Risk Manager PSO

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

General Purpose of Job:

The Clinical Risk Manager implements the Clinical Risk Management Program at Driscoll Children’s Hospital Rio Grande Valley (DCHRGV) to protect the interests of the hospital and patients. The Clinical Risk Manager identifies the most advantageous methods of correcting, reducing, or eliminating identifiable risks that may adversely affect patients, visitors, and employees or the quality of care provided to patients in our facility, as well as reduce the cost of risk to the system. This position serves as the DCHRGV Risk Manager and Patient Safety Officer working under the authority and supervision of the Driscoll Children’s Hospital Risk Management Department in Corpus Christi.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employee will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

Clinical Risk Management

• Develops implements and leads a robust and proactive clinical risk management program to support DCHRGV mission and vision.
• Conducts clinical risk assessments and analysis of complex organizational systems and facilitates development of corrective action plan, with an emphasis on intervention.
• Conducts annual Risk Reduction Plan and evaluation of the effectiveness of the Risk Management Program and develops/modifies goals as indicated.
• Performs thorough investigations and participates in Root Cause Analyses of significant events.
• Works closely with Environment of Care (EOC), Hospital & Patient Safety regulatory criteria and other risk initiatives.
• Assists with patient grievances and complaints when needed.
• Assist with The Joint Commission process.
• Interact with internal and external customers regarding patient safety culture/concerns and observe for hazard risk reduction opportunities through active rounding, service recovery and other strategies.
• Assist with planning and executing patient safety and educational activities by local teams and/or departments.
• Facilitate or participate in events or situations that require Root Cause Analysis (RCA), Process Improvement (PI) or Failure Modes and Effects Analysis (FMEA).
• Propose, recommending and implementing solutions and resolutions to risk-related issues and events; following up on the implementation and impact of proposed solutions and resolutions.
• Participate in multidisciplinary teams, standing work groups, councils and committees for the purpose of evaluating and improving organizational risk.
• Participate in patient safety rounds and risk focused tracer activity.
• Monitor product recalls, FDA warnings and coordinate response by responsible parties/departments.
• Coordinate disclosures and communications with patients/families related to patient events and unexpected outcomes.
• Assist with or coordinate post-mortem conferences.
• Remain available to staff to answer questions related to policies, consents, and risk-related inquiries.
• Ensure compliance with mandatory reporting to local, state, federal and regulatory agencies as it relates to patient safety.
  
  
  

Data Management and Incident Reporting Analysis

• Review event reporting system and analyze entries in order to address risk, patient safety or quality concerns, identify trends, and actively collaborate with involved local individuals and/or departments.
• Uses data from event reporting database for trending and analysis of incidents.
• Reviews results of concurrent chart review based on predetermined criteria and incident report summary.
• Analyzes incidents/occurrences and identifies patters as evidence for decision-making.
• Recommends actions and evaluates effectiveness of actions taken.
• Determines necessity of evidence retention and directs procedures for special handling.
• Analyzes, investigates, and trends incidents related to patients, employees, and visitors. Analyzes incidents/occurrences and identified patterns as evidence for decision-making.
• Prepares and reports appropriate information to the Legal Department
  
  
  

Claims Management:

• Identifies occurrences that are potentially compensable events, and works with clinical staff to obtain appropriate documentation.
• Works with patients/families and visitors where appropriate to resolve outstanding issues within the guidelines approved by the Legal Department.
• As part of legal team, investigates incidents that could lead to professional/general liability claims.
• Participates in the management and support of professional liability litigation, including coordination of discovery responses and development of case strategies where appropriate, and provides documentation for defense counsel along with associated discovery, deposition and witness scheduling, etc.
  
  
  

Risk Management Program Administration:

• Develops and implements policies and procedures to ensure all patients receive a high level of care. Provides advice on proposed policies and consent issues.
• Operates within departmental budget guidelines and evaluates and proposes cost-saving alternatives.
• Assists in collaboration with internal stakeholders and insurance brokers, including completing applications.
• Recommend and review applicable policies, procedures and operational plans.
• Performs clerical support activities
  
  
  

Education and/or Experience:

• Minimum 1-5 years of experience in a Healthcare clinical field and or Risk Management.
• Associate's degree or equivalent from two-year college or technical school in nursing or allied health care field.
• Possesses an advanced understanding of the healthcare industry and risk management, Texas laws regulating hospitals and health systems, Medicare Conditions of Participation, Joint Commission standards
• Strong clinical skills.
• Strong data analysis, trending and risk assessment skills. Demonstrates ability to communicate effectively both verbally and in writing.
• Demonstrates leadership ability in relating to healthcare and management professionals.
• Hospital or Healthcare Risk Management certification, preferred or obtained within 1-3 years of hire