Director, Clinical Risk Management Behavioral Health

Director, Clinical Risk Management/Solutions - Behavioral Health

Who we are:

At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60 community hospitals, 60 rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.

What you’ll do:

The Director, Clinical Risk Management is responsible for improving the quality and safety of healthcare services by identifying the circumstances and opportunities that put patients, and possibly the Company, at risk of harm; takes action to prevent or control those risks.

Responsibilities:

• Collaborate with hospital, practice managers, health support center (HSC) representatives, insurers, attorneys and others to serve as a resource and subject matter expert (SME) for all items related to clinical risk management.
• Consult and collaborate with hospital leaders, risk managers and HSC stakeholders on a broad scope of clinical risk management issues.
• Establish and propose clinical risk management goals and initiatives for risk reduction and any policies and procedures to accompany.
• Review professional and general liability events / claims to identify opportunities to manage risk, prevent loss and refer compliance, legal or other related concerns to subject matter experts.
• Conduct investigations, collaborate with any Medical Staff members, Administrators, Directors, and Staff to measure, assess and improve processes and outcomes to effect improvement.
• Serve as a resource and SME to ensure compliance with regulatory requirements including but not limited to The Joint Commission (TJC), Department of Health (DOH), and The Centers for Medicare & Medicaid Services (CMS).
• Educate leaders and stakeholders within the hospitals and HSC in the essentials of risk management, emerging trends, and identified opportunities and strategies to prevent loss.
• Participate in HSC committees, workgroups and councils to develop resources for LifePoint affiliates that incorporate sound risk management guidance. May serve on work groups and committees.
• Perform benchmarking and analyze risk management claims data to identify trends, opportunities and understanding of comparative information to communicate with appropriate stakeholders throughout the Company.
• Support and ensure the implementation of Clinical and Risk programs, practices and policies and procedures across the Company.

What you’ll need:

Education: Bachelor's Degree in Nursing or related health care field.

Experience: Minimum of 7 years with 3 years' experience in Risk Management/Quality Focus preferred.

Certifications: Certified Professional in Healthcare Risk Management (CPHRM) preferred.

Licenses: Registered Nurse (RN).

Why choose us:

As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: “Making Communities Healthier.” In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.

Benefits: We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.