Clinical Risk Manager

Job Description

The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS)., The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification, mitigation, management and prevention of risk throughout the organization. This position supports Mount Sinai's objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies, policy and/or organizational changes

Responsibilities

1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution.

2. Conducts an initial review and develops a case summary, inclusive of focused questions, if the case requires further review providing all required documentation for investigations, activities and resolutions related to the reported incident

3. Evaluates reviews completed by leadership, provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.

4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health

5. Review and analysis of all incident reports to identify risk management, quality of care, regulatory and insurance concerns

6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required

7. At the direction of the Director of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews

8. Maintains risk management information system database

9. Identifies organizational risk through trend analysis of incidents, incident letters, and reports; assures accuracy of data prior to internal distribution

10. Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports

11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting

12. Acts as a resource person to staff on risk management issues

13. Keeps abreast of appropriate regulatory requirements related to risk management.

14. Responds to inquiries regarding various reports and individual professional liability matters

15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns.

16. Expect to work flexible hours to participate in staff interviews, risk management and patient safety events, debriefs and meetings as needed.

17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York State Departments of Health

18. Active participation on committees directed toward promoting risk management, patient safety, quality of care and with availability to attend/cover other Committee meetings as may be requested

19. Assists in developing and presenting educational programs to raise staff, including staff on off-hour shifts, awareness to risk exposure and the impact on professional liability

20. Coordinates, supports and assists in developing Patient Safety Fair and Risk Management Week activities

21. Performs other related duties

Qualifications

• Bachelor's degree in Nursing or related field; Masters or JD preferred.
• Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare experience can be utilized in lieu of licensure.
• 3 years risk management experience (greater than three years preferred) Experience with Just Culture and Culture of Safety principles preferred. Knowledge of clinical quality, patient safety, patient experience and/or patient satisfaction performance measures and indicators.

About Us

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

Explore more about this opportunity and how you can help us write a new chapter in our history

"About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism."

EOE Minorities/Women/Disabled/Veterans

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