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Risk Management Specialist

2 months ago

Clarksburg, 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 high-quality patient care environment. This position will monitor patient progress and risk during treatment, perform reviews, and audit the management of risk within a designated facility.

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 the risk management program 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 our 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: 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
  • 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.

Supervisory Responsibilities:

Does not have supervisory responsibilities.

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.