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JOIN PeaceHealth – Lead with Excellence in Risk Management

At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.

_Why PeaceHealth?_

Integrated Clinical Excellence–

+ We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.

Leadership Commitment to Safety–

+ Our leadership team is deeply committed to building and sustaining a culture of safety – aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.

Your Growth, our Investment -

+ Access to professional development opportunities with Seminars and national Conferences

+ Internally hosted training with a focus on CE eligibility

+ Connections to top professional affiliations

+ Access to resource libraries, webinars and experts.

Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.

Job Summary

Responsible for leading and overseeing the health system's clinical risk management program. This role provides strategic and operational leadership to a team of clinical risk managers and senior clinical risk managers, ensuring effective identification, evaluation, mitigation, and reporting of clinical risks across the organization. The director partners with clinical, legal, and operational leaders to promote a culture of safety, transparency, and continuous improvement. The director is responsible to adhere to all applicable federal, state, and local laws, regulations, and standards for their areas and to be continuously ready for any survey on those regulations or standards.

Essential Functions

+ Leads and manages the daily operations of the Clinical Risk Management team across the health system. Handles day-to-day risk management operations and tasks including on call coverage, position vacancy support and contact with facility leaders, caregivers and patients. Rounds on facilities and assigned areas.

+ Consults with caregivers and leaders on issues related to risk management, patient safety, and professional liability and other risks such as general liability and product liability. Serves as a liaison and problem solver to provide guidance for enterprise risk prevention for new clinical services, programs and equipment.

+ Leads and manages escalated complaints and grievances iIn partnership with the supervisor of patient relations, continually assesses the complaint and grievance program to identify program gaps, areas for improvement and regulatory compliance.

+ Develops statistical and qualitative reports on trends and patterns and communicates to appropriate audiences. Develops indices to monitor the effectiveness of the risk management program. Provides leadership with progress reports and data and recommendations.

+ Ensures the standards and quality of s risk assessments, audits, and investigations to identify potential loss exposures and develop/implement strategies for minimizing risk of loss through loss control programs, risk transfers or avoidance; develops corrective action plans; and recommends and monitors program implementation. Ensure timely and thorough documentation, root cause analyses, and follow-up actions in alignment with regulatory and accreditation standards for the Clinical Risk Management team. Collaborates with other members of the Clinical Excellence team to ensure effective handoffs.

+ Supervises, mentors, and evaluates the clinical risk management team, fostering professional development and high performance. Handles recruitment, training, development, coaching and performance evaluations for direct reports. Performs ongoing needs assessment for each team member.

+ In partnership with patient safety, patient relations, and clinical operations, oversees the organization’s communication and resolution program.

+ Participates in creating and/or developing policies and procedures in key areas of risk management, caregiver safety and patient safety for the communities served. Develops annual education programs and on demand education for all levels of staff. Utilizes various media tools to record and deliver education. Facilitates or co[1]facilitates FMEA studies as needed and RCA meetings for Serious Reportable events in collaboration with the quality & patient safety team. Ensures all clinical risk managers are able to lead risk management related ACAs and develop safety stories from risk events.

+ Assures effectiveness of clinical risk management risk investigations and response to events, potential claims, and grievances presented against caregivers, physicians and the organization for potential or actual liability and damages. Collaborating with Claims, collects documents and evidence and maintains work product in accordance with state legal requirements and sets up claim. Ensures collaboration and mitigation of risk to the organization’s insurance coverage against liability and casualty loss. In collaboration with facility and system leadership promotes compliance with and reports as necessary to the Department of Health, State Board of Nursing, Pharmacy, Medicine, etc. Works closely with law enforcement agencies during high-risk investigations.

+ Collaborates with patient safety, medical and departmental caregivers to ensure timely risk management review and management of unexpected outcomes, serious patient events and medical errors. Facilitates and/or co-facilitates the review and investigation of variances rising to a Sentinel Event, state and/or federal regulatory reporting and directs the communication of unanticipated events to patients and potential compensable events. Develops and maintains collaborative relationships with key departments to enhance the effectiveness of the program.

+ Serves as risk management representative for various system level committees. Back up ADA Compliance Coordinator for PeaceHealth and subject matter expert in consents and EMTALA.

+ Performs other duties as assigned

Qualifications

Education

+ Bachelor's Degree Required: Nursing or closely related healthcare discipline

+ Juris Doctorate Preferred:

+ Master's Degree Required: in healthcare administration, patient safety, or related healthcare clinical or leadership area of study - Or a combination of education and professional experience that provides the incumbent with the requisite knowledge, skills and ability to successfully perform the job with the agreement to obtain within 3 years of date of hire

Experience

+ Minimum of 7 years Required: Clinical risk management experience and

+ Minimum of 5 years Required: Management experience

Credentials

+ Required: within 6 months Certified Professional Healthcare Risk Management

+ Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and

Skills

+ Advanced knowledge of state, federal, and accreditation requirements including but not limited to CMS Conditions of Participation for acute care and critical access hospitals. (Required)

+ General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)

+ Proficient with MS Office applications and databases. (Required)

+ Excellent written/verbal communication skills. (Required)

+ Able to work flexible hours. (Required)

+ Knowledge of state healthcare rules and statutes, and state licensing requirements. (Required)

+ Experience and knowledge in use of administrative and quality data, with statistical validity. (Preferred)

+ Participation in on-call coverage. (Required)

+ Ability to travel to other PeaceHealth hospitals and clinics. (Required)

The salary range for this job opening at PeaceHealth is $66.08 – $99.12. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

See how PeaceHealth is committed toInclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

REQNUMBER: 118834