Patient Safety & Risk Management Manager

Blue Cross Blue Shield of Kansas City • Kansas City, MO

3d • Onsite

About The Position

The Patient Safety & Risk Manager provides positive leadership and management for the overall Spira Care Risk Management Program. The incumbent develops and maintains systems within Spira Care to detect, monitor, prevent, organize, measure, investigate, report, and manage patient adverse events, malpractice claims, incident reports, and other indicators of potential patient harm in support of organizational efforts to mitigate and reduce risk across Spira Care and each of its Care Centers. This role operates with minimal direction and may provide guidance and oversight to an Enterprise Risk Management analyst role.

Requirements

• Bachelors Degree
• CPHRM- Certified Professional in Healthcare Management or CPPS- Certified Professional in Patient Safety required within a year of hire
• 5-7 years of experience in ERM, compliance, audit, risk management or similar function in a health care environment
• Experience in planning and implementation of risk management strategies and programs
• Knowledge of and experience with laws, regulations and industry guidance that impact healthcare risk management and patient safety, including OSHA, HIPAA, and provider licensure laws, and state and federal provider reporting requirements
• Organizational skills
• Tenacity
• Creative thinking skills
• Strong communication and interpersonal skills
• Proficiency in MS Office software, including Word, Excel, Outlook, and PowerPoint
• Experience with Electronic Medical Records Software

Nice To Haves

• Risk management certification
• Experience in emergency planning
• AthenaNet experience

Responsibilities

• Conducts thorough internal reviews in partnership with leaders to effectively respond to patient grievances/complaints, safety concerns, high risk incidents, and compliance issues to mitigate potential risks associated with both systems and individuals
• Implements, deploys and manages Spira Care’s incident reporting platform, partnering with cross-functional teams to ensure successful oversight of risk management activities, decision-making, review and assessment of risk management reports
• Maintains and updates records and generates reports to support the Spira Care risk profile and enterprise risks that may impact the organization
• Promotes the incident and events reporting processes by educating the Spira Care Centers about reporting methods and strategies and facilitating stakeholder understanding and usage of reporting mechanisms
• Proactively evaluates areas of organizational risk based on Spira Care’s internal assessments and external benchmarking, and implements strategies and policies that promote patient, visitor, and staff safety
• Develops trending and reporting tools to identify opportunities for organizational improvement and facilitates the development and implementation of prevention initiatives
• Directs the investigation of all potentially compensable events (preventable adverse events)
• Establishes a process for receiving, documenting, and tracking evaluative data on all program audits, evaluations, internal investigations, complaints and risk analyses and provides trend data to inform KPI efforts
• Establishes and updates Spira Care’s Risk Management Plan and patient safety program annually and throughout the year as needed
• Meets regularly with leadership to provide detailed reports on all serious incidents, claims, and risk-related issues
• Responds to and conducts immediate/appropriate response to any serious occurrence/complaint representing actual or potential patient, visitor, or staff injury, and provides expert advice on managing and reporting the events; monitors and takes actions to ensure learning, compliance, and documentation.
• Analyzes all statistical reports and advisories that identify risk management and patient safety patterns and trends for leadership
• Serves as liaison to external regulatory agencies for purposes of patient and physician reporting, event investigation, and response
• Works with legal counsel when necessary to coordinate information needed to manage claims; records, collects, documents, maintains, and provides legal counsel any requested information and documents necessary while maintaining privilege
• Works with legal and operation functions to ensure adequate insurance coverage including professional liability and other applicable lines of coverage
• Reviews and evaluates related policies and procedures and recommends revisions as needed; creates new policies for approval, as needed
• Participates in educational and communication initiatives to promote risks reduction and compliance policies and procedures
• Initiates partnerships with colleagues across Spira Care to help drive a culture of risk awareness and proactive risk identification

Benefits

• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
• Annual incentive bonus plan based on company achievement of goals
• Time away from work including paid holidays, paid time off and volunteer time off
• Professional development courses, mentorship opportunities, and tuition reimbursement program
• Paid parental leave and adoption leave with adoption financial assistance
• Employee discount program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level