Plan, organize, direct and control all aspects of risk management activities
Ensure a safe environment for the protection of patients, clients, employees and visitors to the facility in such a manner as to comply with laws, regulations and the standards of the accrediting and approval agencies
Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification
Implement, educate and encourage incident reporting system throughout the facility
Implement risk management program throughout the facility
Develop and implement infrastructures and systems that support patient safety
Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees
Work with internal auditors, security contractors, and other staff to establish an internal control system
Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement
Ensure compliance with all administrative requirements
Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees
Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed
Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation
Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives
Collaborate with clinical staff and management for prevention of clinical risks throughout the facility
Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care
Create and implement policies and procedures that improve both patient care and employee safety
Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure
Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility
Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback
Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety
Monitors and maintains compliance for accreditation for the facility
Monitors and maintains compliance for state licensure for the facility
Requirements
Bachelor’s degree in health care management, nursing or related field preferred
CPR and de-escalation certification required (training available upon hire and offered by facility)
Benefits
Non-Negotiable Hiring Criteria
Bachelor’s degree, risk management, business or a related field required
Five or more years’ experience in risk management position
One or more years’ supervisory experience required
Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies as applicable to the facility preferred
Comfortable working with the public
If recovering, two (2) years of continuous, verifiable sobriety
Must be able to work in a constant state of alertness as to perform the job in a safe manner
Regular attendance; including conference calls and onsite meetings, as necessary
Able to work in a cooperative manner with coworkers, managers, perspective patients, patients, and families
Pass a criminal background check
Maintain a valid driver’s license, personal automobile liability insurance, and a driving record permitting coverage under company’s automobile liability policy if necessary
Maintain appropriate professional boundaries and confidentiality, including a working knowledge of 45 CFR “Health Insurance Portability and Accountability Act” and 42 C.F.R. Part 2 “Confidentiality of Alcohol and Drug Abuse Patient Records” with respect to patient and potential patient identifying information and health information
This position has unrestricted access to identifying information and health information concerning patients, potential patients and participants
Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence or exposure to critical incident, and possible sentinel events
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