Risk Management Coordinator-Lead

University of Mississippi Medical Center•Jackson, MS

2d•Onsite

About The Position

Guide, coordinate and support the University of Mississippi Medical Center's risk management review process. To participate in the review, evaluation, monitoring, measuring and adjustment of all patient care and associated claims; participates in the development of risk minimization program. Maintain oversight of all allegations of Abuse/Neglect/Exploitation, event reporting system and Risk Management and patient safety policies.

Requirements

Bachelor's degree in Nursing (BSN)
five (5) years of clinical experience, preferably in a teaching hospital.
Valid RN license.
Knowledge of nursing theory and practice.
Knowledge and understanding of clinical organization structure, workflow, and operating procedures.
Skill in the use of personal computers and related software applications.
Ability to manage multiple priorities under time constraints; ability to analyze and solve problems.
Understanding of cost and quality issues.
Verbal and written communication skills.
Interpersonal skills to interact with a wide range of constituencies.
Ability to led and assist with decision-making skills.

Nice To Haves

Master's Degree (MSN) preferred
Certified professional in healthcare risk management (CPHRM) by the American Society for Healthcare Risk Management or Certified Professional in Patient Safety (CPPS) by the institute for healthcare improvement within 18 months of hire date.

Responsibilities

Reviews patient medical records and collects data for legal/risk management analysis, studies, and monitoring.
Conducts legal research and analyses and prepares opinions of counsel as required; anticipates and identifies legal issues in order to develop legal strategies and solutions.
Guides providers on Disclosure with patients/families following a medical error. Which includes; meeting with the patient/family, coaching staff on appropriate language and documentation, oversight of medical bill, and providing recommendations to legal counsel on early resolution or litigation.
Participates in planning system-wide measurement initiatives with respect to risk assessment and management.
Prepares and presents biannual reports on Risk Management and quality indicators to the Quality and Safety Board Meeting and other forums as assigned.
Maintains oversight of all allegations of Abuse/Neglect/Exploitation to patients during care delivery at UMMC. This will include leading the investigation, assuring the Patient Rights per CMS have not been breached, oversight of the adjudication process, and reporting to the Attorney General and Mississippi Department of Health when applicable.
Assists in the review of clinical practice for quality improvement and loss control; recommends appropriate corrective action; reviews for consistency, adherence to policy, and comparative level of care in all settings; inputs data and prepares reports.
Maintains the oversight of Risk Management and patient safety policies.
Maintains full oversight of the event reporting system which includes, system privileges, compliance of timely investigation (by nursing and providers), solicit leadership to help sustain timely reviews, and assure closure of all safety events to prevent future occurrences.
Maintains an understanding of current TJC standards pertaining to Risk Management; assists the university hospitals and clinics to maintain compliance with TJC standards. Including chair or co-chair specific TJC chapters regarding institutional patient safety as assigned by Accreditation Director.
Provides timely internal/external customer service in a cooperative, professional, and respectful manner. This includes leading the investigation and response, written and verbal, to external agencies inquiries regarding Risk Management and quality of care issues. Agencies include, TJC, Mississippi Department of Health, Patient Safety Organizations, Leapfrog, and the Mississippi Attorney General.
Assumes the principal point of contact and lead investigator for unanticipated external regulatory visitors. Which includes notifying senior leadership, investigating the complaint, providing requested documentation, and participating in the closing meeting. When applicable will partner with hospital specific department on corrective action or mitigation plans.