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Director, Risk Management - Quality Management The candidate executes area-wide risk management program in collaboration with Vice President Quality and Patient Safety (Northern California) and SJHS Risk Management. Responsibilities include risk identification systems, risk control, risk investigation and risk transfer. Works collaboratively with senior leadership, physicians and staff to reduce medical errors, grievances and complaints to improve patient safety and stay current on all federal and state regulations for healthcare risk management. Provides a continuous learning and just culture approach to the investigation and reconciliation of all patient safety events and patient feedback. Works collaboratively with the Patient Experience Officer to ensure a well-coordinated and streamlined approach to the mutual goals of the Risk Management and the ministry Patient Experience priorities. Supervises other risk specialist, project manager and patient relations staff in the dept. Manages claim activities with third party administrators (TPA) and defense attorneys. Analyzes trends related to outcomes, improvement plans and reporting. Participates in appropriate committees, including the Ministry Boards. Exercises independent judgment and discretion and takes actions as needed based on knowledge of the organization, its policies, procedures, and personnel. Minimal supervision required. Must have Bachelor of Nursing or other healthcare related degree. Should preferably have Juris Doctor degree (law) if experience is acceptable for healthcare. Must have 3+ years in the field of health care risk management within an acute Hospital setting or equivalent experience. Previous experience reviewing and understanding health care metrics is required. Previous management experience is needed. Certification in Risk Management/Healthcare Quality is preferred. Legal or Investigative Experience is desired. Healthcare Quality Management Experience is a plus. Knowledge of current nursing procedures, patient care, obstetric, and surgical and medical procedures is must. orking knowledge of relevant federal and state health care related legal statutes is essential. ust be proficient use of Microsoft Office (Word, PowerPoint, Excel, and Outlook).
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