EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s degree in a clinical healthcare, risk management, business, finance, or a related field required. Master’s degree in health information management, nursing, or related field preferred.
• Two or more years’ experience in a risk management position required.
• One or more years of supervisory experience preferred.
• Experience with CARF, DEA, Joint Commission, or CMS surveys, as required by service line(s) supported

ESSENTIAL FUNCTIONS:

• Implement a robust risk management program throughout the facility.
• Collaborate and consult with the corporate risk management department.
• Lead Investigations and analyze actual and potential risks in the facility. Collaborate with the Legal team to assess liability and probability of legal action for potential notification. Implement, educate, and encourage incident reporting per policy throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.
• Promote a culture of safety by encouraging incident reporting.
• Collaborate with employees to streamline the incident reporting process making it more effective and efficient.
• Collaborate with facility leadership and all departments to monitor and promote compliance with the organization’s policies, procedures, state and federal laws, and regulatory agencies
• Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
• Provide staff development, and training related to identifying, reporting, mitigating, and minimizing risk.
• Collaborate with Patient Advocate to review complaints and grievances to identify potential exposures.
• Coordinate with facility leadership to establish and implement a Safe Catch Program.
• Collaborate with QAPI disciplines to complete a Root Cause Analysis for specified events.
• Establish and lead a Safety Committee that identifies and develops measurable safety initiatives based on facility data that improve the safety culture.
• Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development, and compliance initiatives.