Dir Clinical Risk Management Operations EverGreen

Peace Health•Vancouver, WA

34d

About The Position

At PeaceHealth, safety and compassionate care are at the heart of everything we do. We're reimagining Risk Management and seeking leaders and caregivers who want to make a lasting impact on the communities we serve. Why Choose PeaceHealth? Integrated Clinical Excellence We combine proactive risk management with a strong clinical foundation to deliver the highest quality care. Leadership Commitment to Safety Our leadership team is dedicated to building and sustaining a culture of safety, aligned with our vision that every person receives safe, compassionate care, every time, every touch. Your Growth, Our Investment Professional development through seminars and national conferences Internal training with CE eligibility Connections to top professional affiliations Access to resource libraries, webinars, and subject matter experts Be Part of Something Great Join a team that prioritizes growth, collaboration, and safety-where your expertise truly makes a difference. The Director Clinical Risk Management Operations is responsible for leading and overseeing the health system's clinical risk management program. This role provides strategic and operational leadership to a team of clinical risk managers and senior clinical risk managers, ensuring effective identification, evaluation, mitigation, and reporting of clinical risks across the organization. The director partners with clinical, legal, and operational leaders to promote a culture of safety, transparency, and continuous improvement. The director is responsible to adhere to all applicable federal, state, and local laws, regulations, and standards for their areas and to be continuously ready for any survey on those regulations or standards.

Requirements

Bachelor's Degree Nursing or closely related healthcare discipline.
Master's Degree in healthcare administration, patient safety, or related healthcare clinical or leadership area of study, or a combination of education and professional experience that provides the incumbent with the requisite knowledge, skills and ability to successfully perform the job with the agreement to obtain master's degree within 3 years of date of hire.
Minimum of 7 years of clinical risk management experience.
Minimum of 5 years management experience.
Required within 6 months of hire: Certified Professional Healthcare Risk Management.
RN or license in clinical discipline (RN is preferred), in OR, WA, or AK.
Advanced knowledge of state, federal, and accreditation requirements including but not limited to CMS Conditions of Participation for acute care and critical access hospitals.
General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA.
Proficient with MS Office applications and databases.
Excellent written/verbal communication skills.
Able to work flexible hours.
Knowledge of state healthcare rules and statutes, and state licensing requirements.
Experience and knowledge in use of administrative and quality data, with statistical validity.
Participation in on-call coverage.
Ability to travel to other PeaceHealth hospitals and clinics.

Nice To Haves

Juris Doctorate

Responsibilities

Leads and manages the daily operations of the Clinical Risk Management team across the health system. Handles day-to-day risk management operations and tasks including on call coverage, position vacancy support and contact with facility leaders, caregivers and patients. Rounds on facilities and assigned areas.
Consults with caregivers and leaders on issues related to risk management, patient safety, and professional liability and other risks such as general liability and product liability. Serves as a liaison and problem solver to provide guidance for enterprise risk prevention for new clinical services, programs and equipment.
Leads and manages escalated complaints and grievances in partnership with the supervisor of patient relations, continually assesses the complaint and grievance program to identify program gaps, areas for improvement and regulatory compliance.
Develops statistical and qualitative reports on trends and patterns and communicates to appropriate audiences. Develops indices to monitor the effectiveness of the risk management program. Provides leadership with progress reports and data and recommendations.
Ensures the standards and quality of risk assessments, audits, and investigations to identify potential loss exposures and develop/implement strategies for minimizing risk of loss through loss control programs, risk transfers or avoidance; develops corrective action plans; and recommends and monitors program implementation. Ensure timely and thorough documentation, root cause analyses, and follow-up actions in alignment with regulatory and accreditation standards for the Clinical Risk Management team. Collaborates with other members of the Clinical Excellence team to ensure effective handoffs.
Supervises, mentors, and evaluates the clinical risk management team, fostering professional development and high performance. Handles recruitment, training, development, coaching and performance evaluations for direct reports. Performs ongoing needs assessment for each team member.
In partnership with patient safety, patient relations, and clinical operations, oversees the organization's communication and resolution program.
Participates in creating and/or developing policies and procedures in key areas of risk management, caregiver safety and patient safety for the communities served. Develops annual education programs and on demand education for all levels of staff. Utilizes various media tools to record and deliver education. Facilitates or co-facilitates FMEA studies as needed and RCA meetings for Serious Reportable events in collaboration with the quality & patient safety team. Ensures all clinical risk managers are able to lead risk management related ACAs and develop safety stories from risk events.
Assures effectiveness of clinical risk management risk investigations and response to events, potential claims, and grievances presented against caregivers, physicians and the organization for potential or actual liability and damages. Collaborating with Claims, collects documents and evidence and maintains work product in accordance with state legal requirements and sets up claim. Ensures collaboration and mitigation of risk to the organization's insurance coverage against liability and casualty loss. In collaboration with facility and system leadership promotes compliance with and reports as necessary to the Department of Health, State Board of Nursing, Pharmacy, Medicine, etc. Works closely with law enforcement agencies during high-risk investigations.
Collaborates with patient safety, medical and departmental caregivers to ensure timely risk management review and management of unexpected outcomes, serious patient events and medical errors. Facilitates and/or co-facilitates the review and investigation of variances rising to a Sentinel Event, state and/or federal regulatory reporting and directs the communication of unanticipated events to patients and potential compensable events. Develops and maintains collaborative relationships with key departments to enhance the effectiveness of the program.
Serves as risk management representative for various system level committees. Back up ADA Compliance Coordinator for PeaceHealth and subject matter expert in consents and EMTALA.
Performs other duties as assigned.