Risk Program Manager New! Risk Management | Full-Time | Phoenix ...Read More Quick Apply! Risk [...]

The Risk Program Manager collaborates with senior leaders and key stakeholders or experts, (e.g., Clinical Operations, Patient Safety, Supply Chain, Legal, and Regulatory Services), throughout Phoenix Children’s to develop system-wide responses to risk issues that impact specific groups or the entire organization with policies/procedures, guidelines, tools, forms, and education/training. In addition, this position serves as a liaison between patients, families, and all hospital departments, facilitating conflict management and complaint resolution to achieve optimal communication between patients and healthcare team. Responsibilities Develop risk mitigation strategies based on analysis of relevant data (claims, complaints/grievances, Serious Reportable Events, risk assessments). Investigate and analyze potential and actual professional liability exposures in the organization; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation. Work with Quality Management and operational leaders in the investigation of potential or actual events/concerns. Participate in root cause analysis (RCA), Failure Mode and Effects Analysis (FMEA), or risk mitigation and investigation strategies. Support Risk Management and Quality Management teams in error prevention efforts by investigating and analyzing events and trends, and communicate findings to appropriate departments/staff. Develop processes and benchmarks to monitor the effectiveness of risk mitigation strategies. Collaborate with Risk Management and Quality Management staff in developing periodic in‑services, teleconferences, face‑to‑face meetings and work groups regarding health care risk management and related topics. Perform risk assessments and audits in various clinical settings and coordinate development of clinical loss prevention plans. Assume an active role in onboarding newly acquired practices and mitigating potential liabilities using risk assessment tools. Assist Quality Management in gathering information requested by regulatory agencies, in regards to complaints/grievances, and event investigations, and in the identification of policies/procedures that support responses to regulatory investigations. Under the direction of Risk Management Leadership and Phoenix Children’s Counsel, investigate and analyze potential and actual professional liability exposures and recommend appropriate actions. Ensure the quality of legal services for lawsuits and efficient use of funds allocated for legal expenses. Direct activities of outside defense counsel, perform internal audits of defense legal services and continually evaluate strategic alternatives and opportunities for early mediation/resolution of claims and litigation. Serve as liaison between Counsel, other business units and external contacts to coordinate and expedite legal matters. Maintain litigation calendar and ensure timely execution of related documents. Collaborate in completing notifications and financial recommendations needed for compliance with tracking and insurer requirements. Provide oversight and maintain accuracy and integrity of documentation in the Risk Management System (RMIS). Work with clinical leaders to manage complex or unresolved complaints and grievances. Research medical records, policies, and procedures to gather information required for the resolution of complaints/grievances. Support operational leaders in implementing patient experience improvement initiatives, supporting a culture of patient and family centered care. Initiate rounding on patients and staff and prioritize focused re‑visits to improve the patient and family experience. Ensure a written response to grievances in accordance with applicable policies and regulations. Provide on‑call assistance for emergent or urgent risk management issues. Perform miscellaneous job related duties as requested. Qualifications Education : Bachelor of Science in Nursing (BSN) or a related field (Required). Experience : Three (3) or more years in at least one of the following fields: Registered Nurse, Respiratory Therapist, or other clinical professional field (Required). Three (3) or more years in Risk Management, Quality Improvement, or other loss prevention techniques and operations (Required). Project management skills and strong verbal and written communication skills, including ability to listen, present, discuss, report and explain trends and patterns (Required). High level of interpersonal diplomacy, finesse and negotiation ability to influence a wide variety of stakeholders (Required). Comprehensive knowledge of healthcare Risk Management and loss prevention techniques and operations (Preferred). Proficiency in data analysis, statistics, risk evaluation, interviewing skills, investigation skills, and medical terminology (Preferred). Special Skills : Proficiency in use of Microsoft Office products (Word, Excel, Power Point) and other office software including claims database and electronic medical records (Required). Significant use of personal computer, phone and general office equipment and databases (Required). Additional Requirements : Certifications – ARM and/or CPHRM (Preferred). Physical Requirements & Occupational Exposure / Risk Potential Climbing – Frequently Feeling (sensing textures and temperatures) – Frequently Fine Motor Skills (pinching, gripping, etc) – Frequently Hearing – Constantly Pushing/pulling – Occasionally Reaching – Frequently Sitting – Constantly Standing – Constantly Stooping/crouching/kneeling/crawling – Frequently Talking – Constantly Tasting/smelling – Occasionally Walking – Constantly Near Vision – Constantly Far Vision – Constantly Color Discrimination – Occasionally Use of keyboard, mouse and/or computer equipment – Constantly Occupational Exposure – Inside office environment – Applicable Occupational Exposure – Outdoor weather conditions – Applicable Occupational Exposure – Extreme temperatures – Applicable Occupational Exposure – Confined areas – Applicable Occupational Exposure – High places – Applicable Occupational Exposure – Extreme noise levels – Applicable Occupational Exposure – Airborne communicable diseases – Applicable Occupational Exposure – Bloodborne pathogens or bodily fluid – Applicable Occupational Exposure – Fumes or airborne particles – Applicable Occupational Exposure – Hazardous materials exposure – Applicable Occupational Exposure – Radiation exposure – Applicable Occupational Exposure – Toxic or caustic chemicals – Applicable #J-18808-Ljbffr Phoenix Children's Hospital, Inc.