Manager - Quality Improvement & Risk Management

Summit BHC•Las Cruces, NM

1d•Onsite

About The Position

The Manager of Risk Management plans, organizes, directs and controls all aspects of risk management activities to prevent and/or minimize losses associated with identifiable risk and to minimize and prevent claims of general and professional liability against the facility. Tracks incidents to identify trends and evaluate the effectiveness of corrective measures. Identifies, communicates, and takes action on potential and actual exposures, problem prone and high-risk areas to avoid, minimize, assume, or transfer risk to ensure a safe environment for the protection of clients, employees and visitors to the facility. This position is onsite at the facility and is not a remote position.

Requirements

Bachelor’s degree in healthcare, risk management, business, finance, or a related field or Registered Nurse degree required.
Five or more years’ experience in a risk management position or similar Quality / Performance Improvement / Compliance position in the behavioral healthcare field required.
CPR and de-escalation certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.

Nice To Haves

Master’s Degree in Health Care Administration or Business preferred.
Certifications related to health care risk management, safety, and or process improvement highly preferred.

Responsibilities

Oversees risk management activities to include incident management and reporting, investigation of all serious incidents and potential exposure to liability, processing of insurance claims, communication with attorneys, subpoena management and open litigation functions.
Oversees incident reporting system to include tracking, investigative follow-up, education, corrective action and maintaining database for reporting and monitoring purposes.
Identifies and prioritizes issues of importance, including those priority issues as set for by leadership.
Collaborates with department leaders and corporate leaders, as needed.
Communicates instructions, expectations and timelines clearly and concisely.
Leads a team of highly engaged members through hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department goals and ensure effective and efficient department operation.
Maintains productivity levels that are aligned with client census, curtailing unnecessary overtime and/or excessive staff work hours.
Manages staff scheduling and maintains an updated plan for contingency staffing.
Maintains accountability expectations for self and staff in all areas of job performance.
Engages staff in quality and safety basics to ensure sustained, measurable compliance.
Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff.
Hold staff accountable for non-compliance and client safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct.
Facilitates intensive analysis or root cause analysis post sentinel events.
Identifies high risk areas through the performance of proactive auditing and monitoring of client encounters, medical record documentation and quality metrics.
Collaborates and develops effective working relationship with clinical staff for prevention of clinical risks throughout the facility.
Investigates and analyzes actual and potential risks in the facility; assess liability and probability of legal action for potential notification.
Implements risk management program throughout the facility.
Develops and implements infrastructures and systems that support client safety.
As Chief Health Care Disparities Officer, assumes responsibility for identifying and analyzing the health care disparities for the populations served by the organization and leading activities to reduce said disparities, in coordination with the facility’s Quality Assurance/Performance Improvement Committee (QAPI) and with oversite by the Medical Executive Committee (MEC) and Governing Board.
Works with internal auditors, security contractors, and other staff to establish an internal control system.
Maintains database of full disclosure activities and provide oversight for review programs and provides technical support as needed.
Conducts review for facility wide problems and trends.
Investigates, plans, implements and assesses corrective action.
Integrates the findings of all risk management activities, as appropriate, with the clinical services program where there are opportunities to improve the quality of client care.
Accurately performs chart audits and closed chart reviews.
May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed.
Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes.