Clinical Risk Manager Sr Evergreen

Peace Health•Vancouver, WA

35d•$50 - $74

About The Position

At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities. Why PeaceHealth? Integrated Clinical Excellence - We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care. Leadership Commitment to Safety - Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch. Your Growth, our Investment - Access to professional development opportunities with Seminars and national Conferences Internally hosted training with a focus on CE eligibility Connections to top professional affiliations Access to resource libraries, webinars and experts. Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety. Job Summary The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare system. Provides strategic leadership and oversight in the identification, evaluation, and mitigation of clinical risks for their assigned areas. This role provides expert-level consultation on clinical risk, supports regulatory compliance, and leading enterprise-wide initiatives to enhance patient safety and reduce liability. In addition, this role is responsible for mentoring and supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical teams to drive a proactive risk management culture and ensure compliance with regulatory standards.

Requirements

Bachelor's Degree Required: in Nursing or other clinical field and
Master's Degree Preferred: in nursing, healthcare administration, public health or related field
Minimum of 5 years Required: Healthcare risk management, compliance, quality improvement or patient safety and
Minimum of 5 years Required: Combination of directly related clinical experience AND risk management, compliance, quality improvement, or patient safety
Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and
Required: within 2 years Certified Professional Healthcare Risk Management
Advanced knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals. (Required)
General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)
State healthcare rules and statutes, and state licensing requirements. (Required)
Proficient with MS Office applications. (Required)
Excellent communication, interpersonal, collaboration, and presentation skills. (Required)
Advanced analytical and problem-solving skills. (Required)
Ability to lead and motivate teams, influence others, and drive change. (Required)
Able to work flexible hours. (Required)
Participation in on-call coverage. (Required)

Responsibilities

Leads the identification and investigation of high-severity risk events, including coordination with legal, patient safety, compliance, and executive leadership. Collaborates with legal counsel on complex claims and litigation support.
Oversees and guides Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), Apparent Cause Analysis, and other risk assessments. Leads proactive risk assessments for high-risk areas.
Serves as a senior advisor to clinical and operational leaders on risk mitigation strategies and patient safety initiatives. Develops and communicates with senior management on appropriate responses to risk events and medical care complaints in accordance with legal requirements.
Develops and implements system-wide risk management standard work, protocols, and policies. Leads the development and delivery of advanced risk management education and training. Provides mentorship, training, and support for clinical risk managers.
Analyzes system-wide trends in incident reporting, tracks key performance indicators, and develops strategic recommendations for improvement. Regularly provides leadership with progress reports and data (including recommendations) related to risk management. Provides leadership of performance improvement and loss prevention activities.
Represents the Risk Management department on committees and task forces focusing on high-risk issues.
Investigates alleged EMTALA violations. Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes/systems designed to share and recognize performance improvements and compliance across the organization to mitigate risks to patient and caregiver safety/risks to the organization.
Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in risk management for community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisor other caregivers/providers.
Serves as system subject matter expert for risk mitigation strategies on high-risk topics such as OB, ED, ICU and Behavioral Health service lines or Informed Consent, Use of Force oversight, Laser Safety, Medical Device Reporting, Adoptions and other topics.
Assists Patient Relations to address complex grievances that involve patient care and responds to the patient in the time frame designated by policy.
In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey and corrective action plan.
Serves as the lead for the communication & resolution program (disclosure process) in assigned areas of responsibility.
Monitors and interprets changes in healthcare regulations and proactively adjusts risk strategies to maintain compliance.
Serves as the non-discrimination officer for their assigned areas of responsibility.
Performs other duties as assigned.