Risk Manager

DHRM•Petersburg, VA

11d•Onsite

About The Position

The Risk Manager manages the interdisciplinary, facility-wide risk management program at Hiram Davis Medical Center. The program addresses risk identification, reporting, analysis, investigation, and reduction. The role collects, evaluates, and distributes data on client and staff injuries and other risk issues; recommends risk-reduction strategies and monitors their implementation; and processes patient, employee, and visitor events. The position conducts event investigations, root-cause analyses, follow-up, and Failure Mode and Effects Analysis (FMEA). It prepares and submits required documentation and reports within established timelines and according to CMS, DBHDS, and OIG requirements. The Risk Manager coordinates insurance-carrier surveys and plans of correction, helps maintain an inventory of exposures requiring insurance coverage, and coordinates coverage needs with DBHDS. The role prepares event summaries for the Quality and Safety Committee and detailed reports with recommendations to address operational deficiencies. It provides monthly risk management training to new and existing employees, serves on committees including the agency Safety Committee, and completes investigations with appropriate documentation, evidence, interviews, and timelines. Investigation summaries and transmittal memos, including findings and recommendations, are submitted to the Facility Director/CEO and Human Rights Advocate, with the Office of Quality Improvement involved as needed or requested. The Risk Manager also briefs these parties when additional information is needed. The position is subject to the performance planning and evaluation system, including completing evaluations by established deadlines with appropriate documentation.

Requirements

Knowledge of rules and regulations governing risk management programs, including state and federal requirements related to Joint Commission and CMS standards.
Strong analytical and problem-solving skills, including the ability to interpret complex data, identify trends, and implement solutions.
Project management and organizational abilities, including managing multiple priorities in a fast-paced environment.
Excellent written and verbal communication skills and the ability to present information effectively to diverse audiences.
Proficiency in quality improvement methodologies such as Lean, Six Sigma, or PDSA/PDCA cycles.
Experience with electronic health record (EHR) systems and health information management.
Comprehensive knowledge of HIPAA regulations and healthcare privacy and security requirements.
Advanced proficiency in data analysis, statistical methods, and healthcare metrics.
Demonstrated experience in policy development, implementation, and management.
Ability to review clinical documentation to determine compliance with standards of care.
Significant experience reviewing Mortality and Morbidity cases.
Strong independent decision-making skills and ability to work autonomously.
Proficiency in PC applications and healthcare-specific software.

Nice To Haves

Master's degree in healthcare administration, public health, or a related field.
Extensive background in healthcare quality management or compliance.
Professional certification in healthcare quality (CPHQ), compliance (CHC), or risk management (CPHRM).
Lean and Six Sigma certifications.
Proficiency with electronic health record (EHR) systems and data analytics.
Demonstrated project management skills and leadership of cross-functional teams.
Experience in behavioral health or psychiatric care settings.
RN license with a minimum of five years of direct clinical experience is strongly preferred.

Responsibilities

Manage the facility-wide risk management program, including risk identification, reporting, analysis, investigation, and reduction.
Collect, evaluate, and distribute data regarding client and staff injuries and other risk management issues.
Recommend risk-reduction and management strategies and monitor their implementation.
Investigate events, conduct root-cause analyses and FMEA, and perform follow-up.
Coordinate insurance-carrier surveys and plans of correction in response to survey findings.
Prepare and submit documentation and reports in accordance with established timelines and CMS, DBHDS, and OIG requirements.
Receive, evaluate, and process patient events and recommend action when necessary.
Evaluate employee and visitor events and recommend action when necessary.
Prepare event summaries for the Quality and Safety Committee and in-depth findings and recommendations to address operational deficiencies.
Collaborate to maintain an inventory of exposures requiring insurance coverage and coordinate coverage needs with DBHDS.
Provide monthly risk management training to new hires and ongoing training to existing employees.
Complete investigation documentation, meet investigation timeframes, gather evidence, conduct interviews, and submit signed and dated investigation summaries and transmittal memos with documentary evidence and findings recommendations.
Brief the Facility Director/CEO and Human Rights Advocate, involving the Office of Quality Improvement as needed or requested.
Serve on various committees, including the agency Safety Committee.
Meet performance planning and evaluation system requirements and complete evaluations by established deadlines with proper documentation.