Onsite Director, Risk Management – Performance Improvement

Posted 4 hours ago

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About the role

  • 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

Job title

Director, Risk Management – Performance Improvement

Job type

Experience level

Lead

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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