Manager, Risk Mgmt

CASS REGIONAL MEDICAL CENTER•Harrisonville, MO

About The Position

Primary Purpose: To identify, assess, and mitigate organizational risks to ensure patient, staff and visitor safety, protect assets, and maintain regulatory compliance. Conduct risk assessments, ensure compliance with legal and regulatory requirements, and manage incidents to minimize liabilities and hazards. The goal is to create a safe working environment while reducing potential losses or disruptions due to accidents, unsafe practices, or unforeseen risks.

Requirements

Functions of goal setting processes
HIPAA regulations
knowledge of healthcare risk reduction strategies
general knowledge of regulatory requirements on the state and federal level
patient safety principles
risk financing/insurance programs
claims management
Ability to lead investigations and root cause analyses, facilitate safety culture, and influence change across departments.

Nice To Haves

Bachelor’s degree in nursing, risk management, or related field preferred; master’s preferred.
CPHRM, CHSP, or other risk/safety-related certification preferred.
Current licensure as a Registered Nurse (RN) in the state of Missouri or compact state preferred.
3-5 years of management experience, including 2-3 years in risk management preferred.

Responsibilities

Manages and oversees Cass Regional’s Risk Management Program.
Participates in medical malpractice and general liability claims management process including working with liability carrier to secure necessary documents
Collaborates with and assists organizational leadership, management, physicians and staff to help implement, monitor and evaluate Cass Regional Medical Center’s Risk Management Plan
Identify risks to the Medical Center by performing risk assessments, review past incidents and claims, hospital loss and liability reports, and local and national hospital-related incident or risk data and statistics
Provides education to hospital staff related to opportunities for improvement in collaboration with department leadership members
Reviews attorney requested charges from a Risk Management perspective
Coordinates with Healthcare Services Group (HSG) in collaboration in the Quality and Safety Director for any pending cases
Supports the Medical Staff Quality Assurance program
Attends and participates in Cass Regional Medical Center Regulatory Compliance meetings as needed
Manages the day-today operations of the organization’s patient concern process/system. Logs, tracks, trends and reports data collected within system. Addresses concerns on an individual case-by-case basis and follows up to resolution
Works closely with Director, Quality and Safety related to patient concerns that involve quality of care concerns and issues
Evaluates, manages, and oversees the procurement and annual renewal of the Medical Center’s insurance programs, including general and professional liability, medical liability, property and contents (with business income protection), Directors & Officers, employee practices, cyber liability, boiler and machinery, crime, and commercial automobile coverage. Recommends adjustments as needed to ensure appropriate, comprehensive, and cost-effective protection of Medical Center assets and operations.
Develops risk management training programs and presents directly to or secures training of staff, management, leadership, medical staff and the Board of Trustees about risk issues, which may involve collaborative efforts with unit leadership members
Reports identified patient risk issues to the PSO
Leads Root Cause Analysis for Serious Safety Events and Sentinel Events
Supports Cass Regional’s efforts related to compliance with the Joint Commission, Center for Medicare and Medicaid Conditions of Participation and Department of Health and Senior Services and other accreditation/licensure bodies and their regulations/standards as it relates to Risk Management.
Serves as Section 1557 Coordinator, ensuring compliance with nondiscrimination requirements including grievance handling, recordkeeping, and language access.
Serves as the Civil Rights Coordinator, ensuring compliance with nondiscrimination requirements including grievance handling, recordkeeping, and language access.
Recommends new procedures and approaches to loss prevention based on reports of incidents, accidents, and other events.
Review all employee injury reports and suggest adaptations or conformity to safety precautions.
Works in conjunction with Human Resources Compensation Program and Infection Prevention Coordinator and Employee Health Specialist
Responsible for facilitating the ongoing transition from a retrospective, reactive model for risk management to a prospective, proactive loss prevention program
Participates in EOC/Safety Committee meetings monthly. Report out incident report data monthly.
Ensures annual Ligature Risk Assessment for organization is completed and reported to EOC/Safety Committee.
Leads meeting Falls Committee. Falls Committee meets monthly, and more frequently as deemed appropriate.
Responsible for the Medical Center’s Event Reporting process including summarizing and trending of reports submitted, analyzing for trends, recommending changes to reduce trends and reporting monthly and annually to the Board of Trustees.
Investigates any incidents that may result in visitor, staff, physician injury, property damage and asset loss
Evaluates all compensable events, claims and lawsuits for underlying issues and identifies opportunities for improvement and addresses lessons learned