Risk Manager

Virginia Information Technologies Agency•Petersburg, VA

12d•$59,508 - $82,121

About The Position

The Risk Manager manages the facility-wide, interdisciplinary risk management program at Hiram Davis Medical Center. The program addresses risk identification, reporting, analysis, investigation, and reduction. The role collects, evaluates, and distributes information about client and staff injuries and other risk issues; recommends and monitors risk-reduction strategies; 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 coordinates insurance carrier surveys and plans of correction, prepares required documentation and reports for CMS, DBHDS, and OIG, and prepares event summaries for the Quality and Safety Committee. The Risk Manager also submits detailed findings and recommendations addressing operational deficiencies and helps ensure that exposures requiring insurance coverage are inventoried and coordinated with DBHDS. The role provides monthly risk management training to new and existing employees, prepares investigation summaries and transmittal memos with supporting evidence and findings for the Facility Director/CEO and Human Rights Advocate, and briefs those parties as needed. The position serves on multiple committees, including the agency Safety Committee. Performance planning and evaluation requirements, including established deadlines and documentation, must be met.

Requirements

Knowledge of rules and regulations governing risk management programs, including state and federal requirements regarding 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 experience 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 records (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 the 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 interdisciplinary, facility-wide risk management program, including risk identification, reporting, analysis, investigation, and reduction.
Collect, evaluate, and distribute data on client and staff injuries and other risk management issues.
Recommend risk-reduction and management strategies and monitor their implementation.
Conduct event investigations, root-cause analyses, follow-up, and Failure Mode and Effects Analysis (FMEA).
Coordinate insurance carrier surveys and plans of correction in response to survey findings.
Prepare and submit documentation and reports according to established timelines and requirements of CMS, DBHDS, and OIG.
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.
Submit detailed reports of findings and recommendations to resolve operational deficiencies.
Collaborate with appropriate parties 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 activities, including documentation, meeting timeframes, gathering evidence, and interviewing.
Prepare and submit signed and dated investigation summary reports and transmittal memos, including documentary evidence and a finding recommendation, to the Facility Director/CEO and Human Rights Advocate, and to the Office of Quality Improvement as needed or requested.
Brief the Facility Director/CEO and Human Rights Advocate, and the Office of Quality Improvement as needed or requested.
Serve on multiple committees, including the agency Safety Committee.
Meet performance planning and evaluation system requirements and complete evaluations by established deadlines with proper documentation.