Senior Risk Manager

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Senior Risk Manager

Duties: Provide proactive management of adverse events in partnership with quality improvement staff including the identification and management of those with potential professional liability exposures, provide consultation regarding clinical risk management matters, and develop and deliver clinical risk management education programs. Prevent and mitigate patient harm and the associated potential professional liability exposures and to ensure regulatory compliance with respect to the management of adverse patient events and patient grievances. Providing specified knowledge and guidance to other risk managers. Create and maintain individual event review documentation and aggregate data about events involving patient harm or risks to patient safety to support on-going clinical risk management/mitigation and quality improvement initiatives. Implement effective strategies to mitigate events associated with patient harm or to prevent patient harm by prospective consultation. Ensure compliance with federal and state laws related to clinical adverse events including TJC, DOH, CMS, OFM and FDA requirements. Liaison with Patient Relations, Quality Improvement staff, Patient Safety Officers, Medical Directors, Chief Nursing Officers, Claims Managers and health professionals to respond to patient grievances involving alleged patient harm related to quality of care or allegations of lack of informed consent. Collaborate as needed with compliance officers regarding patient privacy complaints and bill waivers. Collaborate in the review or conduct a review of events involving patient harm under the auspices of the relevant QI committee to identify quality improvement opportunities. Identify professional liability exposures and report to the liability claims manager. Participate on committees, task forces and in risk management education programs as assigned including preparation of materials for discussion at committee meetings such as Medicine or entity Risk Management and quality improvement committee meetings and independent preparation and delivery of educational materials and programs. Conduct clinical risk assessments to identify the potential for patient harm and to recommend strategies to mitigate them. Maintain confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients. Access and use the minimum necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes. Manage the entity/facility Clinical Risk Management & Quality Committee meeting, including preparation oversight with key team members, including Executive team/Medical Staff Leadership, QI partners and HSRM Associate Director/Director. This includes agenda development and ensuring that meeting minutes are produced in a timely way and coordination with the Compliance Analyst 8 regarding suspended patient accounts and data integrity for events for the position's assigned entity/facility. Act as the key contact for clinical leaders (physician and clinical managers) and quality improvement staff. Represent the department in key customer entity/facility meetings. Coordinate with other Senior Risk Managers and Associate Director/Director regarding: Management of the Risk Manager on Call schedule; Assignment of service lines within HSRM. Development of risk mitigation strategies for health system quality, safety and clinical risk management issues; Identification of clinical risk management education needs based on review of event trends.

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