Risk Management Specialist

3 days ago

Waverly, Tennessee, United States AHC Waverly LLC Full time
Job Summary

The Risk Manager will be responsible for implementing and developing quality initiatives and risk management strategies to ensure a safe and effective patient care environment. This role will involve monitoring patient progress and risk during treatment, performing reviews and audits of risk management practices, and providing education and training to leadership and staff members.

Key Responsibilities
  • Manage results for key areas such as clinical quality, service excellence, people management, and financial management
  • Educate and train leadership and staff members on risk management practices and their respective responsibilities
  • 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)
Requirements
  • Assist in creating 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 goals
  • Adhere and respect all policies and procedures regarding anonymity and confidentiality of all patient records past and present
  • 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
Preferred Qualifications
  • Skills: knowledge of data collection, analysis, and data interpretation; knowledge of federal and state laws and regulations and accreditation standards; proficient leadership abilities; ability to educate and train others as it pertains to risk management issues
  • Experience: extensive supervisory experience in a geriatric setting; 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
  • License/Certification/Education: graduate from an accredited school with a Registered Nursing Degree; current RN license in state where facility is located; CPR Certification
Company Competencies
  • Respect: treat people as they want to be treated, showing regard for their rights and privacy
  • Integrity: emphasize honesty, fairness, and doing the right thing even when no one is watching
  • Teamwork: work collaboratively to improve processes, resolve problems, and reward results
  • Excellence: hold ourselves to the highest standards, aspiring to zero defects in every task
  • Compassion: respond to those who need help with sensitivity and a positive attitude
  • Professionalism: perform duties with skill, good judgment, and politeness
Job Competencies
  • Analytical Thinking: able to gather and analyze data and reach appropriate conclusions; solves problems in a timely manner
  • Customer and Personal Service: possess good interpersonal skills while dealing with emotional or difficult situations; respond promptly to customer's needs
  • Accountability: accepts responsibility for own decisions, actions, and results; able to maintain dependable behavior in times of crisis or complexity
  • Attendance: 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
  • Communication: speaks and writes clearly and persuasively; listens and receives clarification
  • Ethical Behavior: upholds organizational values and abides by state and federal regulations; maintains confidentiality of HIPAA information; treats others with respect
  • Initiative: seeks increased responsibility; sets self-improvement goals related to the organization's objectives
  • Job and Industry Knowledge: demonstrates knowledge of the position and industry; seeks additional information
  • Productivity and Quality of Work: maintains high level of performance while demonstrating commitment to accuracy and thoroughness
  • Teamwork: displays ease working with others; contributes ideas and skills to team; puts success of team above own interests
Scope and Level of Work

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

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 weekend work. Travel may be required.

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