Manager, Patient Safety & Clinical Risk Management

Community Memorial Healthcare•San Buenaventura (Ventura), CA

10h•$66 - $99•Onsite

About The Position

The Manager of Clinical Risk Management and Patient Safety is responsible for the organization’s clinical risk management activities throughout the health system. Such activities may include, but are not limited to, managing and analyzing event data, conducting educational programs, providing service recovery, leading patient experience initiatives, managing complaints and grievances in coordination with Patient Experience, and ensuring compliance with risk management-related standards of accrediting and regulatory agencies, with the objective of enhancing patient safety, promoting high-quality care, and minimizing loss. This individual participates in formulating policy and/or organizational changes in coordination with the Director of Patient Safety and Clinical Risk Management.

Requirements

Bachelor’s Degree
Registered Nurse or Clinical experience
Five (5) years of clinical experience
Certified Professional in Healthcare Risk Management (CPHRM) certification or must be able obtain within one (1) year of hire
One (1) year prior Risk Management/Patient Safety experience

Nice To Haves

Masters degree

Responsibilities

Develops, coordinates, and administers facility-wide/clinic-wide systems for risk identification, investigation, and reduction; maintains a network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facilities to assess loss potential.
Participates in committees directed toward promoting patient safety.
Maintains risk management statistics and files in compliance with state and federal agencies; promotes maximum confidentiality by limiting access to such information. Ensures that the following information is accurate, available, and secure: includes medical records, patient billing records, policies and procedures, incident reports, medical examiner’s reports (if available), and any other data pertinent to a particular claim.
Collects, evaluates, and distributes relevant data concerning patient injuries, including aggregate data summaries, monthly trend analyses of incidents, claims profiles, and workers’ compensation trends; provides aggregate analysis of risk data; maintains statistical trending of losses and other risk management data.
Informs leadership regarding occurrences, issues, findings, and clinical risk management suggestions; provides feedback to leaders at all levels in the effort to eliminate risks; assists clinical chairs and department heads in designing risk management programs within their departments.
Recommends appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences; recommends ways to minimize risks through system changes; reviews and revises facility policies as appropriate to maintain adherence to current standards and requirements.
Organizes and participates in root cause analysis investigation and reporting of adverse events to the appropriate parties.
Maintains awareness of legislative and regulatory activities related to health care risk management.
Provides in-service training to clinic personnel to enhance their awareness of their role in reducing liability exposures.
Designs, implements, and maintains a direct referral system for staff to report unexpected events and potential claims against the facility through input sources such as medical records, business office, patient advocate, nursing, medical staff, and quality improvement, etc.
With the Patient Experience Coordinator, reviews patient complaints and grievances that may be the source of potential legal action; discusses and offers solutions, when possible, to resolve any grievances perceived as potential liability claims with the patient and/or family.
With the Patient Experience Coordinator, seeks a greater understanding of key drivers contributing to patient satisfaction through analysis of patient survey data and interpretation of patient complaints. Facilitates understanding of the patient experience and the identification and implementation of improvement strategies to achieve patient experience goals.
Participates in claims management and occurrence reporting and responds to complaints or claims to obtain information and help facilitate resolution processes.
Performs other duties as assigned.
Provides direct supervision and operational oversight for staff supporting Patient Safety, Clinical Risk Management, and Patient Experience functions, including the Patient Experience Coordinator and the Patient Safety and Clinical Risk Management Coordinator. Responsible for staff scheduling, work prioritization, performance management, staff development, and personnel actions in accordance with Community Memorial Healthcare’s policies and procedures. Provides leadership and oversight related to complaint/grievance management, patient experience, event reporting, patient safety initiatives, service recovery, and regulatory compliance activities.