Manager, Risk Mgmt

CASS REGIONAL MEDICAL CENTER•Harrisonville, MO

4d•Onsite

About The Position

The Manager, Risk Management is responsible for identifying, assessing, and mitigating organizational risks to ensure patient, staff, and visitor safety, protect assets, and maintain regulatory compliance. This role involves conducting risk assessments, ensuring compliance with legal and regulatory requirements, and managing incidents to minimize liabilities and hazards. The ultimate goal is to create a safe working environment while reducing potential losses or disruptions due to accidents, unsafe practices, or unforeseen risks. This position has formal policy-setting responsibilities and is involved in routine decision-making regarding plans and objectives. While there are no direct reports, the role involves facilitating committees and influencing department managers. The position involves a risk of blood/body fluid contamination and potential exposure to hazardous drugs and chemicals.

Requirements

Bachelor’s degree in nursing, risk management, or related field required.
Current licensure as a Registered Nurse (RN) in the state of Missouri or compact state required.
3-5 years of management experience.
2-3 years in risk management preferred.
Knowledge of goal setting processes.
Knowledge of HIPAA regulations.
Knowledge of healthcare risk reduction strategies.
General knowledge of regulatory requirements on the state and federal level.
Knowledge of patient safety principles.
Knowledge of risk financing/insurance programs.
Knowledge of claims management.
Ability to lead investigations and root cause analyses.
Ability to facilitate a safety culture.
Ability to influence change across departments.

Nice To Haves

Master’s degree preferred.
CPHRM, CHSP, or other risk/safety-related certification preferred.

Responsibilities

Manages and oversees Cass Regional’s Risk Management Program.
Participates in the medical malpractice and general liability claims management process, including working with the liability carrier to secure necessary documents.
Collaborates with and assists organizational leadership, management, physicians, and staff to implement, monitor, and evaluate Cass Regional Medical Center’s Risk Management Plan.
Identifies risks to the Medical Center by performing risk assessments, reviewing 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 with 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-to-day operations of the organization’s patient concern process/system, including logging, tracking, trending, and reporting data.
Addresses concerns on an individual case-by-case basis and follows up to resolution.
Works closely with the Director, Quality and Safety related to patient concerns involving quality of care.
Evaluates, manages, and oversees the procurement and annual renewal of the Medical Center’s insurance programs (general and professional liability, medical liability, property and contents, Directors & Officers, employee practices, cyber liability, boiler and machinery, crime, and commercial automobile coverage), recommending adjustments as needed.
Develops risk management training programs and presents to or secures training for staff, management, leadership, medical staff, and the Board of Trustees about risk issues.
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, Centers for Medicare and Medicaid Conditions of Participation, 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.
Reviews all employee injury reports and suggests adaptations or conformity to safety precautions, working in conjunction with Human Resources Compensation Program, Infection Prevention Coordinator, and Employee Health Specialist.
Facilitates 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 and reports incident report data.
Ensures annual Ligature Risk Assessment for the organization is completed and reported to the EOC/Safety Committee.
Leads the Falls Committee meetings.
Responsible for the Medical Center’s Event Reporting process, including summarizing and trending reports, analyzing trends, recommending changes, and reporting monthly and annually to the Board of Trustees.
Investigates incidents that may result in visitor, staff, or 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.