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St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

This position plays a key role in the coordination of organizational clinical risk management activities. Maintains a working knowledge of patient safety related provisions from CMS, Joint Commission, IHI, and other regulatory or accreditation authorities. This position oversees the Patient Safety Event Reporting process and is responsible for reviewing these events and investigating high-risk clinical issues. This position interacts with all levels of the organization to facilitate process and/or system changes focused on improved patient safety.

JOB DUTIES AND RESPONSIBILITIES:

+ Promptly investigates actual and potential patient safety events for risk prevention and mitigation opportunities. Coordinates service recovery as applicable.

+ Performs all functions required of the Patient Safety Officer designee according to the facility Patient Safety Plan.

+ Collaborates with clinical and administrative colleagues to respond to regulatory and industry best practice patient safety initiatives.

+ Serves as a resource to clinical staff and managers on areas of risk mitigation and complaint/grievance resolution.

+ Provides ongoing support in the absence of the Sr. Network Director, Clinical Risk Management.

+ Provides education to managers and staff on Patient Safety and Clinical Risk Management topics.

+ Analyzes event data, summarizes trends and provides information to clinical and administrative staff to help support decision making.

+ Collaborates with physicians, administrators, department managers and others to determine need for process or system improvements.

+ Facilitates/leads organizational improvement activities utilizing PDCA methodology.

+ Conducts chart reviews for morbidity and mortality reviews.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 7 hours per day, 2 hours at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Extensively uses mouse as a computer entry device. Uses upper extremities to lift up to 10 pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, peripheral vision and near vision.

EDUCATION:

Bachelor’s Degree in Nursing or healthcare related field is required

Master’s Degree in progress with identified date of completion required

TRAINING AND EXPERIENCE:

Minimum of 5 years of recent full-time clinical care nursing experience as a Registered Nurse in an acute care hospital setting. Experience preparing comprehensive written reports and making effective training/education presentations. Excellent project management skills.

Registered Nurse License required

CPHQ or CPHRM as appropriate within 2 years of hire required

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)