RN, Risk Management Specialist, Adventist Health Central Coast

LOCATION SUMMARY:

Sierra Vista

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had. 

Twin Cities

Located in Templeton amongst the oak trees, Adventist Health Twin Cities has been serving northern San Luis Obispo County since 1977. Comprised of a 122-bed acute care facility, our team provides exceptional care in emergency medicine, orthopedics, obstetrics, digestive disorders, wound care, and various medical, surgical and outpatient services. Locals enjoy weekly farmers markets in downtown Templeton, farm-to-fork dining, beautiful landscapes for hiking and biking, and beach days just fifteen minutes away at Cambria and Morro Bay.

POSITION SUMMARY:

Coordinates and supports the administration of the risk management program for the organization. Develops and implements appropriate measures to identify and minimize the risk of injury to patients, visitors and staff, and to minimize loss or damage to property. Support and participates in the Patient Safety process by coordinating individual files and trend data for issues for referral to ensure compliance with regulatory requirements. Acts as a technical subject matter expert in own and possibly related discipline(s). Has substantial understanding of techniques, processes, procedures to perform the job and seeks to complete tasks in creative and effective ways. Runs program(s) with moderate budget/impact.

JOB REQUIREMENTS:

Education and Work Experience:

• Bachelor's Degree in Nursing (BSN): Preferred

Licenses and Certifications:

• Registered Nurse (RN) licensure in the state of practice: Required

ORGANIZATIONAL REQUIREMENTS:

Adheres to the Adventist Health Mission, Vision and Values statements. Complies with behavioral standards, policies, procedures and handbooks established by the organization and their respective ministries. Abides by the guiding principles of the Code of Conduct.

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

ESSENTIAL FUNCTIONS:

Supports the development and implementation of the existing risk management programs to be consistent with the established philosophies and procedures of the organization. Reviews and analyzes incident reports to evaluate event severity and identify potential system/process deficits via exercising critical thinking skills and clinical judgment; assesses completeness of relevant information in incident reports and performs review of corresponding medical charts as necessary to determine report ability according to regulatory criteria and clinical interpretations.

Coordinates and assures efficient and effective occurrence review and claim file management. Evaluates practice patterns, interventions, outcomes, and regulatory compliance. Prepares case summaries, and timelines with the goal of identifying proactive risk reduction opportunities to improve patient care and mitigate legal risks. Collaborates with the hospital-wide Accreditation Tracer program for activities that aims for risk reduction and prevention in clinical practice and the care environment, as assigned by the department Director.

Creates aggregate reports as assigned for trending of incident types, severity, and preparing action/resolution proposal based on emerging issues via facilitating discussions with relevant department leaders. Develops education strategy/content aiming to mitigate legal risks associated with practice and environmental safety gaps for optimal patient safety, clinical outcome and regulatory compliance.

Analyzes information, reaches decisions, takes appropriate action, and follows through, based on review of incident reports, legal case investigation, and hospital-wide risk/compliance-related aggregated data. Utilizes the electronic medical record to identify co-morbidities, complications, and compliance with hospital policies and procedures as well as community standards of care. Contributes to better understanding and interpretation of criteria for case review.

Participates in national databases submission via evaluating practice patterns, interventions, outcomes, and regulatory compliance. Leads out in preparing case summaries, timelines, initial RCA for complicated cases with the goal of identifying proactive risk reduction opportunities to improve patient care and mitigate legal risks. Provides risk management information on medical and health staff to medical staff services for use in the credentialing process.

Performs other job-related duties as assigned.