Clinical Risk Manager - Temple Region

Baylor Scott & White Health•Temple, TX

5d•Onsite

About The Position

The Clinical Risk Manager (CRM) directs and coordinates clinical risk management for the hospital. The CRM integrates information from adverse events, near misses, RCAs, and clinical risk issues. With this information, the CRM reviews findings and works with Patient Safety and hospital managers. Together, they develop programs to improve a culture that supports patient safety and reduces risk exposure.

Requirements

Bachelor's Degree in a healthcare field and four years of clinical experience. Or, an Associate's Degree in a healthcare field and six years of clinical experience. Or, an RN with less than a Bachelor's Degree and six years of clinical experience.
TX RN license if an RN

Nice To Haves

Certified Professional in Healthcare Risk Management (CPHRM) preferred.

Responsibilities

Reviews SSOS reports and obtains more detailed information by chart review and interviews as indicated.
Investigates adverse events that harm patients to evaluate patient harm, and if organizational risk is found, reviews the event further to conclude on early intervention.
Addresses daily questions and problems about patient care or concerns, including patient complaints or incidents, to resolve issues before they become liability claims.
Receives information from team members who manage complaints and the Ethics Hotline about patient care processes that may cause harm, and assists team members in addressing or resolving these issues.
Addresses grievances involving patient care and responds within the CMS-designated time frame, providing follow-up communication when the complaint is resolved.
Serves as a trusted agent for clinical staff to report concerns about aspects of care that may generate risk to patients.
Participates in disclosing adverse events to patients and families, serving as a consultant and educator to those responsible for disclosure.
Reports to BSWH department of Risk Management and facility senior clinical and executive managers on the existence of serious adverse events, concerns, or risks, the investigation plan, investigation results, plans for further investigation (RCA or other), and 'lessons learned' from studying the event.
Assists the Manager of Insurance in managing claims related to property loss and visitor injury.
Conducts clinical risk studies and priority setting based on priorities and specific hospital performance.
Studies trends of adverse events from SSOS or other electronic data sources and presents results to the Hospital PS Committee, senior clinical and executive managers, and governance groups.
Investigates and prepares for the root cause study of sentinel events, including developing a timeline, contacting participants, establishing attendance, scheduling and participating in the meeting, writing the investigation report, scheduling a follow-up corrective action plan, monitoring the plan, and reporting sentinel events to corporate risk management monthly.
Participates in the multidisciplinary adverse event review team that meets regularly to discuss adverse event reports of E or greater.
Regularly reports to executive and medical staff managers related to CRM trending data and 'lessons learned'.
Develops and presents education programs for personnel to increase awareness of their role in reducing medical errors, preventing patient injury, and lowering liability risk.