Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manages the risk management program:

a. Plans and implements a system-wide program for both loss prevention and loss control, and a comprehensive orientation program directed to all current and future employees, board members, physicians and advise them of their responsibilities, obligations, and part in CWHS’s risk management and safety program.

b. Develop and maintain a system for proper reporting, follow up, investigation, analysis and file maintenance of all incidents that occur in Colorado West HealthCare System. Reports events as required to state-mandated reporting systems and/or patient safety organizations.

c. Collects and analyzes data for risk indicators. Plans, oversees special focused data collection and analysis to support quality clinical and management outcome decisions and program development. Maintains risk management statistics and files.

d. Conducts risk management educational programs, complying with risk management related standards by Medicare Conditions of Participation, the Joint Commission and other agencies with the objective of promoting patient safety, enhancing quality care, and minimizing loss to protect the assets of the CWHS.

e. Conducts systems analyses to uncover and identify patterns that could result in compensable events. Monitors the environment for changes in legal and regulatory requirements. Prepares system responses to new regulations and standards

f. Develops and implements departmental and facility policies and procedures that affect liability exposures.

g. Participates in evaluation of claims for settlement. Negotiates settlement of small claims with administrative authority; advises collection department of appropriate action for unpaid accounts involved in litigation.

h. Works with the Chief Medical Officer to integrate risk management information into the credentialing process in compliance with state and federal agencies, accrediting bodies, and organizational requirements. Implements relevant statutes and regulations, including mandated mechanisms of physician monitoring with feedback to the CMO and CCO for credentialing and reappointment processes.

i. In partnership with the Chief Medical Officer and the Chief Compliance Officer, responsible for coordination of the medical staff peer review process. Sets up committee, helps to identify cases and coordinates sending cases to the Peer Review Committee. Responds to requests from the Board of Medical Examiners.

j. Sets annual risk management goals and objectives by each April of the CWHS fiscal year. Develops quarterly reports for presentation to the board relating to risk management and patient safety issues and goal/objectives.

• Manages patient safety program:

a. Receives and investigates reports of product problems and reports as required by the Safe Medical Devices Act. Coordinates notifications of product recalls and manages same. Reports medical device-related incidents to the proper authorities in accordance with federal and state laws and regulations.

b. Is available to resolve treatment issues, including patient refusal of treatment, consent issues, AMA’s, etc. Initiates court orders as appropriate. Acts as a consultant to Physicians, Leaders, and Staff for risk management issues.

c. Develops and implements and directs a system for root-cause analyses or proactive systems analyses.

d. Serves as a proactive risk assessment (e.g. FMEA) consultant/process expert.

e. Participates in disaster planning and is a core member of the command and control team during a declared emergency.

f. Sets annual safety goals and objectives by each December of the CWHS fiscal year. Develops quarterly reports for presentation to the board relating to risk management and patient safety issues and goal/objectives.

• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

Bachelor’s Degree in Nursing or other clinical area with at least three (3) years of experience as a health care risk manager or management consultant

OR

equivalent combination of education and experience.

CERTIFICATIONS/LICENSES:

Current and unrestricted clinical license in the State of Colorado

Current BLS, ARM, CPCU, FASHRM, DFASHRM, CPHRM and/or CHC designation (must be obtained within first year after hire)

Job Type: Full-time

Pay: $83,200.00 - $145,600.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Magna, UT 84044: Reliably commute or willing to relocate with an employer-provided relocation package (Required)

Education:

• Bachelor's (Preferred)

Experience:

• Risk management: 3 years (Required)

License/Certification:

• Registered Nurse (Preferred)
• CPCU (Preferred)
• CPHRM (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: In person

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