal, presentation and interpersonal communication skills.

Responsibilities

• Coordinate MVHS’s clinical risk management program to meet the system’s needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards.
• Follows a comprehensive enterprise risk management approach in risk identification, analysis, evaluation, mitigation and monitoring.
• Reviews and analyzes occurrence reports related to risk management, quality of care, regulatory issues, and insurance concerns.
• Participates in Root Cause Analysis investigations and coordinates with departments and clinical chairpersons for peer reviews.
• Prepares incident summary reports and provides all necessary documentation for investigations and resolutions. Submits reports to appropriate regulatory authorities as required.
• Monitors the risk management information system database for patient harm events or unanticipated outcomes and investigates accordingly.
• Participates in the peer review process and ensures safety solutions are implemented.
• Collaborates with on-site investigators and participates in risk management assessments.
• Serves as a resource person and presents risk management issues for discussion and evaluation.
• Identifies organizational risks through trend analysis. Prepares and presents reports to be presented to leadership regarding findings. Advises on the risk of current or future activities conducted throughout the system.
• Collaborates with other areas including Quality/Performance Improvement to establish quality and safety goals; participates on quality of care and patient safety committees.
• Reviews and/or drafts administrative policy and procedures that fall within the risk management domain.
• Provide guidance and advice regarding clinical risk management issues, policies, procedures and practices across MVHS system.
• Delivers educational programs to raise staff awareness of risk exposure and professional liability.
• Responds to inquiries regarding reports and professional liability matters in collaboration with legal department.
• Keeps current with regulatory requirements related to risk management.
• Manages insurance claims in coordination with other members of the legal/compliance department
• Maintains strong relationships with brokers, underwriters, and third party consultants as required.
• Works collaboratively with Compliance department to implement a comprehensive internal audit plan focused on high risk areas.
• Collaborate with leadership and cross functional teams to embed risk awareness into strategic planning.
• Serves as a member on various system risk/patient safety/quality committees to offer input and provide consultation on risk identification and reduction strategies.
• Partners with legal counsel to provide clinical knowledge an assistance throughout the litigation process to achieve resolution of incidents, claims and litigation matters.
• Is available to field inquiries from our staff outside of normal business hours.
• Performs related duties as directed.

Skills

Risk management

Leadership

Analytical skills

Communication skills

Clinical knowledge

Regulatory knowledge

Education

Bachelor's degree

Master's degree (preferred)

Job description

Mohawk Valley Health System seeks an RN - Clinical Risk Manager to lead MVHS’s risk management program across the system, ensuring patient safety and regulatory compliance. You will document, analyze and mitigate risk, coordinate incident investigations, and provide risk education to staff and leadership.

The role requires at least 5 years in risk management or related fields, NYS RN licensure, and strong analytical and communication skills.