Director Risk Management - Administrative Center - FT - Day
Stormont Vail HealthTopeka, KS, USjob_description.job_card.variable_days_ago
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job_description.job_card.job_description4 years Experience in claims management, risk management, clinical risk & safety or related disciplines or in roles related to compliance, regulatory or similarly sensitive matters within the healthcare industry. Required 2 years Experience in management. Required Less than 1 year Experience as a registered nurse or other clinical professional or non-clinical experience within the healthcare industry. Preferred Experience in leading a team to project completion in a way that the team feels valued and the results exceed expectations. (Preferred proficiency) Able to develop and effectively deliver presentations, including data analysis of risk management and accreditation matters, to senior management and organizational leadership groups. (Required proficiency) Possess excellent decision-making skills. (Preferred proficiency) Ability to work both independently and in cross-functional teams (Required proficiency) Ability to balance multiple tasks with changing priorities (Required proficiency) Must have excellent communications skills, written and oral, and excellent presentation skills. (Required proficiency) Ability to compile, analyze and present data. (Required proficiency) Strong leadership qualities (follow through, motivation, negotiation). (Required proficiency) Strong project management skills. (Required proficiency) Ability to work with multiple stakeholders and find creative solutions (Required proficiency) Certified Professional In Healthcare Quality - HQCC Preferred CPHRM, Certified Claims Manager or equivalent certification is preferred. Define, design and implement policies, processes and educational programs aimed at reducing organizational clinical and operational risk. Investigate and assess incidents, adverse events, and potential claims that may present a risk of loss to the organization or an opportunity to improve clinical quality, reduce risk or operational safety. Oversees, monitors and directs the investigation and processing of incident reports, adverse events and potential compensable events throughout the health system that may present a risk of loss to the organization or an opportunity to improve clinical quality, reduce risk or operational safety. Provide accurate, reliable and timely data reporting to meet regulatory, operational and risk financing needs; provide oversight, as assigned, to annual reporting. Conduct detailed and comprehensive risk assessments, analysis and develop recommendations for organizational actions to mitigate and manage organizational risks of loss. Conduct investigation of unanticipated / unexpected clinical outcomes, preventable clinical outcomes and potentially compensable events. Manage and document investigations related to hospital professional liability and general liability including conducting interviews with staff, insured physicians and management of pertinent documents and materials. Proactively leads the ongoing evaluation, implementation of initiatives, planning and support of the continuous readiness infrastructure and processes to ensure accreditation by deemed status accrediting organizations, such as The Joint Commission, as well as other regulatory accreditation, certifications, and applicable organizational licenses, to include overseeing project prioritization and timeline management of related projects, plans of correction and related assignments. Implement workflow needs and develop the strengths of content experts and other accreditation and regulatory specialists to review work plans ang progress. Support organizational accreditation and regulatory compliance including but not limited to the Joint Commission, CMS Conditions of Participation and Kansas Department of Health & Environment related to a variety of topics including but not limited to patient rights, EMTALA, disclosure and other matters. Collaborates closely with patient safety, accreditation, medication safety, environmental safety, patient relations, ethics, medical staff services and others to identify, manage and resolve risk issues. Chair the organization's statutory risk management committee and other enterprise-wide committees as assigned. Serves as the key management and content expert in healthcare risk management issues, standards, and Conditions of Participation interpretation and provides insights on upcoming regulatory changes, new requirements and related options for implementation by the organization. Leads the Risk Management and Accreditation team in a proactive and positive manner to achieve and exceed goals and needs of the organization and prepares and delivers presentations to senior management and various organizational teams regarding activities of the Risk Management and Accreditation department. Responsible for the annual preparation, review and approval of the organization's Risk Management Plan as well as the preparation of required reports to licensing and regulatory agencies. Within organizational processes, creates and oversees annual budget for Risk Management and Accreditation. Creates, prepares, initiates and monitors process improvement plans and projects, to include those involving significant events and root cause analysis. Works closely with organizational quality improvement teams to role out improvement plans derived from root cause analysis and incident evaluation measures to other applicable areas of the organization. Work cooperatively with risk, safety, compliance and other specialized teams and their customers to minimize human, property, technology, clinical and financial risk. Provides risk management advice and guidance with the objective of maintaining patient safety, enhancing quality care and minimizing loss. Participates in the risk management on call schedule to provide after-hours support on risk management and safety issues. Under the direction of leadership and in coordination with the Associate General Counsel administers organizational loss prevention and loss control processes. Oversee intake and file management of adverse events with harm and potential for harm in the Risk Management Information System in conjunction with the Risk & Safety Specialist and Verge IT Administrator. Provides 24 / 7 on-call risk management coverage as scheduled and provides risk management consultation as appropriate. 30% Will travel to all facility locations in personal vehicle. Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Position is Not Patient Facing Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Hybrid Has Supervisory Responsibility Has Budget Responsibility Balancing : Rarely less than 1 hour Carrying : Rarely less than 1 hour Climbing (Stairs) : Rarely less than 1 hour Crouching : Rarely less than 1 hour Driving (Automatic) : Occasionally 1-3 Hours Eye / Hand / Foot Coordination : Frequently 3-5 Hours Feeling : Rarely less than 1 hour Grasping (Fine Motor) : Rarely less than 1 hour Grasping
Director, Risk Management
The Director, Risk Management has responsibility for specified programs within the enterprise Risk Management function of Stormont Vail Health, including but not limited to, development and management of key components of the organization's risk management and accreditation programs. The Director's work includes, but is not limited to, defining and developing effective policies and processes to manage organizational risk, investigate and manage incident investigations related that may impact risk to the organization, support staff and provider engagement in managing risk issues and assure accurate and timely reporting to state and federal agencies. The Director of Risk Management also acts as the lead for the health system's preparation for accreditation surveys and regulatory inspections. This includes managing mock surveys, environment-of-care tracers, compliance rounding, and staff readiness drills. The Director, Risk Management interacts with all areas of the organization. In conjunction with the Associate General Counsel, the Director of Risk Management serves as a risk management and accreditation resource to all health system divisions and departments.
Education Qualifications
- Bachelor's Degree Business or related field. Required
- Juris Doctorate Registered Nurse, Clinical Experience. Preferred
Experience Qualifications
Skills and Abilities
Licenses and Certifications
What You Will Do
Travel Requirements
Required for All Jobs
Patient Facing Options
Remote Work Guidelines
Remote Work Capability
Scope
Physical Demands
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Director Risk Management • Topeka, KS, US