About The Position

Bergen New Bridge Medical Center is seeking a Director of Clinical Risk Management to lead efforts in minimizing patient/resident harm, financial loss, and legal liability. This role involves managing risk programs, investigating adverse events, analyzing data, ensuring regulatory compliance (TJC, CMS), educating staff on patient safety, and collaborating with legal and leadership on incidents, Root Cause Analyses (RCAs), Failure Mode and Effect Analyses (FMEAs), and quality improvement initiatives to foster a strong safety culture. Knowledge of Leapfrog requirements is also expected.

Requirements

  • 3-5 years with Clinical Risk Management and/or Quality Management experience
  • Experience in clinical risk management, patient safety, quality improvement.
  • Strong knowledge of healthcare regulations (including HIPAA, EMTALA, etc.).
  • Proficiency in data analysis, incident management software, and Microsoft Office Suite.
  • Excellent leadership, communication, investigation, and problem-solving skills.
  • Bachelor's degree (BSN strongly preferred or related field)
  • Master’s degree a plus
  • Certified Professional in Health Care Risk Management (CPHRM) is a plus or within 2 years of employment
  • Certified Professional in Patient Safety Credential (CPPS) is a plus

Nice To Haves

  • Knowledge of Leapfrog requirements.

Responsibilities

  • Develop, implement, and oversee comprehensive clinical risk management and patient safety programs.
  • Lead investigations of adverse events, analyze incident reports (UORs), conduct Root Cause Analyses (RCAs) and Failure Mode and Effect Analyses (FMEAs) to identify systemic issues.
  • Monitor, analyze, and trend risk management data to identify patterns, present findings, and recommend strategic improvements to leadership and committees.
  • Design and deliver educational programs for staff and leaders on risk reduction, patient safety, and regulatory standards.
  • Conduct rounding on patient/resident care units.
  • Ensure adherence to local, state, and federal laws, and Joint Commission (TJC), CMS, and other regulatory requirements.
  • Assist with regulatory readiness.
  • Review, revise, and develop organizational policies and procedures to enhance safety and mitigate risk.
  • Serve on various hospital committees, including The Quality and Patient/Resident Safety Committee, Infection Prevention and Control Committee and Patient Care Leadership Committee.

Benefits

  • Competitive medical, dental, and vision plans.
  • Generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays.
  • Tuition reimbursement
  • Continuing education programs
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