Clinical Risk Manager Job Worcester area,Massachusetts USA,Healthcare

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? to apply through your Workday account.

Overview

Everyone is a Caregiver. At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

Exemption status and compensation

Exemption Status: Exempt

Hiring Range: $91,644.80 - $

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations
.

Schedule details

Schedule Details: Monday through Friday, On Call - Required

Scheduled

Hours:

Shift: 1 - Day Shift, 8 Hours (United States of America)

Hours: 40

Cost Center: 99900 - 6202 Quality Assurance Risk Management Admin

This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process.

Responsibilities

Responsible for applying the risk management process of identifying risks, setting priorities, and mitigating the risks through elimination, prevention, reduction, and transfer.

Identify incidents with potential for liability and financial loss, using loss prevention monitors, including occurrence (incident reports), focused occurrences and patient complaints.

Conduct investigations of incidents/adverse events with possible quality of care, systems, regulatory and/or potential liability questions and concerns.

Review daily occurrences through the online occurrence reporting system to identify significant events and patterns for risk management and quality improvement interventions.

Serve as a resource and consultant for physicians, residents, patient care representatives, and other staff regarding risk management, loss control, and loss prevention strategies; conduct independent clinical department risk assessments and present findings to department leadership.

Plan and execute Root Cause Analysis (RCA) in a timely manner, including staff interviews and preparation of RCA documents; monitor progress on action item follow-up with senior leadership, physicians, and the Patient Safety Committee.

Coordinate and conduct investigations of potential/actual litigation cases with claims adjustors and defense counsel as appropriate; prepare observation cases and make reserves recommendations as appropriate.

Identify and communicate potential regulatory reports (e.g., DPH, Joint Commission, Board of Registration in Medicine) and staff of Regulatory Affairs; primarily responsible for preparing BORM SQR, BORM Annual and Semi-annual reports and Med Watch reports; participate in DPH reports with Patient Safety/Regulatory staff.

Provide weekly risk management orientation to new employees.

Proactively present educational presentations to physicians, nurses, and other employees focusing on patient safety, adverse medical event management, quality improvement and loss prevention strategies to reduce risk and liability exposure.

Develop and revise policies and procedures specific to Risk Management and other areas as required.

Ensure concerns regarding product alerts and product recalls are addressed using the ECRI electronic Alert Tracker system.

Travel to member campuses on a weekly/daily basis as required (UMass Memorial Medical Center, Marlborough Hospital, Health Alliance-Clinton Hospital campuses, Harrington and CMG locations).

Position qualifications License/Certification/Education

Required:
1. Bachelor's degree in healthcare field.
2. Current unrestricted driver's license.

Preferred:
1. Master's Degree in health-related field or MBA.
2. RN license.
3. Certified Professional in Healthcare Risk Management certification (or eligibility) or other Risk Management certification.

Experience/Skills

Required:
1. Minimum of 5 years clinical experience.
2. Demonstrated knowledge and experience in fundamentals of quality improvement, patient safety and risk management.
3. Proven ability to function independently and communicate effectively at all levels of an organization.
4. Strong organizational, analytical and computer technology skills.

Preferred:
1. Experience in Healthcare Risk Management.
2. Experience in an academic medical center.
3. Database experience.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We are committed to respect in all we do. Our Standards of Respect are:
Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, please join…


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