Risk Manager

Surgery Partners, Inc•Lubbock, TX

4d•Onsite

About The Position

Lubbock Heart & Surgical Hospital is seeking a dedicated Risk Manager to join their team. This role is responsible for the day-to-day operations of the risk management program, including enterprise risk approach, loss control, loss prevention, and patient safety. The Risk Manager will identify strategies to enhance healthcare operations, reduce risks, and support facility risk assessments. They will provide consultation to leadership, staff, and physicians, and manage occurrence reports to assess risk and liability potential. The position involves analyzing data to identify risk trends, collaborating with the Quality Director on patient safety events, and developing and presenting risk management training. The Risk Manager will also participate in the disclosure of adverse clinical outcomes, serve on committees, and ensure compliance with various codes, laws, rules, and regulations. This includes managing compliance with the medical device program (SMDA) and other regulatory duties. The role also involves reviewing high-risk patient complaints, assisting with claims and suits, liaising with insurance services, supporting safety incident investigations, and recommending policy amendments. Participation in Emergency Preparedness initiatives and support for system and facility goals are also key aspects of this role. The position also emphasizes promoting professional growth through certification and continuing education.

Requirements

Graduate of an approved school of nursing. Currently RN licensed in the state of Texas. BCLS and ACLS required.
Healthcare-related Baccalaureate degree required (BSN preferred).
Minimum of five (5) years of progressive experience in a hospital-based clinical role.
Minimum of two (2) years’ experience in a clinical risk management role or equivalent experience in healthcare managerial role, or a medico-legal role.
Knowledge of Risk management principles and key functions and general knowledge and familiarity with healthcare related regulatory and accreditation requirements.
Ability to demonstrate flexibility, discretion and exercise emotional maturity in difficult situations, and work collaboratively and independently to achieve results.
Strong written and oral communication skills, presentation skills, and leadership skills required. The ability to organize, build and effect change through use of data, influence, and working with teams and the ability to influence change without direct authority.
Conflict management and negotiation skills a plus

Nice To Haves

Certified in Healthcare Risk Management (CPHRM) highly preferred.

Responsibilities

Has full responsibility for day to day operations of the risk management program that includes an enterprise risk approach to exposures, loss control/loss prevention activities and patient safety.
Accountable for identifying strategies and solutions to enhance the healthcare operations environment and initiates techniques to reduce exposures to risks inherent in such environment.
Support and coordination of facility risk assessments.
Provide consultation and assistance to facility leadership, staff, and physicians on day to day risk management issues and provide assistance to System Legal and Risk Management Services as needed.
Review and “triaging” of all occurrence reports in RL Solution, related to patient, visitors and non-employee events to assess the risk/liability potential, direct the issues to the most appropriate function for investigation or resolution.
Review and analyze occurrence data, claims data, and other data sources for risk related trends and report to facility leadership and System Risk Management, and develop targeted initiatives to address risk trends.
Collaborate with Quality Director in the identification and analysis of Patient Safety Events and serve as Risk Management representation in the Quality Filter process and on quality committees as needed.
Proactively identify risk management related training and education needs and plan, develop and present training designed to minimize the frequency and reduce the severity of actual and potential risks.
Participate in or lead in the disclosure of unexpected/adverse clinical outcomes; Provide education and training on the disclosure process and policy to key management and physicians who will participate in patient disclosures.
Serve on appropriate clinical and non-clinical committees where risk management expertise is beneficial in a capacity of expert advisor or consultant or attend as appropriate based on availability.
Review, monitor, manage, and investigate compliance with various codes, laws, rules and regulations mandated by state and federal agencies or enforcement authorities, including compliance with the medical device program (SMDA) standards and other regulatory duties as defined by System Risk Management and System Legal Services.
Review high-risk patient complaints and/or grievances that may be the source of potential legal action, discuss and offer solutions when possible to resolve patient and/or family grievances perceived as potential liability claims in collaboration with patient representatives. This excludes general Customer Service complaints.
Assist System Risk Management in the coordination of information gathering and interviews related to claims and suits and interact with legal counsel as needed.
Serve as a liaison between System Insurance Services and facility regarding actual and potential claims related to physical losses.
Support the investigation of safety or security incidents in collaboration with Occupational Health and Safety, or Security as appropriate and participate in facility based safety committees where risk management expertise may be beneficial.
Review and recommend new or amended policies and procedures including providing support for the policy and procedure committee.
Participate in and support Emergency Preparedness initiatives.
Support system Risk Management goals and objectives as well as facility-based goals which contribute to the achievement of the overall strategic objectives of the organization.
Promote individual professional growth and development by meeting requirements for professional certification in healthcare risk management, required continuing education, and skills competency.
Other duties as assigned