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 Job Information 

Clinical Risk Manager - Rush Health Systems
Quality and Performance Improvement
Meridian
Permanent
Full Time

 Additional Information 

Masters

 Job Description 

CLINICAL RISK MANAGER
POSITION SUMMARY
The clinical risk manager develops and maintains systems within the organization to proactively predict detect, monitor, prevent, organize, measure, investigate, report, and manage patient adverse events or other incidents that may lead to malpractice claims, incident reports, and other indicators of potential patient harm. Additionally, this individual is responsible for reviewing and formulating policy or organizational changes and making recommendations for final approval by senior management. The Clinical Risk Manager shall work closely with the Local Senior Leadership, Legal Department, Quality Department, Compliance Department and the Patient Advocacy in performing the duties outlined above. The organization’s key aims in this area are to be on the leading edge of improving health outcomes and service, increasing patient safety, and reducing error in healthcare processes. This position will be vital to accomplishing these objectives.

ESSENTIAL FUNCTIONS
Responsibilities include but not limited to:
Proactively evaluate areas of organizational risk based on internal assessment and external benchmarking.
Provide recommendation, support and assistance to appropriate operational owners to implement strategies and policies that promote patient and staff safety.
Promote the occurrence reporting process including trending and reporting of results, identification of problem-prone areas, and facilitation of prevention initiatives.
Ensure events documented in the safety incident reporting system have received appropriate investigation and response prior to closure of the files.
Collaborate with all system depts and system owners in the identification and the investigation of potentially compensable events (preventable adverse events).
Lead the review of serious occurrences requiring root-cause analysis or failure mode and effects analysis. Disseminate lessons learned and process improvement plans internally within the organization and with system resources, as warranted.
Maintain goodwill in all investigations without assigning blame, preserve dignity for all involved. Support a Just Culture when investigating undesirable events or outcomes.
Meet regularly with local leadership to provide detailed reports on all serious incidents, claims, and risk-related issues.
Respond to sentinel events and other serious occurrences and provide expert advice on the management and reporting of such events to administrative and clinical leadership and staff.
Serve as a liaison and problem solver to provide guidance for enterprise risk prevention for new clinical services, programs, and equipment.
Conduct immediate/appropriate response to any serious occurrence/complaint. Monitor and take subsequent actions to ensure learning, compliance, and documentation
Analyze all statistical reports and advisories that identify risk management and patient safety patterns and trends for leadership.
Serve as liaison to internal system departments and external regulatory agencies for purposes of patient and physician reporting, event investigation, and response.
Keep up to date with new and revised state and federal regulations and statutes related to hospitals and patient care. Review and evaluate related policies and procedures and recommend revisions, as needed. Create and/or advise appropriate operational owners to create new policies for approval, as needed.
Actively participate in a variety of committees as assigned.
Annually evaluate clinical risk management and patient safety program for improvement opportunities.
Partner with appropriate resources to support and educate all staff and residents on patient safety issues.
Investigation of variances and referral to appropriate responsible parties, including referrals for the Peer Review process.
Provide clinical risk management support for Disclosure and PROMPT programs
EDUCATION REQUIREMENTS and QUALIFICATIONS
Bachelor's degree required with master's preparation and risk management certification such as Certified Professional in Healthcare Risk Management (CPHRM) preferred.
CPHRM required within 18 months of employment.
Minimum five years clinical background (recent clinical experience preferred). Other background will be considered commensurate with education, knowledge, skills and acquired experience.
Minimum three years risk management, quality management or legal nurse consulting experience preferred.
Proven management ability and experience including an understanding of quality improvement (QI) processes, tools, and techniques; quality measurement and reporting; root cause analysis and preventive risk management strategies; accrediting bodies’ standards; and state and federal regulations.
Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
Must be able to work effectively, independently, and efficiently in a stressful environment and take appropriate action.
Strong communications, interpersonal, and systems thinking skills.

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