Senior Risk Management Specialist
$97.5k - $141.5kBoston Medical Center
Position Summary The Senior Risk Management Specialist provides leadership in risk management by promoting the highest level of quality care to patients, ensuring regulatory compliance, and mitigating malpractice risk through loss prevention. This hybrid position requires onsite presence three days a week and on‑call coverage each month. Essential Responsibilities / Duties Collaborates with QPS leadership, the Chief Quality Officer, the Director of Risk Management, and the Director of Patient Safety to support the Quality and Patient Safety Program by being a resource for error detection, prevention, and facilitating Root Cause Analysis (RCA) projects. Participates in ongoing regulatory readiness activities and serves on the onsite survey management team during regulatory surveys by the Department of Public Health (DPH) and the Centers for Medicare and Medicaid Services (CMS). Investigates and analyzes potential patient/visitor safety events (near‑misses) for improvement opportunities and potential legal action, including chart review, staff/provider interviews, policy review, best‑practice research, and observation. Coordinates risk and safety management training for providers, managers, and staff to enhance awareness of their role in patient safety, risk reduction, and safety event reporting. Provides immediate consultation, recommendations, and mitigation to hospital staff during adverse events through the on‑call system. Utilizes an electronic database to track patient safety events and identifies trends and improvement opportunities. Facilitates case management of the incident reporting system and collaborates with Quality and Patient Safety staff to mitigate local and organizational trends. Collaborates with the Claims Department to minimize legal/financial liability. Interacts with a wide variety of personnel across the organization, including administration, clinicians, staff, senior management, and Department Chairpersons. Participates in clinical case review and case learning committees and facilitates committee operations as assigned. Drafts reports for regulatory agencies. Mentors Risk Management Specialists in all aspects of work responsibilities. Ensures compliance with codes, laws, rules, and regulations concerning patient care, including state, federal, and Joint Commission standards. Stays current on legislative and regulatory activities related to patient safety and health care risk management. Assists in developing, maintaining, and revising policies and procedures to improve patient safety and minimize loss exposure, ensuring all meet regulatory and accreditation requirements. Develops and presents educational sessions on patient safety and professional liability risk reduction to physicians and management. Supports clinical chairs and department chiefs in designing patient safety and risk management programs for their areas. Reports on risk management matters and prepares reports for quality committees and boards. Ensures necessary information for claim defense is collected, maintained, and reported in a timely manner. Provides consultation to Patient/Family Relations (PFR) to mitigate risk associated with patient/family complaints. Supports Manager, Risk Management in regulatory activities tied to the Patient Care Assessment Plan and Serious Reportable Events for DPH and the Board of Registration in Medicine (BORM). Performs additional duties as assigned by Manager, Risk Management or Executive leadership in Quality and Patient Safety. Education
- Bachelor’s degree required.
- Advanced degree (JD, master’s) preferred.
- Concentration in nursing, science, or another health‑care related field required.
$97.5k - $141.5k
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