Clinical Risk Manager III

Join our team at Cleveland Clinic Indian River Hospital, and experience world-class healthcare at its best. Cleveland Clinic Indian River has been recognized as one of the top regional hospitals in South Florida. Indian River Hospital is in sunny Florida’s Treasure Coast where it is committed to providing optimal family-centric and community-focused care. At Indian River Hospital, you will be part of a collaborative, compassionate, and innovative team of caregivers. You will work with state-of-the-art technology and will build a rewarding career with one of the most respected healthcare organizations in the world.     

We are looking to add a Clinical Risk Manager to the team. The Manager directs the organization's clinical risk management program on a day-to-day basis and implements clinical risk management initiatives to ensure operational alignment with assigned Hospital/Institute and organizational objectives. You will coordinate with nursing, care management, medical staff, and others as appropriate to ensure compliance with all standards and favorable performance clinical risk management metrics. 

A caregiver in this position works Days Calls, from 8:00am—5:00pm 

Responsibilities:

• Safety Event Reporting System (SERS) Event Management: Appropriately manages event reports for assigned Institutes or Hospitals per CRM process, accurately codes, investigates, and analyzes trending data.
• Collaborates with leadership and support teams to develop and achieve clinical risk management goals and accomplish duties assigned to the role.
• Incorporates enterprise priorities and regulatory requirements and benchmarks.
• Conducts and facilitates Root Cause Analyses (RCA); identifies root cause and causal factors of events.
• Identifies organizational risk through RCA trend analysis, themes, and patterns; identifies/articulates opportunities for improvement.
• Facilitates implementation of standardized and highly reliable processes.
• Trends RCA themes and patterns; identifies/articulates opportunities for improvement.
• Prepares professional reports and documentation required for CRM role on a timely basis.
• Serves as mentor/preceptor for new team members.
• Assists with coaching healthcare providers or facility leaders regarding unanticipated outcomes.
• Applies management processes for disclosure of unanticipated outcomes and medical errors.
• Follows-up with patients and families when appropriate and works proactively toward early resolution with other appropriate parties, as necessary.
• Serves as resource for risk related issues/information to facilitate adherence to standards, policies, rules, and regulations.
• Prepares professional reports and documentation required for CRM role on a timely basis.
• Participates in Enterprise Committees representing Clinical Risk Management.
• Presents risk and safety data and mitigation strategies throughout the sub-market and Enterprise.
• Identifies and effectively communicates with members of the Law and Enterprise Risk and Insurance (ERI) Departments regarding potential quality of care, safety, patient experience, regulatory and insurance concerns.
• Develops, presents education sessions upon request or with identified need.
• On-call responsibilities to provide 24/7 CRM consultation coverage per established CRM department process.
• Other duties as assigned.

Education:

• Registered Nurse (BSN) or bachelor's degree in a health sciences discipline is required.
• Other licensed clinicians will be considered with commensurate education, knowledge & skills, and acquired work experience.
• Master’s or other advanced degree strongly preferred.

Languages:

• English.

Certifications:

• Registered Nurse (RN) licensure preferred.
• Current certification as Certified Professional in Healthcare Risk Management (CPHRM) required.
• Current FASHRM, DFASHRM, CPPS or CPHQ certification, or other advanced education in the field of quality strongly preferred.

Complexity of Work:

• Demonstrated the ability to successfully fill lead CRM role and supervisory responsibilities.
• Requires strong leadership, interpersonal, and coaching skills.
• Requires strong critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
• Must be able to manage a stressful, fast-paced environment, take appropriate actions, and have demonstrated ability to work as an effective team member.
• World Class Service Orientation: Includes attitude, behavior, interpersonal skill, and problem solving that enable an employee to respond to internal and external customer needs and expectations in a positive manner.
• Adaptability: Includes teamwork and flexibility needed to fulfill job responsibilities including adapting to changes in work environment and accepting supervisory feedback.
• Efficiency and Effectiveness: Includes quantity and quality of desired work, as well as organization skills necessary to perform successfully.
• Essential Job Requirements: Includes adherence to all relevant policies, procedures, and guidelines affecting the work environment, including maintenance of required competencies and communication skills.

Work Experience:

• Minimum five (5) years clinical experience required. Leadership experience preferred.
• Minimum three (3) years of experience in Clinical Risk Management required.
• Other field related experience with commensurate education, licensure, knowledge & skills, and acquired work experience may be considered.

Physical Requirements:

• Ability to communicate and exchange accurate information.
• Ability to perform work in a stationary position for extended periods.
• Ability to work with physical records or operate a computer or other office equipment.
• In some locations, ability to travel throughout the hospital system.
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follow Standard Precautions using personal protective equipment as required for procedures.