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Clinical Risk Manager

3 months ago


Georgetown, United States Tidelands Health Full time

Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

**Join Team Tidelands and help people live better lives through better health**

**Position Summary:**

The clinical risk management coordinator will work under the direction of the director risk management and patient advocacy in implementing the clinical risk management program with the objective of controlling and minimizing loss to the organization. The clinical risk management coordinator is an active participant in data collection activities and functions to promote an integrated risk management program. The clinical risk management coordinator is responsible for identification, investigation, analysis, and evaluation of risks and the selection of the most advantageous method of correcting, reducing, or eliminating identifiable risk. This position will also liaise and collaborate with patients and their families to address and resolve concerns arising during their experience with the Tidelands Health system.

Duties include, but not limited to:

+ Participate in the maintenance of the event reporting system and provide reports as requested

+ Analyze patient safety and medical error reports to establish objectives and procedures for process improvement

+ Perform cause analysis investigation and provide guidance to implement and implement and monitor of action plan(s)

+ Develop proactive patient safety activities to help create a highly reliable organization, and attain risk goals, as reflected in reduced errors, elimination of unsafe processes, and increased involvement of staff and physicians toward a culture of safety

+ Perform risk surveys, assessments, and inspect patient care areas as required/requested

+ Identify patient incidents or outcomes that may be reportable as adverse events under State or Federal law, or investigated as potentially compensable events or safety events

+ Assist with claims investigation, management, and litigation, as requested

+ Schedule and conduct risk assessments of clinical entities or new activities and make recommendations for improvements

+ Collaborate with staff, patient safety, patient advocacy, and quality improvement members with respect to risk-related incidents, policies, and practices

+ Manage action plans and projects as assigned

+ Collaborate with accreditation staff to ensure compliance with regulatory standards

+ Represent the Risk Management Department at appropriate meetings, seminars, and conferences

+ Assist in the delivery of risk focused educational programs for staff and providers

+ Act as a conduit to families during emergency situations

+ Serves as a front-line contact for staff or patient/family ethical concerns

+ Communicate identified issues to appropriate staff and administration on behalf of patients/families

+ Triage issues to appropriate departments to ensure improved service to the customer

+ Receive and review patient complaints for assigned area and address with the complainant as needed for resolution.

+ Interprets philosophy, policies, procedures, and services to patients, families, and their visitors

**QUALIFICATIONS**

**Education** **:**

- Bachelor's degree in nursing or other clinical healthcare field required

- Master's degree, preferred.

**Experience** **:**

+ A minimum of 5 years clinical experience or healthcare risk management, required

+ Healthcare leadership, education, mentoring, performance improvement preferred

+ Just Culture certification preferred

**License/Certification** :

+ Professional clinical licensure in good standing with the SC LLR, if currently in a licensed profession

+ Current CPHRM certification preferred. If certification is not held, expectation is to obtain within 5 yrs of hire

+ Just Culture certification within 2 yr of hire

**Skills** **:**

+ Knowledge of electronic health records

+ Demonstrate and maintain a high level of accuracy and attention to detail

+ Strong ability to work independently

+ Ability to work effectively with diverse populations both internally and externally

+ Awareness of the value of cultural competence and diverse ethnic backgrounds

+ Excellent writing, presentation, research, analytical, and time management skills

+ Manage projects efficiently and to completion

+ Proficient in Microsoft Office Suite

+ Understanding of Just Culture principles

+ Exceptional professional ethical standards

+ Demonstrate knowledge of The Joint Commission, Centers for Medicaid/Medicare, and South Carolina Department of Health and Environmental Control regulations and reporting requirements as they relate to risk management, patient safety, and provision of care

+ Knowledge of patient rights and responsibilities

+ Ability to listen patiently and with empathy

+ Compassionate, fair, courteous, and respectful while honoring the uniqueness of each situation.

+ Able to make fair judgments in demanding situations; advocating for the enterprise as well as the patient when appropriate.

+ Able to react to frequent changes in duties and volume of work

+ Ability and willingness to occasionally drive to various organizational locations

**Physical Requirements** **: Light Physical Agility Test (PAT) Rating**

While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.


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