Risk Manager

Neighborhood Healthcare•Escondido, CA

10d•$113,700 - $172,800•Hybrid

About The Position

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together. As a private, non-profit 501(C) (3) community health organization, we serve over 350k medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you. The Risk Manager will promote the development of facility risk management and patient safety programs across Neighborhood Healthcare, including identification of risk exposure, assessment, risk prevention, appraisal, education, and training. This role will ensure the safest possible environment exists for Neighborhood patients, employees, and visitors across all health center sites. Additionally, this role will develop and maintain systems within the organization to detect, monitor, prevent, organize, measure, investigate, report, and manage patient adverse events, incident reports, and other indicators of potential patient harm. This position is full-time and fully onsite for the duration of training. After the initial training period, the position will transition to a hybrid schedule(2 days/remote and 3 days/onsite).

Requirements

RN Associate's degree in nursing and 7 years of risk management or clinical experience within a healthcare setting required OR Bachelor's degree in nursing and 5 years of risk management or clinical experience within a healthcare setting required
Valid CA RN license required
Current Basic Life Support (BLS) certification though an American Heart Association (AHA)- Approved source is required upon hire and must be maintained as a condition of employment.
Two years training and/or presenting to groups experience required
Two years supervisory experience required
LVN Bachelor’s Degree in a related field required
Valid CA LVN license required
Current Basic Life Support (BLS) certification though an American Heart Association (AHA)- Approved source is required upon hire and must be maintained as a condition of employment.
Five years of risk management or clinical experience within a healthcare setting required
Two years training and/or presenting to groups experience required
Two years supervisory experience required
Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
Ability to use Microsoft applications at an expert level, including Outlook, Word, PowerPoint, and Excel
Knowledgeable about and experience with risk information management systems (RIMS)
Knowledgeable about and experience with implementation of creative and innovative risk management processes
Knowledgeable about and experience with the legal components of the risk management industry
Knowledgeable about and experience quality improvement process, tools, and techniques
Ability to perform quality measurement reporting, root cause analysis, and preventive risk management strategies, accrediting bodies standards, and state/federal regulations
Ability to recognize and analyze problems and make difficult choices under uncertain conditions
Ability to meet deadlines
Ability to identify, disclose, and management of the organization’s risk
Ability to listen, manage conflicts, and achieve compromise
Ability to successfully manage multiple tasks simultaneously
Excellent planning and organizational ability
Ability to work as part of a team as well as independently
Ability to work with highly confidential information in a professional and ethical manner
Ability to demonstrate advanced critical thinking skills
Ability to execute results within required deadlines
Ability to lift/carry 10 lbs/weight
Ability to stand for long periods of time

Nice To Haves

Risk management certification preferred
Experience in auditing for process improvement and/or quality assurance preferred
Experience in Database Management and systems preferred
Risk management certification preferred
Experience in auditing for process improvement and/or quality assurance preferred
Experience in Database Management and systems preferred

Responsibilities

Evaluates and reports incidents for severity, frequency, and probability of loss to appropriate administration, committees, and personnel
Develops and maintains an incident reporting system by establishing a comprehensive incident reporting plan of policies, educational programs, and reporting methods for all areas within Neighborhood
Directs information on incidents to medical staff and nursing peer review processes
Uses industry risk management benchmarking data to compare various key performance indicators, such as patient access responses and quality/service complaints
Directs the risk investigation of all identified events, including patients, visitors, employees
Develops loss control measures relating to patient care complaints, including access to medical care and the provision of services and treatments
Documents and presents patient safety summary information to the Corporate Compliance Officer with an opinion as to potential for litigation
Manages legal documentation and computerized files to ensure appropriate documents are delivered in a timely manner to various organizations upon request
Develops and implements preventative risk management programs, including educating and training staff in appropriate procedures, documentation, reporting, and follow-up in key areas of risk management interest
Acts as the facility’s expert resource in risk reduction and keeps abreast of trends in the industry
Conducts risk assessments across the organization and uses the results to formulate future goals and objectives for the risk management functions
Builds and maintains trusting relationships with both internal and external customers to enhance communication regarding risk and safety
Maintains chain of custody on all medical records with outstanding claims and maintains evidence, documents, and communications on legal cases in a confidential manner, including sequestering medical records, as needed
Acts as the primary spokesperson for the facility to persons with complaints that may be considered a potentially compensable claim, including aiding the patient advocate and/or site leadership in analyzing patient complaints and directs inquiries to appropriate personnel
Acts as liaison to outside litigation counsel in the management and investigation of filed lawsuits and related litigation processes, as needed
Conducts annual reviews and updates of the risk management plan and related policies
Leads the Risk Management committee to reduce organizational risk, including informing appropriate individuals of significant cases
Works with providers and clinicians to control risk and related issues
Prepares documentation and promotes compliance with internal policies and external regulations regarding areas of risk management responsibility, including sentinel events and root-cause analyses
Develops statistical and qualitative reports on risk management trends/patterns and communicates this information to appropriate audiences
Consults with personnel on bioethical dilemmas by reviewing applicable policies and providing education regarding patient’s rights
Promotes compliance with all applicable regulations, including Safe Medical Devices Act (SMDA), Cal-OSHA and Health Insurance Portability and Accountability Act (HIPAA)
Oversees, educates, and supervises assigned Risk Management staff
Serves as a resource to facility staff on issues related to risk management and patient safety
Develops annual goals for risk management functions
Ascertains that risks are minimized through follow-up and actions on all regulatory, insurance survey report recommendations, and deficiencies
Manages and maintains the incident reporting database and reporting process, including assigning incidents to appropriate individuals for investigation and follow-up
Processes feedback on incidents to direct the risk investigation of all potentially compensable events on behalf of patients, visitors, and employees
Contributes to the administration of the workers’ compensation program with Human Resources, specifically in return-to-work programs to reduce indemnity lost time accidents
Works closely with the insurance carrier claims department, Neighborhood leadership, and the Human Resources department to provide information related to legal documents
Participants as a member of appropriate committees where issues of quality, safety and organizational risk reduction may arise
Recommends or make decisions to hire, transfer, reward, discipline or terminate employees
Assesses training needs and promotes developmental activities
Conducts team meetings to promote communication, assess and resolve needs, and foster teamwork as needed
Evaluates, coaches, and develops team performance by using job requirements and competency assessments
Informs team of organizational activities and promotes mission and goals