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In-House
Attorney
Health Care
3-5 yrs required
Quality/Risk Specialist II Under minimal direction, the candidate will support the effective surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims, and cause loss to the health care system. Collaborate with multidisciplinary health care teams to reduce and prevent adverse medical outcomes, minimize the risk of injury to patients, staff and visitors, and control any associated liability. Involve in sentinel event investigations, safety event investigation and trend analysis, risk management program development, educational in-services and process improvement projects. For specified product lines/ business units, independently assists and mentors managers with safety event investigations, closes cases once complete. Investigates and responds to inquiries from insurance companies and regulatory bodies. Independently leads root cause analysis (RCA) investigative team; in collaboration with director, prepares RCA for presentation to leadership. Facilitates or co-facilitates multidisciplinary Quality Improvement Teams (QITs) for sentinel events. Supervise or lead investigation of complex risk or safety-related cases. Apprise business unit/ System leadership of safety events with potentially negative regulatory, public relations, legal or patient safety implications. Assist or independently facilitate business unit or System – wide multidisciplinary QITs for process improvements related to complex risk situations; develops/ revises policies as needed. Conduct literature review for trends and improvement ideas. Assist with or leads FMEA and other proactive methods; facilitates implementation of identified improvements. In collaboration with the supervisor, the QRS II analyzes risk and sentinel event trends for improvement opportunities; assists with preparation of periodic status reports for review by senior leadership. Mentor /teach root cause analysis (RCA) and interviewing techniques to QRS I; may be required to teach investigative techniques to QRS I at business units across System. In collaboration with supervisor, and in support of business unit(s) or System, may be required to design and deliver risk and patient safety courses such as root cause and risk investigation techniques. Design and present educational material to support process improvement implementation. Incorporate regulatory requirements into educational materials and policy/process revisions. Participate in self education related to Joint Commission, CMS, and other regulatory agencies, and keeps abreast of trends and best practices in health care quality, patient safety, and risk management. Work in collaboration with other quality/risk staff, Risk Finance and Insurance, Corporate Legal Affairs, Public Relations, Office of Safety, Human Resources, and others to coordinate and communicate information related to various risk exposures. May be involved in SMDA and product recall activities in collaboration with QRS I, Supply Chain Management and appropriate departments. Master’s degree in healthcare related field or JD, with 3-5 years experience preferred. Bachelor’s degree would be considered with 5+ years of experience required. Experience required includes risk and safety event management, multidisciplinary process improvement experience as a team leader or project facilitator at business unit or System level, and experience designing and implementing process improvements at the business unit or System level to facilitate compliance with Joint Commission, CMS and other regulatory bodies. Good presentation skills including solid oral and written communication skills and the ability to communicate effectively with a wide variety of personalities and departments, including members of the medical staff required. Excellent interpersonal, diplomatic, negotiation and customer service skills with an ability to deal with conflict and people who are upset by provide a calming influence in difficult situations required. Ability: to design and present effective educational programs; willingness to instruct others; to communicate, manage knowledge, mitigate error and support decision making using information technology; demonstrates analytical problem solving ability including the ability to perform statistical and trend analysis; to independently manage complex, simultaneous assignments with potentially conflicting priorities and deadlines; to be flexible and function effectively within a team-based environment; to analytically interpret policies, procedures, and regulations for application to system quality, risk, and safety issues required. Computer skills including knowledge of Microsoft Word, Microsoft Excel, Microsoft PowerPoint, electronic mail and internet navigation software required.
Job ID: 170874
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