Under the direction of the Director of Risk Management, is responsible for planning, organizing, communicating, evaluating and implementing the Risk Management program of Sparrow Hospital. Assists with ongoing compliance with other standards and guidelines of healthcare regulatory agencies.
This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
Develops, communicates, monitors and evaluates Risk Management program and activities to motivate others to achieve Risk Management and patient safety goals.
Receives identified and reported problems, including occurrence reports and other serious issues, conducts follow-up investigations, with appropriate individuals and assists in resolution.
Reviews medical records for follow-up on potential liability or risk issues.
Develops and maintains systems to track, analyze and report occurrences and makes recommendations regarding prevention strategies based on this information.
Conducts investigations and assists in leading Serious Safety Event meetings.
Assists in leading Root Cause Analysis (RCA) process meetings for identified sentinel events or high severity occurrences.
Maintains an atmosphere that supports and ensures continual dedication toward improved Risk Management and patient safety throughout the Health System.
Conducts and coordinates education/training programs relative to Risk Management and patient safety requirements and/or needs based on identified trends.
Maintains a constant two way flow of communication between the Risk Management programs and key areas throughout the Hospital and Health System and with outside vendors, insurance company representatives, etc as appropriate.
Addresses issues forwarded from Patient Experience related to quality of care concerns.
Meets with families and participates in disclosures and communications with families.
Must be available periodically for after hours phone calls relating to urgent patient issues relating to Risk Management, ethical or legal questions.
Assists in developing and reviewing departmental and administrative policies and procedures.
Prepares reports for and serves on Hospital and Health System committees, as assigned.
Clearly communicates the mission, vision, and values of the organization to all Caregivers.
Integrates Risk Management activities with the Performance Improvement process.
Exercises discretionary judgment when acting as a resource and providing direction to Hospital departments in responding to Risk Management issues
Conducts investigations assigned by and under the direction of the Director, Risk Management.
Refers cases, as appropriate, to the professional staff peer review process.
Assists in developing practice guidelines and Risk Management notification indicators for high-risk areas.
Assists in the carrying out of administrative responsibilities of the department, including budget, preparation and monitoring, assessment of workflow and reporting requirements, etc.
Performs other related duties, as assigned by the Director, Risk Management and/or Peer Review Committees
*If clinical, must maintain license/certification
See Education Section
*Bachelors degree in Business, Nursing or Health Care related field and a minimum of 4 years in healthcare environment in one of the following areas: patient care, healthcare risk management, patient safety, healthcare claims management, process improvement or quality OR Associate's degree in Business, Nursing or Health Care related field and a minimum of 6 years in healthcare environment in one of the following areas: patient care, healthcare risk management, patient safety, healthcare claims management, process improvement or quality or High school diploma and a minimum of 8 years in healthcare environment in one of the following areas: patient care, healthcare risk management, patient safety, healthcare claims management, process improvement or quality
Specialized Knowledge and Skills
*Effective analytical and oral/written communication skills *Ability to work in a team environment and independently *Ability to handle multiple projects simultaneously *Outstanding interpersonal communication and written skills *Ability to speak effectively with unfamiliar, upset or angry patients, families, customers *Excellent listening and problem solving skills *Demonstrates ability in word processing, spreadsheets, and data input. (Microsoft Word, Access, Excel) *Familiar with hospital operations, professional and general liability risk issues and professional standards of practice to serve as a resource for staff and physicians. * Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job. *PREFERRED - Experience in Risk Management or dealing with medical/legal issues. *PREFERRED - Registered Nurse *PREFERRED - Healthcare Risk Management certification
Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.