Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible for carrying out the duties associated with the Risk Management function through the deployment of a collaborative, proactive approach to risk management and patient safety. Develops and implements plans, processes and tools to prevent risk, mitigate loss, and manages claims. Further, manages risk information system and is able to produce reports that guide organizational decision making related to risk management needs and trends. Participates in safety event reviews, provides input on action plan development, and follow up. Function as a resource for implementation of risk management policies and activities. Collaborates with Patient Relations and Claims on grievance management and potentially compensable events. Works in partnership with safety leaders to ensure environmental and facility-based safety and risk reduction mechanisms are in place and aligned. Supports the campus/site clinical and administrative leadership team, quality, safety, accreditation and infection preventionist colleagues, related Subject Matter Experts (SME), stakeholder groups, and ad hoc teams on risk management related performance improvement activities. Provides guidance, consultation and standard work for the design and maintenance of a comprehensive risk management program.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

• Collaborate with facility leaders in the development and completion of risk assessments, implementation of risk plans, processes and tools to reduce loss and control risk. Provides organization support on loss prevention.

• Partner with Quality and Patient Safety to perform failure mode effects analyses and identify high risk processes and systems to proactively promote safety and error prevention. Develop and implement plans, processes, structures, strategies and tools to identify, reduce/control risk, enhance safety and mitigate loss.

• Serves as an internal consultant on risk management related subjects. This includes providing support to programs that involve risk management. Participates in the development of administrative and clinical policies regarding risk management. Keeps abreast of changing regulations, laws, professional standards, and industry practices. Maintains current knowledge and competencies pertaining to these items.

• Addresses questions or concerns involving care in all settings and participate in the resolution of grievances related to accidents, injuries, treatment or other events that may result in claims. Provides guidance to patient relations in resolving other patient grievances.

• Participate and complete special projects, as assigned, participate in the development of the Risk Program, and serves as a resource in all matters related to risk management. Collaborate with Patient Safety and Quality on identified safety event reviews.

• Regulatory Reporting - includes reporting to external agencies as required by state and federal regulations. Work with outside agencies in the review of patient quality of care and safety issues. Serve as a liaison with external survey teams, accrediting bodies, independent investigating companies, legal counsel and regulatory agencies on risk management and patient safety issues. Collaborate with appropriate parties for completion of required documents/action plans.

• Lead and assist with timely disclosure of events, to include just in time coaching for leaders and/or medical staff regarding the disclosure process and policy.

• Assist with standard work and participate in efforts for concurrent monitoring as needed for compliance and results based on new implementations or processes under review. Establish mechanisms for proactive identification and correction of risk issues.

• Participate in hospital and Resident ethics program, serves as a resource to key stakeholders, and assists with risk related activities.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - Bachelor's degree in Nursing, Health Care-related field of study, Health Administration, or Business.

• Experience - Three (3) years of experience in health care and knowledge of practices relating to patient care. Experience working in organizational risk management preferred

In Lieu Of

• In Lieu of the education and experience requirements noted above, will accept ADN or Nursing Diploma if BS is in a related field.

Required Certifications, Registrations, Licenses

• RN - REGISTERED NURSE - NLRN

• Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management Certification (ARM) or like certification preferred - i.e., Certified Healthcare Safety Professional (CHSP); Certified Professional in Patient Safety (CPPS) - preferred.

Knowledge, Skills and Abilities

• Basic computer skills including word processing, spreadsheets, databases and data entry

• Knowledge of office equipment (fax/copier)

• Mathematical skills

• Oral and written communication skills.

• Ability to work independently within a defined strategy.

• Strong problem solving, critical thinking, and reasoning skills

• Able to work effectively within a matrix organizational structure with many stakeholders. Exceptional customer service and interpersonal skills

Work Shift

Day (United States of America)

Location

Blount Memorial Hospital

Facility

7001 Corporate

Department

70019000 Legal Affairs

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.