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Quality and Risk Management Specialist

2 months ago

Huntsville, Alabama, United States American Health Partners Full time

The Risk Manager will spearhead the implementation and enhancement of quality and risk management initiatives within the organization. This role is pivotal in monitoring patient outcomes and associated risks throughout the treatment process, as well as conducting thorough reviews and audits of risk management practices within the facility.

Furthermore, the Risk Manager will oversee, guide, and manage activities related to the collection, examination, processing, and archiving of medical records.


KEY RESPONSIBILITIES:

To excel in this position, the individual must effectively fulfill each essential duty, with or without reasonable accommodation.

  • Oversee performance metrics in critical areas such as clinical care, quality assurance, and service excellence.
  • Design and execute the organization's risk management strategy to align with its mission and strategic objectives while adhering to applicable federal and state regulations and accreditation standards.
  • Provide education and training to leadership and staff regarding risk management programs and their respective roles in these initiatives.
  • Guide and support departments in the development of risk management strategies.
  • Gather, assess, and maintain data related to risk factors.
  • Conduct investigations and analyze root causes; identify trends and implement corrective measures as necessary.
  • Actively engage in or facilitate committees focused on risk management, safety, and quality enhancement.
  • Perform random audits of patient records to identify risk areas, including but not limited to, the admission/readmission audit tool.
  • Assist in the onboarding of skilled residents to the facility.
  • Ensure compliance with documentation standards.
  • Support scheduling of physician appointments.
  • Handle incoming calls and direct them to the appropriate personnel.
  • Assist with daily operational tasks as required.
  • Identify and rectify inaccuracies in records following established protocols.
  • Support charge nurse responsibilities as assigned.
  • May be required to participate in an on-call rotation.
  • Perform other duties as assigned.

JOB REQUIREMENTS:

  • Maintain confidentiality of records and sensitive information related to residents, staff, and the facility.
  • Adhere to established safety protocols and isolation procedures.
  • Foster an environment of positivity, warmth, and attentiveness to residents' personal and healthcare needs.
  • Recognize and respond to resident emergencies promptly.
  • Contribute to a culture of mutual respect and open communication across all disciplines.
  • Encourage teamwork and enthusiasm.
  • Serve key stakeholders, including patients, colleagues, physicians, and the community, with dedication.
  • Approach problem-solving methodically to achieve desired outcomes.
  • Comply with all policies regarding confidentiality and anonymity of patient records.
  • Interact in a friendly, supportive, and professional manner with patients, families, physicians, and staff.
  • Promote and ensure a drug-free and violence-free workplace.
  • Maintain a consistent work schedule.
  • Complete required training successfully.
  • Effectively manage multiple priorities.
  • Possess reliable transportation.
  • Maintain regular and dependable attendance.

TECHNICAL SKILLS:

  • Proficient in various operating systems.
  • Familiar with standard office equipment.
  • Skilled in Microsoft Suite applications.
  • Experience with desktop, laptop, and/or iPad usage.
  • Knowledge of personal protective equipment (PPE) and standard medical tools.

QUALIFICATIONS:

Skills:
  • Expertise in data collection, analysis, and interpretation.
  • Understanding of federal and state regulations and accreditation standards.
  • Strong leadership capabilities.
  • Ability to educate and mentor others on risk management issues.
  • Focus on process improvement and a commitment to a fair and just culture.
  • Proficient in leading teams through complex challenges.
  • Knowledge of legal aspects of clinical practice and professional standards.

Experience:
  • Significant supervisory experience in a geriatric environment.
  • A minimum of one year’s experience in risk management, quality improvement, health information management, healthcare administration, patient care, or business management is preferred.
  • Experience in geriatric care is advantageous.

EDUCATION AND CERTIFICATION:
  • Graduate from an accredited nursing program with a registered nursing degree.
  • Current RN license in the state of practice.
  • CPR certification.
  • Completion of continuing education as required to maintain licensure.

SUPERVISORY RESPONSIBILITIES:
  • No direct supervisory responsibilities.
  • May require managerial guidance in exceptional circumstances.

WORKING ENVIRONMENT:
  • Good hearing ability.
  • Ability to lift up to 40 pounds.
  • Risk of exposure to bloodborne pathogens and other infectious diseases.
  • Work typically conducted in a standard long-term care facility; well-lit and temperature-controlled.
  • Frequent exposure to above-average conversational noise.
  • Position may require flexible hours, unscheduled overtime, or occasional weekend work.
  • Must be proficient in spoken and written English.
  • Travel may be necessary.

The physical demands outlined here are representative of those that must be met by an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.


EEO:
This employer participates in E-Verify.