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Organization TypePublic Interest
Years of Experience
Date Last Verified
Director of Risk Management Duties: Executes an area-wide risk management program in collaboration with the VP 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, partnership with physicians and caregivers to reduce risk and promote patient safety, and stay in compliance with current federal and state regulations for healthcare risk management. Provides a continuous learning and just culture approach to all investigations and reconciliation of all patient safety events and patient feedback. Works collaboratively with caregivers 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 Hospital Boards. Exercises independent judgment and discretion and takes actions as needed based on knowledge of the organization, its policies, procedures, and personnel.
Qualification and Experience
Qualifications: Bachelor of Nursing or other healthcare related degree required, masters preferred. Will consider JD Degree if experience is acceptable for healthcare. 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. Previous management experience. California RN License as appropriate; Certificate corresponding to education requirement. Preferred: Certification in Risk Management/Healthcare Quality. Healthcare Quality Management Experience preferred. Current knowledge in nursing procedures, patient care, obstetric, surgical and medical procedures. Ability to read and extrapolate clinical laboratory reports, medical records, radiology reports and other medically related documents in the EMR and in other relevant applications that contain patient information. Working knowledge of relevant federal and state health care related legal statute.
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