POSITION PURPOSE

Under general supervision of the Executive Director, the Risk Manager is responsible for developing and managing a risk management program to maintain a safe environment and ensure that the organization is able to fulfill its mission and continue providing quality patient care to the community. Advises management on all potential sources of loss and makes recommendations to improve patient care. Ensures compliance with accreditation and regulatory agencies requirements. Serves as the facility Patient Safety Officer.

ESSENTIAL JOB FUNCTIONS

Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Demonstrates excellent investigative skills - investigations, follow trends and process improvement. Evaluates data (including actual events, near misses, and general safety concerns) and recognizes and addresses patient safety/risk exposures affecting the quality of care and outcomes. Makes medical staff quality review referrals as appropriate and facilitates the Medical Staff Quality Assurance Committee. Utilizes statistical and other methods to aggregate, analyze and prepare data reports for presentation. Facilitates the Risk Management Program including identification, analysis, planning and implementation focusing on events which resulted or could have resulted in adverse risk or a compromise to patient or environmental safety. Functions as a patient safety expert and assists leaders and staff in proactive patient safety activities. Responsible for Patient Safety Program developing effective medical error reduction strategies and tools. Works in collaboration with hospital departments and committees to implement identified needs for improvement. Helps develop an institutional culture of safety and non-punitive reporting. Responds to complaints and grievances as required by regulatory bodies. Serves as risk management representative for committees within the Continuous Quality/Patient Safety and Risk Management programs. Participates in claims management process by investigating and identifying events that may lead to potentially compensable events, claims, or lawsuits. Provides information necessary to make claims determination and assess liability. Coordinates all incoming incidents identified through the incident reporting system, other discrete systems, verbal reports, and sentinel event tracking. Responsible for facilitating closure, when possible, to patient/visitor/family/physician complaints of a clinical nature (or other) as appropriate. Skillful in negotiations to achieve desired results by conflict resolution as necessary. Provides advice and mentoring to hospital directors and staff in effective patient safety and risk management activities including plans of action, policy and procedure development, regulatory compliance, risk management reporting, and patient safety standards. Conducts and coordinates risk audits/surveys on a routine basis. Provides risk management/patient safety education to new employees and others as required. Collects documents and provides summaries on risk management cases which include lawsuits, potential compensable events, claims and investigations. Conducts Root Cause Analysis/Failure Mode Analysis in order to provide opportunities for improvement and meet regulatory requirements. Facilitates the Incident Management Committee. Maintains a safe work environment and reports safety concerns appropriately. Abides by the HMH Legal Compliance Code of Conduct. Maintains patient confidentiality and appropriate handling of PHI. Performs all other duties as assigned.

LATITUDE, CONTACTS/INTERACTIONS

All positions of Huntsville Memorial Hospital are part of an interdisciplinary team, and as such, participate in the care and service delivery process through effective interaction with other team members. Primarily interacts with hospital staff, medical staff, patients, and visitors.

Requirements Education:

Graduate of a professional nursing program; bachelor's degree in Nursing,.

Experience:

Three years of clinical experience in acute care hospital setting required.

Licensure/Certification:

Current licensure as a Registered Nurse in the State of Texas required.

Required Skills:

Excellent oral and written communication, organizational and data management skills.

PHYSICAL DEMANDS AND WORKING CONDITIONS

Frequent:

sitting, standing, walking, & reaching.

Occasional:

lifting, carrying, bending, & squatting, Visual and hearing acuity required. Work is inside, with good ventilation and comfortable temperature.

Possible exposure to:

toxic/caustic chemicals or detergents, communicable diseases, blood borne pathogens. 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