RN Risk Coordinator - PRN - Varies - Risk Management - 16526

RN Risk Coordinator - PRN - Varies - Risk Management

DHR Health - US:TX:Edinburg - Days - Varies

Summary:

FLSA STATUS: Exempt Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The RN - Risk Coordinator is responsible for the day-to-day coordination of the hospital's Risk Management function. Coordinates the functions of the department to ensure that risks are identified and managed in order to reduce institutional liability and to promote patient safety. Coordinates collection of aggregate data from adverse event reports, claims and loss prevention strategies, for identification of corrective and preventive actions. Assist in the conduction and investigation of sentinel events, root cause analyses, process variation analysis and peer review. Assist in the development and conduction of continuing education programs for medical, nursing and clinical support staff.

POSITION EDUCATION/ QUALIFICATIONS:

• Graduate of accredited school of nursing required
• Current active registered nurses license in the State of Texas
• Advanced degree (JD, Masters) preferred.
• Excellent customer service skills.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.
• Bilingual English/Spanish.

JOB KNOWLEDGE/EXPERIENCE:

Five (5) years of clinical or other healthcare related experience.

Knowledge of medical malpractice and healthcare law preferred.

Experience in loss control and claims management preferred

Risk management experience in a healthcare setting preferred

Experience in working with teams in a complex organization.

Responsibilities:

POSITION RESPONSIBILITIES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Assist in the development, coordination and administration of facility-wide systems for risk identification, investigation, and reduction; assist in the maintenance of network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facility and to assess loss potential.
• Participates on committees directed towards promoting patient safety issues.
• Assist in the maintenance of risk management statistics and files in compliance with Joint Commission and state and federal agencies; promotes maximum confidentiality by limiting access of such information. Also strives to verify that the following information is accurate, available, and secure: includes medical records, patient billing records, policies and procedures, incident reports, medical examiner's reports (if available), as well as any other data pertinent to a particular claim.
• Collects and evaluates, and distributes relevant data concerning patient's injuries: aggregate data summaries, monthly trend analyses of incidents, claim profiles and provides aggregate analysis of risk data; maintains statistical trending of losses and other risk management data.
• Informs directors of service and department heads regarding occurrences, issues, findings, and risk management suggestions; provides feedback to directors at all levels in the effort to eliminate risks; assists clinical chairs and department heads in designing risk management programs within their departments.
• Works with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary to prepare testimony in pending litigation.
• Responds to professional liability and facility liability questions posed by physicians, nurses, and other personnel.
• May have on-call responsibility.
• Advises security on procedures to reduce the frequency and/or minimize the severity of property loss or assets.
• Provides assistance to departments in complying with Joint Commission or other accrediting agencies, regarding risk management related standards.
• Recommends appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences; recommends ways to minimize risks through system changes; reviews and revises facility policies as appropriate to maintain adherence to current standards and requirements.
• Educates and trains leadership, staff and business associates as to the risk management program, and their respective responsibilities in carrying out the risk management program.
• Coordinates risk and safety management orientation and continuing education programs for providers, management, and staff to enhance awareness of their role in patient safety, risk reduction, and event reporting.
• Acts as liaison to outside agencies such as local, state, federal, or voluntary accrediting agencies. Prepares reports of events as required by law or in accordance with voluntary participation. Coordinates internal surveys and inspections, monitors reports, and coordinates corrective actions or recommended improvements with management and staff.
• Develops and maintains positive working relationships with providers, management, and staff to promote open communication and accurate flow of information.
• Investigates all serious events. Assists with the communication and documentation of errors or serious events in accordance with legal requirements and/or accreditation standards.
• Directly refers to administration those incidents with claims potential; reports to higher authority any serious event involving actual or potential injury to patients, visitors or employees.
• Assists in processing summons and complaints served on present and previous employees; assists in defendants in completing necessary documents.
• With director of guest relations: reviews patient complaints that may be the source of potential legal action; discusses and offers solutions when possible to resolve with patient and/or family any grievances perceived as potential liability claims.
• Assist with the evaluation of claims for settlement; assist with negotiation of settlement of small claims within administrative authority; replacement of lost property after evaluating claim.
• Assist in the reviews of national and local claims data; analyzes prior claims, lawsuits, and complaints against the facility.
• Assist in the notification to the liability insurance carrier of all actual and potential claims, including primary and excess carriers as necessary.
• May verify with the Medical Staff Services Coordinator that each independent practitioner provides proof of adequate professional liability insurance at the time of initial credentialing and at reappointment.
• Other duties as assigned.

Other information:

LINES OF REPSONSIBILITIES:

(Chain-of-command)

1. Director

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. - Yes - Kneeling - Yes

Must be able to assist other employees with lifting more than 20 lbs. - Yes - Walking - Yes

Light/moderate carrying up to 20 lbs. - Yes - Standing/Squatting - Yes

Straight pulling - Yes - Sitting - Yes

Pulling hand over hand - Yes - Pushing - Yes

Repeated bending - Yes - Stooping/Bending - Yes

Reaching above shoulder - Yes - Climbing Stairs - Yes

Simple grasping - Yes - Climbing Ladders - No

Dual simultaneous grasping - Yes - Depth Perceptions needed - Yes

Ability to see - Yes - Identify Colors - Yes

Operating office equipment - Yes - Twisting - Yes

Operating mechanical equipment - Yes - Crawling - No

Ability to read and write - Yes - Ability to Count - Yes

Ability to hear verbal communication without aid - Yes - Operating Personal Vehicle - Yes