Risk Manager
3 weeks ago
Position: Risk Manager
Location: Boston, MA - hybrid (onsite ~once per month)
Duration: 6-Month contract
The information below covers the role requirements, expected candidate experience, and accompanying qualifications.
Job Description:
The Risk Manager is responsible for coordinating all aspects of the risk management program under the direction of the Senior Manager Clinical Risk and Patient Safety, including the identification, evaluation and treatment of risk including outpatient clinics and satellites, the inpatient hospital. The Risk Manager provides leadership in risk management, by promoting the highest level of quality care to the patients, ensuring regulatory compliance and mitigating malpractice risk through loss prevention. The Risk Manager plays an integral role in regulatory and accreditation readiness by assisting with the implementation of the Patient Care Assessment Plan and the Quality Improvement Plan consistent with Board of Trustee approved goals and regulatory and standard setting agencies. The Risk Manager performs as an internal compliance consultant by maintaining current knowledge of hospital regulations including DPH, BRM, The Joint Commission, CMS, and FDA. The Risk Manager will develop external and internal relationships to ensure compliance with applicable regulations.
Responsibilities Include:
- Reviews, evaluates, and reports on events, incidents, and claims for ambulatory and inpatient care, including review of reports to identify trends and high-risk areas for management attention in collaboration with the Director of Risk Management.
- Patient Care Assessment Coordinator (PCAC) – Responsible for implementing, by delegation, oversight, facilitating, coordinating, or otherwise, the DFCI Patient Care Assessment Program and with ensuring compliance with the Board of Registration in Medicine requirements. (243 CMR 3.00).
- Serves as the hospital liaison to the Board of Registration in Medicine (BRM).
- Functions as the formal administrative liaison to the Quality Improvement/Risk Management committee in ensuring adherence to the requirements of the Patient Care Assessment Plan.
- Collaborates with the Chief Quality Officer and the Senior Director Patient Safety & Infection Control in the review of cases involving patient harm or significant deviation of standard procedures which could cause patient harm.
- Prepares and submits required semi-annual and annual reports; files serious quality reviews (SQRs), responds to inquiries from BRM; interprets regulations, educates staff regarding current or new BRM regulations; interprets with medical staff, and the Office of General Counsel appropriate cases to be filed as an SQR.
- Facilitates the root cause analysis process in the event of a sentinel or near miss event. Coordinates review of medical information, interviews staff, debriefs all individuals as indicated, and ensures appropriate and timely follow up for identified action items.
Minimum Qualifications:
- Bachelor’s degree in health or legal-related field required; Master’s degree preferred.
- 5 years of experience working in hospital administrative, quality, compliance, or related field required.
- Previous clinical practice experience required.
- Ability to learn and use rL safety reporting system in order to function as System Administrator.
- Knowledge of hospital administrative and medication policies.
- Knowledge of The Joint Commission standards, OSHA, CDC, DPH, BRM and CLIA regulations.
- Clinical judgment to evaluate findings in medical record review.
- Interpersonal skills and maturity to work with multiple levels of hospital staff and administration.
- Ability to work with confidential patient information.
- Ability to identify resources to obtain needed information.
- Public speaking skills to make presentations of information at committee meetings and in-service education updates.
- Writing skills to complete committee meeting minutes, summary and analysis reports, and inter-departmental memos.
- Organizational skills to facilitate small task forces for problem investigation and solving.
- Knowledge of PC computer programs - Word processing (e.g. Microsoft Word) and spreadsheet programs for creating tables and charts (e.g. Excel).
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