RISK MANAGER

UHSMADERA, CA
Onsite

About The Position

Under the supervision of the Director of PI/RM/CO, the Facility Risk Manager (FRM) has broad responsibility to protect the hospital's assets from loss. The FRM is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed so as to comply with guidelines and standards of The Joint Commission (TJC), other regulatory agencies, and the UHS T.E.R.M.© Program. The FRM is responsible for overseeing and monitoring the facility-wide Risk Management Program and assist in Regulatory Compliance program to ensure compliance with all regulatory and accreditation agencies including TJC, Center for Medicare and Medicaid Services (CMS), California Department of Public Health (CDPH) as well as any other applicable state and federal laws and regulations governing mental health care facilities.

Requirements

  • Graduate from an accredited program of professional nursing required; Bachelor's Degree Required
  • Currently licensed to practice by the California State Board of Nursing.
  • CPR certification
  • Successful completion of Crisis Prevention Intervention (CPI) training. CPI Training may be obtained during new hire orientation.
  • A strong knowledge of TJC, CMS, Occupational Safety and Health Administration (OSHA) and Patient Rights standards.
  • Knowledge of Joint Commission Standards, EMTALA, and HIPAA laws

Nice To Haves

  • A minimum of three (3) years of experience in a behavioral health-care facility.

Responsibilities

  • Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Review Reporting system (occurrence notification system); enters/ reviews/ edits incidents into the MIDAS Database.
  • Receives and investigates reports of problems to determine appropriate response and establish record-keeping responsibilities.
  • In the event of patient injury, establish direction from Corporate Risk Management in the appropriate action for defense strategy.
  • Networks with department managers to implement system changes aimed at optimally reducing or eliminating causative factors.
  • Interfaces with the Performance Improvement Director, specific to the provision of patient care, and assessment of quality data.
  • Notifies the Corporate Risk Manager of all Level III and IV events and completes Adverse Event Report (AER) for all Level III/IV events in Enterprise and submits the AER for review by the Corporate Risk Manger within 8 business days of the incident/notification of the incident.
  • Assists the Corporate Risk Management as needed to intervene, document and assist in the investigation of all claims.
  • Participates in facility Environmental Safety Rounds for all patient care areas, including outdoor use/grounds areas of facility at least monthly.
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