Director, Risk Management-Healthcare - Zytek Medsearch

Title: Director, Risk Management-Healthcare

Location: Murrieta/Temecula, CA area

Relocation Assistance: Yes

Full time on site

Under the direction of the Chief Executive Officer (CEO) the Director, Risk Management/Accreditation is responsible for directing, organizing, leading, implementing and supervising day to day operations of the Risk Management, Accreditation/Regulatory Compliance and Infection Control efforts for two hospitals with a total of approximately 240 beds. The director serves as the hospital Patient Safety Officer and Compliance Officer.

Risk Management Program Administration:

• Serves as a resource to senior leadership, facility and medical staff. Participate in 24-hour call.
• Made aware of all serious incidents ensuring thorough investigations and notifications to senior leaders, and hospital risk as warranted.
• Reviews and updates the Risk Management Plan, Goals and Objectives yearly.

Risk Identification:

• Is responsible for maintaining the risk management database and notifies Sr. Director Corporate Risk Management and/or Corporate Group Risk Manager of all G. H. I incidents.
• Oversees and participates in facility risk assessments for clinical and non-clinical areas
• Participates in RCAs and FEMAs and ensures submission to Corporate Risk Management
• Participates in the peer review process and presents serious incidents, when applicable

Risk Management Education:

• Participates in the new employee orientation for discussion of the Risk Management Program, Patient Safety, incident reporting and TERM
• Acts as a resource for issues (i.e., consents, confidentiality, documentation, ethical, standard of care, compliance)
• Promotes Best Practices by educating facility and medical staff on risk management issues.

Risk Prevention Techniques:

• Participates in the development, implementation and review/revision of policies and procedures.
• Collaborates with clinical leaders to actively work and establish compliance with standards of care, best practices in industry accepted high-risk areas (i.e., ED, ICU, Surgery, OB, medication administration, fall prevention)
• Collaborates with the leadership team to promote positive patient/family/visitor experience.
• Works collaboratively with security and Human Resources to enforce facility safety practices (i.e. visitation, workplace violence, identification /harm prevention regarding patient belongings, and disclaimer for liability of vehicles parked on facility property

Measuring Effectiveness and Risk Management Program:

• Provides reports to Corporate Risk Management, as per established guidelines
• Complies and reports Midas RDE analysis and trends to appropriate individuals, departments and committee to be utilized for improvement of patient care
• Provides confidential reports of significant occurrences and incidents to applicable peer review committees and PSC
• Administration ensures the presentation of risk management information and reports are presented to the peer review committee by either the Director of Risk Management/Accreditation or the Director of Performance Improvement/Patient Engagement

Claims and Litigation Management:

• Directs and participates in the investigation of serious incidents concurrently with guidance from corporate risk management. Works with CBO regarding suspension of bills
• Timely forwarding of claim notices and submission of Probable Claim Reports
• Through administrative support develops and institutes policies and formalizes receipt of claims notices, securing evidence and confidentiality of information and material relating to claims.
• Concurrently informs Corporate Insurance ,Risk Management and Senior Facility Executives of attendance on any pending trials, mediations, or depositions and submits report of activity.

Requirements:

• Graduate of a state accredited school of nursing or graduate of an accredited collegiate program in a health-science related field.
• Masters degree in a healthcare related field, or a Bachelors degree in related field with seven (7) years of director level experience; required
• At least four (4) years leadership experience in an acute care facility
• Certified Professional in Healthcare Risk Management of Certified Professional in Healthcare Quality

Expected salary: 126-183K + sign on bonus