What are the responsibilities and job description for the Risk Manager- Full Time position at Summit Healthcare?
The primary responsibility of the Risk Manager is to protect Summit Healthcare Association’s interests and contribute to the quality of patient care by minimizing risk across the Association’s sphere of influence. This position is responsible for developing and implementing strategies for risk management in Summit Healthcare Association.
Essential Functions
- Assists the Quality-Risk Director by serving as liaison for liability claims actions by:
- Evaluating medical records and other documentation involved in exploring and defending against liability claims.
- Identifying and interviewing employees involved in the alleged incident(s) and creating an overview of the event.
- Obtaining photographs, documents, names of potential witnesses, etc. for use by the Association’s attorneys.
- Assisting Council’s paralegals and assistants with scheduling, obtaining clearances and other materials necessary for Summit’s legal defense.
- Collaborates with department leaders to perform risk assessments and develop targeted risk mitigation processes.
- Facilitates and participates in process improvement activities to achieve optimal financial, operational, clinical and satisfaction outcomes.
- Educates members of the Association’s team about risk concepts.
- Assists the Patient Advocate with complicated patient and customer complaints through investigation, problem management and resolution recommendations, including financial restitution.
- Coordinates data collection for submissions of Association applications for risk financing – fiduciary, general and professional liability, property, vehicle, storage, crime and umbrella policies.
- Assists with the ongoing preparation of the Executive Quality Meeting.
- Monitors recall and hazardous use bulletins and works with the Materials Management Director with specific information regarding current issues.
- Reviews medical records for indications of malfeasance, fraud or theft and for liability issues associated with real or potential complaints.
- Reviews the Association’s incident reporting documents regularly and participates in investigation, assignment and/or resolution of reported issues.
- Strives to identify and mitigate liabilities throughout the Association.
- Assists with Worker’s Compensation program as needed.
- Conducts risk management rounding regularly.
- Implements processes related to best practices for Risk Management (such as Leapfrog processes).
- Assures quality and safety in patient care practices by providing an environment that promotes reporting of patient occurrences and staff involvement in process improvement and creation of best practices for patient care.
- Responsible for supporting a Patient Safety Plan that fosters an environment focusing on processes and outcomes rather than individual blame and ensures that safety is a priority in the design and redesign of services.
- Decisions are made within broad interpretation of applicable laws and governmental guidelines and information disseminated throughout the healthcare system.
Other Duties
- Partially accountable for long-range operational planning.
- Completes projects assigned by the Administrative team.
- Mentors new managers.
- Collaborates and attends meetings with outside agencies as needed.
- Participates in departmental and association wide informational meetings and inservices, including staff meetings, association wide forums, and seminars.
- Reviews department and association wide policies and procedures annually. Develops and maintains new policies and procedures as needed.
Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Abilities
- Must be able to read, write, understand, and speak English.
- Care of patients and workings of a healthcare system.
- Knowledge of general office equipment including the nurse call system, telephone system, fax machine, copy machine, computer.
- Knowledge of commonly used hospital programs including the Hospital Information System, Microsoft Office, etc.
- This position requires strong communication, critical thinking, problem-solving, leadership, interpersonal and basic math skills and the ability to exercise independent judgement.
- Ability to exercise independent judgment.
Supervisory Responsibilities
None.
Work Environment
At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice.
To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards:
- Always SHINE – show respect and be kind.
- Always work together – we are on the same team.
- Always serve others – no job is beneath you.
- Always maintain high standards of quality and safety – best practice every time.
- Always communicate clearly – be compassionate.
- Always practice integrity – maintain confidentiality.
- Always be accountable – take responsibility.
- Always empower – create an environment of success.
- Always excel – don’t settle for mediocrity.
- Always promote wellness – make choices for a healthy lifestyle.
Physical Demands
Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time, but may involve walking or standing for brief periods of time. The worker is subject to substantial overtime, evening meetings, on-call status, contact with
Required Education and Experience
- Bachelor’s Degree in healthcare or related field.
- 5 years of risk management experience in a variety of healthcare settings.
- Certified Professional Healthcare Risk Management (CPHRM) certification.
Preferred Education and Experience
- Master’s Degree in healthcare or related field.
- Certified Patient Safety Professional.
- Current Arizona Registered Nurse license.
OSHA Exposure Category:
Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues and are not a condition of employment.
This is a safety sensitive position.
