PeaceHealth is seeking a Director of Clinical Risk Management RN- St. Joseph Medical Center for a 1.0 full time equivalent Exempt position. This position will be working Day shift with shift durations of 8 Hours .
Req ID: 174789
JOB SUMMARY
Oversees and administers the risk management activities for assigned network inpatient and outpatient facilities. Responsible for identifying, assessing and recommending actions for actual and potential exposures to the organization with a goal of improved patient safety and protection of the organization's assets. Ensures adherence to government regulations and accrediting body standards and implements policies and procedures necessary to support risk structures and processes.
Facilitates assigned network and PHMG leadership in the design, development, implementation, and monitoring of the risk management program, including effective systems which promote and support patient, caregiver and visitor safety, medical malpractice prevention and the health of the organization, ensuring alignment with PeaceHealth's mission and values.
Develops formal and informal mechanisms for risk identification, such as incident reporting, staff referrals, rounding, clinical and non-clinical department meetings attendance, medical record reviews, review of patient complaints, data trending, and review of pertinent quality improvement information.
ESSENTIAL FUNCTIONS
Serves as a working director for the assigned network. Handles day-to-day risk management operations and tasks including on call coverage, position vacancy support and contact with facility leaders, caregivers and patients. Rounds on facilities and assigned areas. Collaborates on caregiver and key patient safety activities.
Consults with caregivers on issues related to risk management, patient safety, and professional liability and other risks such as general liability and product liability. Serves as a liaison and problem solver to provide guidance for enterprise risk prevention for new clinical services, programs and equipment.
Handles escalated complaints and grievance management. Collects data, performs trend analysis and identifies areas of opportunity for improvement from the complaint log. Assists assigned clinical risk managers in closing complaints. Facilitates the network/facility grievance committee.
Develops statistical and qualitative reports on trends and patterns and communicates to appropriate audiences. Develops indices to monitor the effectiveness of the risk management program. Provides leadership with progress reports and data and recommendations.
Conducts risk assessments, audits, and investigations to identify potential loss exposures and develop/implement strategies for minimizing risk of loss through loss control programs, risk transfers or avoidance; develops corrective action plans; and recommends and monitors program implementation.
Handles recruitment, training, development, coaching and performance evaluations for direct reports. Performs ongoing needs assessment for each team member.
Participates in patient safety stops. Provides clinical risk management guidance in safety stops including disclosure of unanticipated events.
Participates in creating and/or developing policies and procedures in key areas of risk management, caregiver safety and patient safety for the communities served. Develops annual education programs and on demand education for all levels of staff. Utilizes various media tools such as Skype (or other products) to record and deliver education. Facilitates or co-facilitates FMEA studies as needed and RCA meetings for Serious Reportable events in collaboration with the patient safety consultant.
Performs investigation and responds to events, potential claims, and grievances presented against caregivers, physicians and the organization for liability and damages. Collaborating with Claims, collects documents and evidence and maintains work product in accordance with state legal requirements and sets up claim. Ensures collaboration and mitigation of risk to the organization's insurance coverage against liability and casualty loss. In collaboration with facility and system leadership promotes compliance with and reports as necessary to the Department of Health, State Board of Nursing, Pharmacy, Medicine, etc. Works closely with law enforcement agencies during high-risk investigations.
Collaborates with patient safety, medical and departmental caregivers to ensure timely risk management review and management of serious patient events and medical errors. Facilitates and/or co-facilitates the review of variances rising to a Sentinel Event, state and/or federal regulatory reporting and directs the communication of unanticipated events to patients and potential compensable events. Develops and maintains collaborative relationships with key departments to enhance the effectiveness of the program.
Serves as risk management representative to the Facility Quality and or Patient Safety Committee (including falls task force/team), Ethics Committee, Environment of Care, Grievance Committee and other assigned committees. Participates in emergency preparedness and disaster response.
Performs other duties as assigned.
QUALIFICATIONS
EDUCATION:
Bachelor's degree in nursing required.
Graduate of accredited State Board of Nursing program required.
Juris Doctorate preferred.
EXPERIENCE/TRAINING:
Minimum of seven years of clinical risk management experience required.
Minimum of five years of management experience required.
LICENSE/CERTIFICATION:
Certified Professional in Healthcare Risk Management (CPHRM) certification required within twelve months of employment.
OTHER SKILLS:
Advanced knowledge of state, federal, and accreditation requirements including but not limited to CMS Conditions of Participation for acute care and critical access hospitals,
General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA.
Proficient with MS Office applications and databases.
Excellent written/verbal communication skills.
Able to work flexible hours.
Knowledge of state healthcare rules and statutes, and state licensing requirements.
Experience and knowledge in use of administrative and quality data, with statistical validity preferred.
Participation in on-call coverage required.
Ability to travel to other PeaceHealth hospitals and clinics required.
Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.
About PeaceHealth
PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.
We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Bellingham community please visit our homepage: www.peacehealth.org/careers .
Location: Bellingham , St. Joseph Medical Center (216) Job Category: Leadership Shift: Day Shift Length: 8 Hours FTE: 1.0 Work Type: Full Time Required Certifications/Licensure:
PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.
The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.
Posting Notes: Bellingham || Leadership || Business, Administrative, & Facilities Leadership || Full Time || RISK MANAGEMENT
Internal Number: BTI-174789
About PeaceHealth
PeaceHealth Physicians are as diverse as the communities they serve, but have the following in common:Dedication to carrying on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering and treating each person in a loving and caring way.A shared vision of every patient receiving exceptional, compassionate evidence-based care, every time, every touch.
