Director-Market Risk-Mgmt/Exempt
Company: Trios Health
Location: Kennewick
Posted on: April 23, 2024
Job Description:
Risk Manager - Assesses, plans, implements, manages, and
coordinates the risk management activities at Trios Health, which
include: management, analysis, monitoring and reporting of risk
management information; occurrence tracking; medical, safety, and
quality follow-up in compliance with applicable laws and
regulations; insurance coverage and risk financing; management of
claims against the facility, interface with legal counsel, analysis
and management of safety/environment of care issues. - - Conducts
risk management educational programs with the objective of
controlling and minimizing loss to protect the Hospital and the
Hospital District.
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Patient Safety Officer - Responsible for primary oversight of the
organization-wide patient safety program which includes providing
leadership for safety assessments, educating other practitioners on
the system-based cause for medical errors, consult with management
and staff, and oversee the development and implementation of
medical error reduction strategies in collaboration with all
departments and patient care areas leadership. - Reports patient
safety program activity at Quality Council.
- Department Operations:
- Maintains Hospital District-wide systems for claims management
and occurrence reporting.
- Provides assistance to legal counsel in gathering information
regarding claims or claims history.
- Participates in the collection of data necessary for insurance
renewals.
- Integrates patient safety function within the
organization.
- Reports serious health care events to appropriate agencies;
DOH, CMS, Washing State Insurance Commission, etc.
- Maintains confidentiality of patient information.
- Abides by the District's Human Resource Policy Manual and
Compliance Plan
- As the Patient Safety Officer is responsible for oversight of
the organization-wide patient safety program, including but not
limited to, providing leadership for safety assessments, educating
staff and other practitioners on system-based cause for medical
errors, consults with management and staff, and oversees the
development and implementation of medical error reduction
strategies in collaboration with all departments and patient care
areas of leadership.
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- Fiscal Management:
- Prepares and submits budget to Director of Quality, including
financial and capital expenditures within established
guidelines.
- Monitors Risk Management budget. - Reports variances to
Director.
- Maintains Risk Management files.
- Prepares Patient Safety Program annual report.
- Prepares and reports risk management activity to the Joint
Conference Committee quarterly. -
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- Interpersonal Relations:
- Utilizes and encourages a variety of communication means, both
written and verbal, to facilitate positive interaction and
information sharing.
- Through attitude and example, contributes toward
intradepartmental and interdepartmental teamwork.
- Works collaboratively with Patient Relations following
established complaint resolution procedures.
- Promotes and supports an environment for high morale, teamwork
and cooperative spirit.
- Actively participates and contributes on various committees,
teams and task forces as appropriate.
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- Performance Improvement:
- Follows Plan-Do-Check-Act process for performance
improvement.
- Compliance:
- Develops, reviews, and updates, policies and procedures to
reflect compliance with CMS, TJC, and other regulatory agencies as
appropriate.
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- Civic Activities:
- Represents Trios Health at civic and community organizations
and events as appropriate.
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- Patient Age Groups Served:
- - -NA - - -
- - -NEONATAL
- - -PEDIATRIC
- - -ADOLESCENT
- - -ADULT
- - -GERIATRIC
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IV. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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ESSENTIAL JOB FUNCTIONS
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- Establishes and implements policies and procedures to carry out
goals and objectives. `
- Maintains risk management statistics and files in compliance
with Joint Commission, CMS, and other regulatory agencies.
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- Assists department leaders in designing risk management
mechanisms in their departments as appropriate.
- Receives claims or potential claims related to professional
liability, analyzes actual and potential risk, assesses liability
and probability of legal action; and transmits and coordinates with
legal counsel. -
- Assists in processing summons and complaints served on present
and previous employees.
- Interacts with management and legal counsel to respond to
claims or issues to facilitate settlement at an early stage. -
Works to resolve complaints/issues before they develop into
professional liability claims.
- Coordinates legal activities for Trios Health.
- Takes appropriate steps to ascertain that risks are minimized
through follow-up and action on all regulatory/insurance survey
reports recommendations/deficiencies.
- Receives and manages information on occurrences; reviews and
analyzes for potential liability; provides investigation and
follow-up of serious occurrences and sentinel events with
participation at the level appropriate to the event in conjunction
with the Director of Quality. -
- Interfaces with insurance carriers regarding claims,
applications, and on-going communication.
- Works with hospital legal counsel in investigations, processing
and defense of claims against the hospital. - With consultation
with Director of Quality may request legal opinions or advice. - In
collaboration with legal counsel, works out effective mechanisms
and procedures to ensure appropriate and timely response to issues
or events with serious potential for liability.
- Responds to professional liability and hospital liability
questions posed by hospital staff and medical staff.
- Maintains awareness of legislative and regulatory activities
related to health care risk management.
- Presents periodic in-services and routine orientation for
employees and medical staff regarding healthcare risk management
and related subjects to enhance awareness of their role in reducing
liability exposures and for reporting occurrences.
- Disseminates information on claim patterns and risk control,
provides recommendations and guidance for managing and reducing
risk.
- Manages incident reporting system.
- Recommends and facilitates change in the organization to
improve patient safety.
- Leads initiatives to develop proactive risk assessment
strategies across services to identify and mitigate patient safety
risks.
- Leads in development of a mechanism for internal communication
of patient safety issues
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- - - - - - - TRIOS HEALTH REQUIRED RESPONSIBILITIES
- Demonstrates support and adherence to the Mission and Values as
set forth by Trios Health.
- Responsible for becoming knowledgeable and compliant with
Hospital, Department, Fire/Safety/Disaster, Educational
Requirements and Personnel Policies.
- Adheres to the Corporate Compliance Program.
- Responsible for maintaining and protecting the confidentiality
of all information received.
- Performs department specific competencies
satisfactorily.
- All other duties as assigned.
Wage: $52.99 - $71.54
This is designated as a safety-sensitive position. -
Keywords: Trios Health, Kennewick , Director-Market Risk-Mgmt/Exempt, Executive , Kennewick, Washington
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