Risk Management Coordinator

University of Arkansas•Little Rock, AR

18h•Onsite

About The Position

The Clinical Risk Coordinator works with the Director to develop and execute the Risk Management Plan with the primary aim being to protect patients, staff members, and visitors from inadvertent injury by providing an ongoing, comprehensive, and systematic approach to reducing risk exposures to improve quality of care and mitigate financial loss. Responsibilities include evaluation of adverse and sentinel events utilizing effective communication, facilitation of root cause analyses, coordination, and implementation of loss prevention and loss mitigation activities to promote a culture of safety and to create a safe environment for quality patient care.

Requirements

Bachelor’s Degree in clinical field or experience in lieu of education
5+ Years clinical experience
None but CPPS and/or CPHRM within 12 m of hire
Power point, Word, Excel, Outlook, SharePoint, EPIC, RLDatix

Nice To Haves

Advanced degree in healthcare, related field or JD
Advanced degree in healthcare or JD
3 Years clinical risk management experience in acute care setting
As required by degree.
CPPS or CPHRM
Advanced knowledge of healthcare practices, rules and regulations, COP, Medicare and Medicaid rules/Regs, PSQIA, HIPAA regulations and AR state and Federal laws/regulations.

Responsibilities

Participate in system-wide policy review and development related to clinical risk and safety.
Collect, synthesize, and interpret data related to risk management and patient safety and prepare narrative reports.
Perform, oversee, and evaluate audits / reviews of risk issues to assess and monitor as needed.
Conduct medical record review and identify issues/concerns regarding potential claims/lawsuits in preparation of notice to General Counsel’s Office.
Facilitate case evaluations before the Claims Commission in coordination with General Counsel’s office.
Demonstrate strong organizational, analytical and critical thinking skills and a commitment to accurate and timely reporting, excellent follow through and responsiveness to staff inquiries regarding policies.
Participate in Ethics Consultations and Complex Case Reviews as needed.
Execute risk holds and adjustments (HB and PB) with the billing department in a timely manner.
Communicate post event/complaint investigatory findings to patients as appropriate and as instructed.
Engage in timely and professional communication with medical staff, nursing department, service line directors/managers, and front line staff regarding clinical risk issues.
Assist patients and families who have lost items during the course of hospitalization at UAMS Medical Center.
Answer phone, email, and in-person inquiries regarding lost items.
Accept found items from multiple sources and enter into the intra-departmental computerized tracking system.
Perform administrative functions required to ensure proper accounting and record keeping of all items received and distributed.
Utilize EPIC to review medical record and confirm accuracy of information entered into patient safety database regarding sentinel events.
Facilitate RCAs as directed.
Participate in adverse event case review by communicating medical record review findings verbally and through standard consultation with patient safety medical record review team, while utilizing judgment of urgent need meeting time constraints and expectations.
Participate in all RCAs involving sentinel events.
Participate in Adverse Events Committee review
Collaborate with stakeholders (units, departments, service lines, and committees) to establish robust action plans following adverse or sentinel events.
Problem solve with medical staff and appropriate departments when risk and safety issues arise.
Utilize customer service orientation skills and manage communication effectively with various levels of hospital personnel and outside customers.
Provide ongoing education to all UAMS employees regarding use of the patient safety event reporting system, patient safety topics, and culture of safety.
Assist as assigned in presenting educational programs that promote HPI high reliability efforts and enhance organizational culture of safety aligning with institutional message creating momentum for change.
Work with Department of Patient Safety team members to create educational materials illustrating HPI error prevention tools, assist with Website build, and patient safety coach training.
Provide assistance and information to patients, families, and staff concerning patient rights and responsibilities.
Assist as needed with patient care coordination.
Align patients and families with appropriate resources for advance care planning and completion of advance directives.
Facilitate communication with appropriate stakeholders to resolve patient/family questions.
Act as liaison between patient/family and provider.
Perform other duties as needed.