RISK MANAGER

Position Summary:

Under the supervision of the Director of PI/RM/CO, theFacilityRisk Manager(FRM)has broad responsibility to protect the hospital's assets from loss. TheFRMis responsible forcoordinating the loss control efforts andadvisingmanagement and administration on all potential sources of loss and for making recommendations to minimize oreliminateexposure. The structure and functions of the Risk Management Program are designedso as tocomply withguidelines and standards ofThe Joint Commission (TJC), other regulatory agencies, and the UHS T.E.R.M. Program.TheFRMis responsible for overseeing and monitoring thefacility-wide Risk Management Program andassist inRegulatory Compliance program to ensure compliance with all regulatory and accreditation agencies including TJC, Center for Medicare and Medicaid Services (CMS), California Department of Public Health (CDPH) as well as any other applicable state and federal laws and regulations governing mental health care facilities.

Qualifications:

Education: Graduate from an accredited program of professional nursing required; Bachelor's Degree Required

Preferred Experience: A minimum of three (3) years of experience in a behavioral health-care facility.

Licensure: Currently licensed to practice by the California State Board of Nursing.

Additional Requirements: CPR certification and successful completion of Crisis Prevention Intervention (CPI) training. CPI Training may be obtained during new hire orientation.

Specialized Skills and Knowledge

Astrong knowledge ofTJC, CMS,Occupational Safety and Health Administration (OSHA)and Patient Rights standards.

Knowledge of Joint Commission Standards, EMTALA, and HIPAA laws

Essential Job Duties:

Risk identification and Evaluation- Ensuresappropriateandtimelyreporting of occurrences bymaintaininga Healthcare Peer Review Reporting system (occurrence notification system); enters/ reviews/ edits incidents into the MIDAS Database.Receives and investigates reports of problems to determine appropriate response and establish record-keeping responsibilities. In the event of patient injury, establish direction from Corporate Risk Management in the appropriate action for defense strategy. 45%

Risk Reduction- Networks with department managers to implement system changes aimed at optimally reducing or eliminating causative factors and interfaces with the Performance Improvement Director, specific to the provision of patient care, and assessment of quality data 25%

Claims management- Notifies the Corporate Risk Manager of all Level III and IV events and completes Adverse Event Report (AER) for all Level III/IV events in Enterprise andsubmitsthe AER for review by the Corporate Risk Manger within 8 business days of the incident/notification of the incident and assists the Corporate Risk Management as needed to intervene,documentandassistin the investigation of all claims. 20%

Loss Control and Prevention-Participates in facility Environmental Safety Rounds for all patient care areas, including outdoor use/grounds areas of facility at least monthly. 10%

Equal Employment Opportunity

It is the policy of the facility to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment based on race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Service Excellence.

Service excellence is a part of all we do. Our standards include:

Treat everyone as a guest by making a good first impression, anticipating needs and displaying service recovery skills.

Demonstrate professionalism and excellence by looking professional, being accountable for actions and delivering excellence in our everyday work.

Practice teamwork by participating in decision making and process improvement, communicating effectively and focusing on the problem/issue, not the person.