MANAGER-RISK-QUALITY

Oaklawn Hospital; Marshall (MI); On-site; USD 90,000 - 120,000; Full time

Job summary

Oaklawn Hospital in Marshall, MI, seeks an experienced Risk Manager to lead the risk management program within the Quality Improvement department. You will coordinate clinical and administrative activities to identify, evaluate, and reduce risks to patients, staff, visitors, and the organization.

You will develop system-wide patient safety objectives, ensure regulatory compliance, manage incident reporting, and supervise claim management while educating staff and collaborating on grievance

Qualifications

• Bachelor's degree in healthcare; clinical experience in healthcare settings.
• Certification in Patient Safety (CPPS) on hire or within 1 year of hire.
• Certified Professional in Healthcare Risk Management (CPHRM) on hire or within 1 year of hire.
• Three years of healthcare experience in risk, patient safety, or quality.
• Preferred: Master's degree in healthcare field; data/stats analysis experience; CPPS and CPHRM.

Responsibilities

• Coordinate and manage the risk management program in compliance with federal, state, and regulatory requirements.
• Develop facility-wide programs supporting safety, performance improvement, and proactive risk management.
• Collaborate with Patient Experience Advocate to support grievance programs and compliant databases.
• Report trends and educate on risk management and patient safety issues to stakeholders.
• Provide annual education and just-in-time feedback for staff and leaders.
• Manage the claim management process, including correspondence and legal interfaces.
• Promote compliance with acts and regulations (e.g., EMTALA, NPDB, CMS surveys).

Skills

Detail-oriented

Organizational skills

Analytical skills

Verbal and written communication

Problem solving

CMS knowledge

MS Office proficiency

Data interpretation

Education

Bachelor's degree in healthcare

CPPS certification

CPHRM certification

Tools

Microsoft Office

Statistical analysis tools

Job description

• Location 122 High St.,Marshall, MI, 49068,United States
• Employee Type FT Exempt

Contact information

• Name Irene Johnston
• Phone [phone]

Description

DEPARTMENT: Quality Improvement

FLSA STATUS: Exempt

REPORTING RELATIONSHIP: Executive Director, Quality

Job Summary:

The Risk Manager oversees the risk management program by coordinating clinical and administrative activities required to identify, evaluate, and reduce the risk of injury to patients, employees, visitors, and other healthcare workers, and the risk of loss to the organization. Provides and supports systems for monitoring and evaluating all aspects of physical safety and maintaining an environment free of hazards posing undue riskwhile coordinating processes involved in managing general liability and risk exposures. Supports the development and implementation of system-wide patient safety objectives and initiatives to maintain compliance with applicable regulations and standards.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Manages internal risk management program in accordance with federal, state, and regulatory requirements, including activities related to risk prevention, medical error reduction, and compliance with unanticipated outcomes.
• As part of the quality team, develops and implements facility wide programs supporting safety, performance improvement, and proactive risk management.
• Collaborates with Patient Experience Advocate to Support Patient/Family Grievance Program and complaint database and ensures compliance with federal program requirements.
• Demonstrates effective and supportive communication in all situations promoting professionalism and collaboration with key stakeholders, including peers, patients, providers, leadership, and external contacts through the development of strong interpersonal relationships.
• Utilizes effective communication and teaching skills to report trends and to educate on issues related to risk management and/or patient safety.
• Provides annual education and just in time feedback for employees, leaders, and medical staff.
• Provides consultation and mentoring for aspects of risk management and patient safety to leaders, staff, and healthcare providers/medical staff.
• Develops and revises pertinent policies and procedures for area(s) of responsibility for conformance with ethical principles and adherence to applicable regulation.
• Maintains and optimizes organization-wide event reporting system, including routine data submission to the Patient Safety Orientation (PSO).
• Supports activities related to data collection, data review, analysis, reporting, and dissemination of risk management and patient safety information to appropriate internal and external stakeholders.
• Manages the entirety of the claim management process including correspondence review and response, responds to professional liability and facility liability questions as a subject matter expert, release of information and records in response to subpoena, court orders, attorney requests, notification of third-party administrators of all actual and potential claims and legal interface as indicated.
• Promotes compliance with federal acts and regulations such as Patient Self-Determination Act, Safe Medical Devices Act (SMDA), Emergency Medical Treatment and Labor Act (EMTALA), National Practitioner Data Bank (NPDB), and compliance with specific event reporting requirements, such as child abuse, domestic violence, etc.

Minimum Qualifications:

Bachelor's degree in the healthcare-related field. Clinical experience in a healthcare setting including experience as a registered nurse, allied health professional, or other healthcare clinician with demonstrated knowledge of patient care delivery and healthcare operations. Certification in Patient Safety (CPPS) on hire or earned within one (1) year of hire. Certified Professional in Healthcare Risk Management (CPHRM) on hire or earned within one (1) year of hire. Three (3) years of healthcare experience in risk, patient safety, or quality.

Preferred Qualifications:

Master's degree in a healthcare related field. Data/ statistical analysis experience. Certification in Patient Safety (CPPS). Certified Professional in Healthcare Risk Management (CPHRM).

Knowledge, Skills & Abilities:

Detail-oriented with strong organizational and analytic skills. Demonstrates practical verbal and written communication skills, including the ability to persuade and negotiate. Proven problem solving, critical thinking and process skills to perform in a self-directed manner within a team-focused framework. Experience with accreditation and CMS surveys. Proficient in the use of Microsoft Office products and knowledge of database and statistical analysis methodologies and programs. Experience in organizing and facilitating Root Cause Analysis (RCA) and critical incident reviews.

Working Conditions:

Work is generally performed within an office environment, with standard office equipment available. Requires on-site presence and making rounds in the hospital and medical group facilities routinely and as need arises.

Physical Requirements:

Constantly see/visual acuity, handle/grasp/feel, talk/hear, taste/smell. Frequently sit. Occasionally lift/carry 1 to 50+ lbs.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.