Clinical Risk Specialist

2 weeks ago

Franklin Tennessee, United States Acadia Healthcare Full time
Job Summary

We are seeking a highly skilled Clinical Risk Specialist to join our team at Acadia Healthcare. The successful candidate will be responsible for ensuring superior patient safety and experience as measured by incident volumes/rates, management of incident trends, completion of compliant and orderly investigations, and compliance with state and federal laws and regulations and accreditation standards.

Key Responsibilities
  • Monitor daily, weekly, monthly, quarterly, and annual incident volumes and trends at assigned facilities, identifying deviations from expected practice and enterprise targets.
  • Proactively analyze incident trends and assist facilities with developing effective, multidisciplinary plans of action to remediate escalating incident trends and patient/staff safety risks.
  • Support and teach facility leadership to sustainably implement best-practices in risk management as evidenced by measurable incident trend reductions in assigned facilities.
  • Communicate with facility Risk leader to receive notification or information of adverse events, including coaching staff with mitigation efforts and investigation requirements.
  • Ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
  • Evaluate key metrics and assist facility leadership with creating reports related to the Risk Management Program.
  • Analyze risk-related data to better understand potential risk and actual risk and anticipate losses.
  • Analyze incident data to track and identify trends to reduce risk exposures, prevent incident re-occurrence/loss, and improve the quality of care.
  • Make recommendations to reduce risk.
  • Review documents provided by facility related to Risk Management, including investigations submitted by a facility to assess risk. Communicate with facility to gather additional documents as needed and ensure implementation of interventions to reduce risk.
  • Collaborate with other departments to promote the principles of enterprise risk management.
  • Innovation – ensure thorough adoption of Acadia's selected technology platforms to support patient and staff safety and experience.
  • Respond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate. Coordinate resolution of ethics reports with appropriate members of the Quality team, Compliance team, Human Resources, and/or General Counsel (Legal team).
  • Develop and evaluate the goals of the Company and prioritize the work in accordance with the strategic objectives of Acadia Healthcare.
  • Maintain regular communication with leadership at assigned facilities regarding clinical, patient safety, patient experience, and risk management issues.
  • Work collaboratively with corporate staff, physicians, Quality, Legal, and other corporate leaders to address performance improvement and safety issues.
Requirements
  • Bachelor's degree in healthcare or related field required.
  • A minimum of two years' experience in psychiatric healthcare operations and/or healthcare risk management.
  • Knowledge of relevant Joint Commission, CMS, CARF, DEA, and state/local standards and regulations.
  • Experience in conducting complex, healthcare-focused investigations required. Experience conducting root-cause analyses and Failure Mode and Effects Analyses preferred.
  • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
  • Knowledge of office administration procedures with the ability to operate most standard office equipment.
  • Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
  • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
  • Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
  • Self-motivated with strong organizational skills and superior attention to detail.
  • Must be able to manage multiple tasks/projects simultaneously within inflexible time frames.
  • Ability to adapt to frequent priority changes.
  • Capable of working within established policies, procedures and practices prescribed by the organization.
  • English sufficient to provide and receive instructions/directions.

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