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Healthcare Risk Assessment Coordinator

2 months ago

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POSITION OVERVIEW:
The Clinical Risk Management Specialist will spearhead the implementation and enhancement of quality initiatives and risk oversight.

This role involves monitoring patient outcomes and associated risks throughout treatment, conducting evaluations, and auditing risk management practices within the organization.


KEY RESPONSIBILITIES:
To successfully fulfill this role, the individual must effectively perform each essential function, with or without reasonable accommodation.

  • Oversee performance metrics in critical areas such as clinical excellence, service quality, personnel management, and financial stewardship.
  • Provide education and training to leadership and staff regarding the risk management framework and their specific roles in its execution.
  • Guide and support departments in formulating risk management strategies tailored to their operational areas.
  • Gather, assess, and maintain data related to patient incidents, claims, and workers' compensation, along with other risk-associated information.
  • Conduct investigations and analyze underlying causes, patterns, and trends; assist in identifying and implementing corrective measures as necessary.
  • Actively engage in or facilitate committees focused on risk management, safety, and quality enhancement.
  • Design and execute the organization's risk management program in alignment with its mission and strategic objectives while adhering to applicable federal and state regulations and accreditation standards.
  • Perform random audits of patient records.
  • Supervise Activity Therapists and Therapist/Case Managers regarding daily operations and documentation in the absence of the Licensed Clinical Social Worker (LCSW).
  • Undertake additional responsibilities as assigned.

QUALIFICATIONS:

  • Contribute to fostering an environment characterized by mutual respect, trust, and open communication across all disciplines.
  • Encourage team spirit and enthusiasm.
  • Serve key stakeholders, including patients, colleagues, physicians, the community, and the organization, with a positive attitude.
  • Approach problem-solving methodically to achieve desired outcomes.
  • Comply with all policies and procedures regarding patient confidentiality and anonymity.
  • Interact in a friendly, supportive, and professional manner with patients, families, physicians, referral sources, visitors, colleagues, and management.
  • Promote and ensure a drug-free and violence-free workplace.
  • Successfully complete all required training.
  • Effectively manage multiple priorities.
  • Exercise independent judgment and decision-making.

REQUIRED SKILLS:

Knowledge:
o Proficient in data collection, analysis, and interpretation.
o Familiarity with federal and state regulations and accreditation standards.
o Strong leadership capabilities.
o Ability to educate and train others on risk management matters.
o Commitment to process improvement and a fair and just culture.
o Capacity to lead teams and address complex issues.
o Understanding of the legal aspects of clinical practice and professional standards.

EXPERIENCE:
o Significant supervisory experience in a geriatric care setting.
o A minimum of two years' experience in risk management, quality improvement, health information management, healthcare administration, patient care, or business management.
o Geriatric experience is preferred.

EDUCATION/LICENSES:
o Graduate from an accredited nursing program with a Registered Nursing Degree.
o Current RN license in the state of practice.
o CPR Certification.

COMPANY VALUES:

  • Respect - We treat individuals with dignity, honoring their rights and privacy.
  • Integrity - We prioritize honesty, fairness, and ethical conduct.
  • Collaboration - We work together to enhance processes, resolve challenges, and recognize achievements.
  • Excellence - We strive for the highest standards in every task.
  • Compassion - We respond to those in need with sensitivity and a positive outlook.
  • Professionalism - We execute our responsibilities with skill, sound judgment, and courtesy.

WORK ENVIRONMENT:

Complexity:

Work is conducted within a defined framework under general guidance, necessitating the coordination of multiple functions or projects at various stages of completion.


Decision-Making:
Exercise discretion and judgment, responsible for determining the timing, location, and sequence of work activities.

Communication:

Engage with the public or employees where interpretive information is exchanged, requiring discretion and judgment within the job's parameters.


SUPERVISION:
Operate under general supervision, receiving assignments and expected to complete them independently, with work reviewed for adherence to guidelines and accuracy.

WORKING CONDITIONS:

  • Ability to lift up to 40 pounds.
  • Involves standing, walking, sitting, bending, reaching, kneeling, pushing, and pulling.
  • Typically performed in a standard office environment; well-lit and temperature-controlled.
  • May require flexible hours, unscheduled overtime, or occasional weekend work.
  • Travel may be necessary.

SAFETY EXPECTATIONS:

  • Adhere to safety protocols and report unsafe conditions.
  • Take proactive measures to prevent unsafe practices.