Health Systems Specialist

4 weeks ago


Salem, Oregon, United States Veterans Affairs, Veterans Health Administration Full time
Job Summary

This position is located in the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Mid-Atlantic Health Care Network VISN 6, Salem VA Medical Center in Quality Management Service.

The Risk Manager is directly responsible to the Chief, Quality Management. The Risk Manager provides direct staff support to all Service/Service Line Chiefs and others in planning, designing, integrating, implementing, modifying, and administering a Medical Center-wide risk management program.

Key Responsibilities
  • Develop and maintain the Medical Center Quality Management - Risk Management Program.
  • Analyze medical records and Computerized Patient Record System (CPRS) notes to retrieve information related to tort claims.
  • Respond to inquiries from patients related to procedures on filing claims.
  • Coordinate peer and administrative reviews subsequent to notification of claims alleging medical malpractice.
  • Coordinate tort claims (medical malpractice, liability/other, small claims, and 4629 claims).
  • Maintain a database of all such claims for the purpose of identifying trends and potential areas of improvement.
  • Serve as a liaison with the Regional Counsel's staff in matters relating to tort claims and contacts Regional Counsel on legal issues that are unusual.
  • Coordinate for a board of investigation process for the Medical Center for a Board of Investigation.
  • Reviews board reports and provides timely submission of original reports and tracking of corrective actions.
  • Provide oversight of the Peer Review program and supports the Peer Review Committee as an advisor.
  • Make recommendations to Medical Center Leadership and Service/Service Line Managers based on analysis of Risk Management data.
  • Collaborate/Lead Performance Improvement activities related to Claims Review, Boards of Investigations, Peer Review, Occurrence Screens, Disclosures, Risk Management Performance Improvement and Program Integration of the Risk Management program throughout the facility.
  • Assist with visits from outside regulatory and licensing agencies to include Office of Inspector General (OIG) and The Joint Commission (TJC).


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