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Risk and Quality Coordinator Behavioral Health Administration II
4 weeks ago
The Risk and Quality Coordinator is responsible for the ongoing, effective operation of Risk Management activities across all behavioral health units and off-site BH clinics. This includes incorporation of the Corporate Risk Management TERM program into the overall functioning of BH and Clinics. With minimal supervision, coordinates the Core Measure compliance program in the BH Hospital. Additional responsibilities will include provision of consultative services for other Performance Improvement activities and assisting with compliance activities for all regulatory agencies.
Key Responsibilities- Demonstrates leadership and participation in the provision of departmental reports and patient safety initiatives.
- Responds to department needs with the ability to prioritize and direct departmental processes and activities.
- Demonstrates leadership and organizational skills in preparing claim files on potential and actual claims.
- Reports to Risk Director and CEO any potential risk or safety concerns.
- Assists with preparation of reports and data for Patient Safety Council.
- Manages patient safety and risk matters.
- Tracks variance/event reports for trends and responds to them with appropriate action plans to mitigate risk.
- Provides education to all departments as it relates to patient safety strategies and risk reduction.
- Audits areas for compliance in risk reduction processes and strategies.
- Identifies potential for risk avoidance through communication and interaction with clinical educators, nurses, physicians and ancillary providers.
- Assumes responsibility to provide consultation, investigation and face to face contact with patients and/or visitors when needed.
- Coordinates and documents root cause analysis for adverse events as a proactive tool for high-risk processes.
- Manages implementation of action plan.
- Works with the Director of Risk to provide discovery and interrogatory documents for local counsel as needed for claims.
- Assists local attorneys with preparation of employees, physicians and contract staff for depositions, mediation, and court proceedings.
- Enters event data, claims data into Midas and STARS Enterprise.
- Communicates and updates Corporate Legal as it relates to open and potential claims.
- Provides legal guidance to all units.
- Attends and contributes to required meetings such as PSC, EOC, IP, Med Safety, Falls Committee and Psychiatric Committee as appropriate.
- Maintains professional licensure.
- Conducts concurrent reviews of the medical records for identification of core measure deficiencies.
- Collections data regarding Core Measure compliance.
- Collaborates with nursing staff and physicians to resolve core measure deficiencies.
- Analyzes data regarding physician Core Measure practice patterns.
- Provides staff and physician education regarding Core Measure compliance.
- Develops and implements corrective action plans to address opportunities for improvement (OFI).
- Evaluates Core Measure corrective actions.
- Communicates with patients and family members who voice concerns with care provided.
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries
HRSA STAR Loan Repayment site. In exchange for 6 year commitment, earn up to $250,000 in loan reimbursement
