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Under general direction of the Exec Director, directs & manages Risk Mgmt, Patient Safety, Accreditation & Licensing, & Medical Staff Services. Develops, plans, designs, delivers, evaluates, & improves an integrated clinical risk mgmt & patient safety system integrated across all in & out-patient departments in a medical center. Includes programs to achieve the proactive prevention, identification, elimination or reduction of the number & severity of clinical risks/losses. Meets regularly w/ medical center leadership including Exec Director, Medical Director, Medical Group Admin, Quality Director, Physician champions for quality & risk, etc to align medical center programs & initiatives w/ organizational business, clinical, & financial goals/objectives. Accountable for tracking the number & severity of risks/losses & serious incidents & for implementing risk reduction & loss prevention activities to meet performance targets related to patient safety/continuous quality improvement.
Essential Functions:
- The Director, Risk MGMT & PT Safety develops & manages an integrated strategy across all Med center clinical depts & associated out-patient depts that includes the development, utilization & assessment of uniform systems, processes/techniques, as well as policies /procedures & interventions to assess & identify risks, minimize/reduce or prevent losses/risks, meet defined performance mgmt/improvement targets/benchmarks, meet regulatory/accreditation standards related to Risk Mgmt, improve the quality of patient care, manage claims quickly, economically & effectively so as to minimize financial consequences /costsAlso directs Med Staff Services & develops systems & processes to ensure regulatory compliance in that area
- Works collaboratively w/ other Med center disciplines/depts (eg, Quality, Accreditation, Regulation & Licensing, Compliance, Member Services, Finance), & Regional depts (eg, Risk Mgmt, Claims/Legal, Environmental Health & Safety) to design & implement risk mgmt & loss prevention strategies & programs, as well as performance improvement programs
- Directs & manages the identification/measurement & assessment of risk through data collection, aggregation, quantitative & qualitative analysis & reporting of trends & unusual occurrences by key area, severity, location/dept & job; identification of performance gaps & improvement opportunities; utilization of standardized classifications/definitions to categorize reported incidents & causal factors
- Directs & manages the risk mgmt/liability reporting process, including quarterly & ad hoc reports presented to Med center committees, Service Area Leaders, Regional Leaders, national KP depts or boards, regulatory agencies & other organizations
- Directs & manages the establishment & effective functioning of the Risk Mgmt/Patient Safety Committee at each Med center by providing facilitation, reports, data analysis direction for investigations & special projects, consultative services/expertise, coordinating follow through & evaluation of performance improvement plans designed by the Committee
- Meets regularly w/ the Exec Director, Med Director, Med Group Admin & others to review legal claims & risk mgmt data, identify systems issues & take appropriate actions to resolve & prevent recurrence of identified issues
- Directs & manages the risk mgmt education, training, communications process/services by coordinating risk mgmt education/training programs for Hospitals/Health Plan & SCPMG providers
- For more details, refer Job Description
Qualifications:
THIS IS A REPOST OF 126780.
Basic Qualifications:
- Bachelor's Degree in nursing, health services administration, public or business administration or public health required.
- Master's Degree in one of the aforementioned fields preferred.
- Certified Professional in Healthcare Risk Management (CPHRM) required or certification obtained within one (1) year of hire date.
- Current and valid licensure as a Registered Nurse issued by the California Board of Registered Nursing preferred.
- Substantial (usually seven (7) years) experience in risk management with in an acute care medical center with minimum three (3) years in a supervisory/management role, including experience in planning, implementing, and evaluating risk management programs.
- Ability to demonstrate knowledge of governmental and regulatory standards/requirements/guidelines related to risk management; medical malpractice, tort principles and proceedings.
- Ability to demonstrate knowledge of, and utilize the principles, practices and techniques of patient safety, and risk management, including risk identification, assessment, audit design, analysis, treatment and evaluation of risk management processes and systems (including Root Cause Analysis and Failure Mode and Effects Analysis); quantitative and qualitative statistical analysis; hospital and outpatient medical care delivery; quality management/improvement principles, methods and techniques.
- Demonstrated ability to utilize effective oral and written communication skills.
- Demonstrated ability to utilize consulting, project management and leadership skills such as coaching/mentoring, as well as interpersonal skills such as facilitation, negotiating, and influencing.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.