RN Risk Manager

 JOB SUMMARY:

The Risk Manager will implement and develop quality initiatives and risk management.  This position will monitor patient progress and risk during treatment, perform reviews and audit the management of risk within a designated facility.

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.  

• Manage results for key areas such as clinical quality, service excellence, people management, and financial management

• Educate and train leadership and staff members as to the risk management program and their respective responsibilities in carrying out the risk management program

• Lead, facilitate, and advise departments in designing risk management strategies within their own areas

• Collect, evaluate, and maintain data concerning patient injuries, claims, and worker’s compensation and other risk-related data

• Investigate and analyze root causes, patterns, and/or trends; help identify and implement corrective action where appropriate

• Actively participate in or facilitate committees related to risk management, safety, and quality improvement

• Develop and implement the organization’s risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with federal and state laws and regulations and accreditation standards related to risk management and safety

• Perform random audits of patient charts

• Supervise Activity Therapist and Therapist/Case Manager for daily schedules and documentation in the absence of the Licensed Clinical Social Worker (LCSW)

• Other duties as assigned

JOB REQUIREMENTS: 

• Assist in the creation of an environment that demonstrates mutual trust and respect and two-way communication with all disciplines

• Build team spirit and excitement

• Serve key constituents such as patients, coworkers, physicians, the community, and the organization willingly

• Take a step by step approach in organizing the parts of a problem or situation in order to reach desired goal

• Adhere and respect all policies and procedures regarding anonymity and confidentiality of all patient records past and present; this covers any written or verbal communications regarding patient’s identify, address, and situation

• Function in a friendly, supportive, courteous, respectful, cooperative, and professional manner with patients, families, physicians, referral sources, visitors, coworkers, and management

• Promotes, adheres, and monitors for a drug and violence free workplace

• Successful completion of required training

• Handle multiple priorities effectively

• Independent discretion/decision making

• Reliable transportation

Required Computer Software/Equipment used:

• Various operating systems

• Standard office equipment

• Microsoft Suite applications 

• Desktop, laptop and/or iPad

• Personal Protective Equipment (PPE)

• Standard medical equipment

REQUIRED QUALIFICATIONS: 

• Skills: 

o Knowledge of data collection, analysis and data interpretation

o Knowledge of federal and state laws and regulations & accreditation standards 

o Proficient leadership abilities 

o Ability to educate and train others as it pertains to risk management issues

o Ability to focus on the need to change processes and embrace the concept of a fair and just culture

o Ability to lead groups and work with difficult issues

o Knowledge and understanding of the legal aspects of clinical practice and professional standards

• Experience:

o Extensive supervisory experience in a geriatric setting

o A minimum of two years’ experience in one or more of the following fields: risk management, quality improvement, health information management, healthcare administration, patient care, and/or business management

o Geriatric experience preferred

• License/Certification/Education:

o Graduate from an accredited school with a Registered Nursing Degree

o Current RN license in state where facility is located

o CPR Certification 

COMPANY COMPETENCIES: 

• Respect – We treat people as they want to be treated, showing regard for their rights and privacy

• Integrity – We emphasize honesty, fairness, and doing the right thing even when no one is watching 

• Teamwork – We work collaboratively to improve processes, resolve problems and reward results

• Excellence – We hold ourselves to the highest standards, aspiring to zero defects in every task

• Compassion – We respond to those who need help with sensitivity and a positive attitude

• Professionalism – We perform our duties with skill, good judgement and politeness

JOB COMPETENCIES: 

1. Analytical Thinking:  Able to gather and analyze data and reach appropriate conclusion; solves problems in a timely manner.  Use logic and reasoning to identify changes in patients’ conditions to determine the correct plan of action.

2. Customer and Personal Service:  Possess good interpersonal skills while dealing with emotional or difficult situations; respond promptly to customer’s needs.  Knowledge of principles and processes for providing personal services, including needs assessment; meeting quality standards.

3. Accountability:  Accepts responsibility for own decisions, actions and results; able to maintain dependable behavior in times of crisis or complexity.

4. Attendance:  Is consistently at work and on time; ensures work responsibilities are covered; returns from lunch and breaks appropriately; arrives at meetings on time; notifies supervisor of pending absences.

5. Communication:  Speaks and writes clearly and persuasively; listens and receives clarification.

6. Ethical Behavior:  Upholds organizational values and abides by state and federal regulations; maintains confidentiality of HIPAA information; treats others with respect.

7. Initiative:  Seeks increased responsibility; sets self-improvement goals related to the organization’s objectives.

8. Job and Industry Knowledge:  Demonstrates knowledge of the position and industry; seeks additional information.  

9. Productivity and Quality of Work:  Maintains high level of performance while demonstrating commitment to accuracy and thoroughness.

10. Teamwork: Displays ease working with others; contributes ideas and skills to team; puts success of team above own interests.    Communicates with co-workers at all levels to adequately meet the needs of patients.

SCOPE AND LEVEL OF WORK:  

• Complexity: Work assignment is performed within an established framework under general instructions but requires simultaneous coordination of assigned functions or projects in various stages of completion.

• Decision Making: Exercises judgment and discretion, and is responsible for determining the time, place and sequence of the work performed.

• Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, defended, and gathered and discretion and judgment are required within the parameters of the job function.

• Supervision Received: Performs work with supervisory oversight. Under general supervision, receives assignments and is expected to carry them through to completion with substantial independence. Work is reviewed for adherence to instructions, accuracy, completeness, and conformance to standard practice or precedent. Recurring work clearly covered by guidelines may or may not be reviewed.

SUPERVISORY RESPONSIBILITES:   

• Does not have supervisory responsibilities 

• Occasionally needs manager’s direction due to extraordinary circumstances

WORKING CONDITIONS:  

• Audio-Visual:  Hearing:  Good  

• Ability to lift to 40 pounds

• Subject to standing, walking, sitting, bending, reaching, kneeling, pushing and pulling 

• Work is typically performed in a standard office environment; well-lit; comfortable temperature-controlled

• Above-average conversational noise is frequent

• Position may require flexible hours, unscheduled overtime or occasional week-end work

• Travel may be required

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.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SAFETY EXPECTATIONS:

• Work safely and follow safety rules

• Report unsafe working conditions and behaviors

• Take reasonable and prudent actions to prevent others from engaging in unsafe practices

• Associates or better

• Registered Nurse