Clinical RN - Risk Management

Essential Job Functions

• Develops and oversees department cost centers to ensure adherence to organizational mission, vision, values, strategic goals, and business strategies. Interprets and supports the mission and philosophy of Billings Clinic. Responsible for promotion of, and adherence to the elements of Billings Clinic's Code of Business Conduct and corporate compliance program.
• Assists in the development of methodologies to fulfill the organization's strategic initiatives for risk prevention, risk and claims management, patient safety and process improvement.
• Identifies and arranges for consulting assistance from internal or external sources as required to meet the needs of the Risk
• Management Committee, Medical Staff, or others requiring risk prevention and mitigation education.
• Assists in establishing and maintaining processes to measure customer satisfaction including analysis, routine reporting, and recommendations on findings
• Assists in the development and delivery of annual training and education in risk prevention and reduction
• Collaboratively designs, coordinates, and manages an organization wide Risk Management Plan that organizes both risk prevention measures and claims processing and management systems for the hospital, physician clinics, branch clinics and long-term care.
• Provides direction and consultation services to Billings Clinic staff as necessary in connection with malpractice and medical legal matters
• Provides support for resolution of serious customer service complaints, grievances, and issues related to the quality of patient care and / or services, threats of legal action, and imminent safety / risk situations including mandatory reporting to FDA for serious patient / employee injury of death resulting from a medical device.
• Adherence to state and federal disclosure of health information obligation and restrictions is critical.
• Maintains legal case files electronically and / or on paper and ensures maximum protection from discovery.
• Actively participates in the assessment and evaluation of liability insurance coverage and provides confidential loss analysis, activity, and status reports as requested and appropriate to Billings Clinic leadership.
• Recommends defense postures and participates in evaluation of settlement values. Represents the organization at Montana Medical Legal Panels, settlement negotiations and trials at the direction of Risk Management leadership.
• Reviews and investigates incident and complaint reports. Recommends corrective action. Works collaboratively with Patient Safety, Quality, other leaders, providers and staff as needed to conduct review.
• Attends Risk Management, Patient Safety, Safety and Security, Quality, and other committees or meetings at the direction of leadership.
• Assists the Director in the development and communication of department specific and Billings Clinic policies and procedures
• Provides input in both short and long term planning for the department.
• Identifies need and sets goals for own personal growth and development; meets mandatory organizational and department requirements
• Maintains competency in organizational, departmental, and outside agency environmental, employee or risk management standards relevant to job performance
• Facilitates root cause analysis (RCAs), apparent cause analysis (ACAs), and failure mode effect analysis (FME) as needed
• Compose letters or e- mails to patients and patient family ensuring grammatical accuracy and according to terms of the Billings Clinic grievance policy
• Alert risk leadership of any potential legal actions
• Coordinate communication between patient and / or patient family with department supervisor and physicians to help present facts and work toward an acceptable resolution.
• Identify systems related problems, via patient / visitor data, proactive patient, family, team member rounding and work collaboratively with physicians, administrators, and staff to resolve.
• Assist in the preparation of annual and quarterly reports for the quality meeting and senior leadership;
• Participate in educational opportunities, reading professional publications, maintaining personal networks, participating in professional organizations.

Minimum Qualifications

Education

Experience

Certifications and Licenses

Employee Benefits

Billings Clinic Employees

Billings Clinic is a “best” place to work because if its people. The collegial atmosphere, teamwork, pride in care, and numerous opportunities to grow both personally and professionally help keep our amazing employees here caring for patients.  State of the art facilities and advanced technology gives the health care professionals the tools to provide advanced health care in a healing environment.

Employees have the opportunity to make a difference in the lives of each other and our patients, making this a truly meaningful place to work. The organization also offers employees the opportunity to engage in numerous councils and educational opportunities leading to career growth and involvement in decision making and important initiatives. Beyond giving great care, employees’ ideas and insights are valued at every level of the organization.

At Billings Clinic, it is important to celebrate milestones and ensure that employees feel valued. Recognitions such as the DAISY or BEE Awards, Years of Service and the employee recognition program give everyone the opportunity to show encouragement toward team members who go the extra mile.

Billings Clinic offers excellent benefits and salaries, education assistance, paid time off, and learning plans for career growth. The combination of excellent benefits, strength of the organization and meaningful work make Billings Clinic one of the best places to spend a career in health care.

Billings, Montana is a friendly college community located near the magnificent Rocky Mountains with great exciting outdoor recreation just minutes from home.  Billings has great parks, trails, public lands, thriving restaurants, excellent schools, safe neighborhoods, and abundant events and family activities.

Explore some of the Billings Clinic employee benefits

Health

Short Term Disability / Medical Leave -Billings Clinic provides a short term disability medical plan which provides employees with days to use in the event of an extended illness or injury.

Financial

Tuition reimbursement and / or assistance programs are available for certain positions.

Growth & Community