Patient Safety & Risk Management Manager
Blue Cross and Blue Shield of Kansas City
Benefits Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan with both employee and employer contributions Annual incentive bonus plan based on company achievement of goals Paid holidays, paid time off, and volunteer time off Professional development courses, mentorship opportunities, and tuition reimbursement program Paid parental leave and adoption leave with adoption financial assistance Employee discount program Job Description Summary The Manager of Patient Safety & Risk Management will provide positive leadership and management for the overall Risk Management Program for Spira Care. This position manages the activities of Spira Care’s risk management and patient safety programs, and provides guidance to the leadership team and clinical staff. The Manager develops and maintains systems within Spira Care to detect, monitor, prevent, organize, measure, investigate, report, and manage patient adverse events, malpractice claims, incident reports, and other indicators of potential patient harm. The Manager supports organizational efforts to mitigate and reduce risk across Spira Care and each of its Care Centers, manages the incident reporting platform, collaborates with legal and operations functions, and reports to the Director of Enterprise Risk Management. Responsibilities Conduct thorough internal reviews to respond to patient grievances/complaints, safety concerns, high risk incidents, and compliance issues to mitigate potential risks associated with systems and individuals. Implement, deploy, and manage Spira Care’s incident reporting platform, partnering with cross‑functional teams for a successful launch. Promote reporting processes by educating Spira Care Centers on reporting methods and strategies, and facilitating stakeholder understanding and usage. Proactively evaluate areas of organizational risk through internal assessments and external benchmarking, and implement strategies that promote patient, visitor, and staff safety. Develop trending and reporting tools to identify improvement opportunities and facilitate prevention initiatives. Direct the investigation of all potentially compensable events (preventable adverse events). Establish processes for receiving, documenting, and tracking evaluative data on all program audits, evaluations, internal investigations, complaints, and risk analyses, providing trend data to inform KPI efforts. Periodically update Spira Care’s Risk Management Plan (at least annually). Meet regularly with leadership to provide detailed reports on serious incidents, claims, and risk‑related issues. Respond to sentinel events and other serious occurrences, providing expert advice on management and reporting to administrative and clinical leadership and staff. Conduct immediate or appropriate responses to any serious occurrence/complaint representing actual or potential patient, visitor, or staff injury. Monitor and take subsequent actions to ensure learning, compliance, and documentation. Analyze statistical reports and advisories that identify risk management and patient safety patterns and trends for leadership. Serve as liaison to external regulatory agencies for patient and physician reporting, event investigation, and response under the direction of the Director of Enterprise Risk Management. Work with legal counsel to coordinate information needed to manage claims, record, collect, document, maintain, and provide requested information while maintaining privilege. Collaborate with legal and operations functions to ensure adequate insurance coverage, including professional liability and other applicable lines of coverage. Review and evaluate related policies and procedures, recommending revisions as needed. Create new policies for approval as required. Participate in educational and communication initiatives to promote risk reduction and compliance policies and procedures. Annually evaluate the risk management and patient safety program for improvement opportunities. Initiate partnerships with colleagues across Spira Care to drive a culture of risk awareness and proactive risk identification. Minimum Qualifications Registered Nurse, Nurse Practitioner, or Physician Assistant degree. CPHRM (Certified Professional in Healthcare Management) or CPPS (Certified Professional in Patient Safety) within a year of hire. 5–7 years of experience in ERM, compliance, audit, risk management, or a similar function in a healthcare environment. Experience in planning and implementation of risk management strategies and programs. Knowledge of laws, regulations, and industry guidance affecting healthcare risk management and patient safety, including OSHA, HIPAA, provider licensure laws, and state and federal reporting requirements. Experience in emergency planning is a plus. High-energy, organized, persistent, and creative individual with strong communication, interpersonal, and systems thinking skills. Proficiency in MS Office (Word, Excel, Outlook, PowerPoint). Experience with Electronic Medical Records software required; AthenaNet experience preferred. Preferred Qualifications Risk management certification. Equal Employment Opportunity Statement Spira Care is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability. Spira Care, LLC will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems. IER Right to Work, FMLA, Employee Polygraph Protection Act. EOE / Veterans / Disability, affirmative action employer, E-Verify participation, equal employment opportunity nondiscrimination affirmative action policies. #J-18808-Ljbffr Blue Cross and Blue Shield of Kansas City
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