Title:  Director, Clinical Risk Management II 1 Job

Summary

Responsible for the clinical risk management program and proactive risk assessment at the assigned facility(s).  This includes, but may not be limited to, administering the clinical risk management program on a day-to-day basis, managing and analyzing risk management data, conducting risk management educational programs, and complying with risk management related standards by JCAHO and regulatory agencies with the overall objective of promoting patient safety, enhancing quality of care and minimizing loss to protect the assets of the facility. Facilitates investigation of significant (sentinel) events and regulatory complaints/inquiries and participates in formulating policy and/or organizational changes. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Education/Experience/Licensure

Knowledge/Skills/Abilities

• Knowledge of regulatory and reporting requirements related to clinical risk with exposure to claims issues.
• Proficient in the use of Microsoft applications (Word, PowerPoint, & Excel) and experience with database systems.
• Ability to work independently, exercise appropriate action and good business judgement.
• Ability to manage multiple priorites, organize tasks, and maintain control of work flow.
• Ability to evaluate abstract medical data and effectively analyze the data, identify problems, and make recommendations.
• Requires an exceptional communicator to effectively collaborate with all levels of Associates, management, physicians, patients and their familities.
• Ability to lead and motivate individuals and groups toward the accomplishment of assigned tasks and organizational goals.

Key Job Responsibilities

• Develops, coordinates, and administers facility-wide systems for risk identification, investigation and reductions.  Performs risk assessments and inspects patient care areas, and reviews claims data to assess loss potential.
• Represents Clinical Risk Management on safety, quality and other committees; partners with other healthcare team members to recommend and implement procedures that promote patient safety and limit liability exposures.
• Reports, investigates, collects, evaluates and distributes relevant data concerning incident reporting, near miss reporting, and significant events.  Aggregates data and prepares reports and analyses to review progress and trends. Recommends corrective actions based on individual reports or trends.
• Directs or investigates risks involving actual or potential injury or harm to patients and visitors; collects information necessary to prepare reports for administration and claims department.  Collaborates with claims department to respond to claims or inquiries.
• Oversees or reports patient care incidents as required by law; directs investigations and developments of corrective action plans; submits required reports to state and federal agencies.
• Collaborates with Clinical Education Services & Organizational Development to present in-service education on clinical risk management topics to include both standard basic education and complex focused topics designed to minimize the frequency and/or severity of safety hazards and liability exposures.
• Partners with other team members in investigating, reporting and resolution of significant (sentinel) events and regulatory complaints/inquiry.
• Conducts or participates in proactive analyses to uncover and identify patterns that could result in liability.
• Develops staff though orientation, training and education related to Clinical Risk Management.
• Provides leadership, authority, and accountability for Clinical Risk Management throughout the facility.

Physical Requirements

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.