Program Manager-Risk Management/Patient Safety

The Senior Risk Manager will foster an atmosphere that supports and encourages high performance teamwork and continued dedication toward improved Risk Management throughout assigned market(s). Serve as a resource liaison and representative of a UPH Market expand the capabilities of clinicians managers and administrators by providing them with resources to accomplish specific objectives aimed at decreasing risk across the health system improving patient care processes and protecting the assets of the organization.

At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:

• Expect paid time off parental leave 401K matching and an employee recognition program.

• Dental and health insurance paid holidays short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.

And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Risk Management

• Assist in the development implementation and maintenance of structures and processes which support risk management and patient safety.
• Facilitate the collection storage and analysis of loss control improvement and safety data.
• Identify key performance indicators (KPIs) and key risk indicators (KRIs) for data collection analysis and monitoring of activities to demonstrate reduction in risk and claims for the Market.
• Report on KPIs KRIs and other loss control/claims data to Market leadership on a regular basis
• Investigate and develop risk reduction/loss control strategies from claims data.
• Develop policies procedures systems and works flows that enhance the overall Risk Management Program throughout UPH Health System as appropriate.
• Initiate planning and development of risk management and loss prevention education for all departments & care providers.
• Establish and maintain communication between Risk Management and key areas throughout the Market and UPH Health System
• Utilize all available data sources identify enterprise-wide loss drivers and develop systems processes and practices to improve patient safety and limit liability exposure.
• Provide risk management consultation and advice to executives physicians care providers and employees and maintain knowledge of current healthcare-related risk management trends and issues.
• Coordinate and/or conduct annual Risk Assessments in high-risk areas or process and implement actions plans from findings.
• Collaborate with UPH Legal the Third-Party Administrator commercial insurance carriers and defense counsel in supporting the litigation process.
• Complete and report potential liability issues and claims internally as well as to UPH the Third-Party Administrator and any other commercial insurers as indicated using claim reporting guidelines established by UPH legal and any commercial insurer as directed.
• Collaborate with claimants legal senior leadership and other colleagues to evaluate and when indicated negotiate asserted claims to resolution.
• Coach mentor and develop risk management staff and assist in the development and maintenance of the risk management departments budget.
• Serve as member of Critical Events Committee (CEC) safety mortality/morbidity and other committees that would benefit from risk management representation
• Establish and maintain a data gathering and profile analysis for hospital wide risk management activities:
• • Review all Event Reports to screen for potential liability and appropriate follow-up.
  • Provide documentation on Event Reports which require follow-up/action for Risk Management.
  • Works with departments to ensure timely follow-up of Event Reports
• Assist senior leaders Directors Managers and other staff in using the Event Reporting computer system Investigates matters as designated by CEC and/or Risk Management based on severity of event and potential for compensation and/or litigation
• For any Serious Safety Events and Sentinel Events lead or contribute to investigation of event (to include staff interviews review of records for timeline development verification of policy/procedure compliance or variance). Collaborate with QI Coordinators to organize Root Cause Analysis.
• Complete medical record reviews compare current practice against best practice guidelines and provide recommendations to reduce risk and improve patient care processes.
• Lead/Organize disclosure teams for adverse outcomes when appropriate for disclosure.
• Collate write and disseminate quarterly Risk Analysis and Summary report
• Support Patient Relations with Complaint and Grievance responses specific to harm (and potential for liability).
• Investigate potential compensable events as directed by Director or UPH Legal which may include interviews of medical staff employees visitors and patients and assessment of potential liability.
• Identify potential loss conditions and practices and evaluate their significance. Report findings and devise remedial action plans.
• Develop and implement loss prevention educational programs and materials.
• Draft or review documents to reduce institutional exposure to liability.
• Perform other duties as required or assigned.

Leadership

• Manage Risk Program and team to ensure achievement of organizational and departmental goals through organizing implementing and monitoring processes.
• Ensures assigned function(s) in the Risk team are performed in accordance with UPH federal state and/or hospital requirements.
• Responsible for monitoring and recommending adjustments to department practices to ensure compliance with applicable certification licensure and accreditation requirements.
• Schedule and monitor new staff orientation and ongoing education for successful job performance.
• Conduct annual performance appraisals for assigned team members.
• Ensure departmental policies and procedures and job descriptions are current.
• Monitor FTEs operational and capital budget for the department.
• Investigates budget variance and initiates corrective actions when necessary.
• Supervise team by motivating mentoring coaching and providing guidance to team to deliver high quality cost-effective services. Facilitates the ongoing learning well-being professional satisfaction and development of staff through training work assignments increased responsibility and mentoring.
• Keep apprised of leading department practices for implementation within UPH.
• Provide direct supervision and leadership to staff to ensure effective efficient operations optimizing performance and continually improving quality in a vastly changing healthcare environment.
• Present data strategies and progress toward goals in various governance management forums.
• Develop procedures and policies for the operation of the department process and team members.
• Maintain regular and consistent communication with team members and leaders.
• Share concerns with and/or escalate team issues to the leadership as appropriate.
• Establish foster and maintain positive relationships with team members UPH departments (IT and CBO) and external customers (i.e. third party payors auditors).

• Bachelors degree in nursing health-related field or risk management.
• Five years previous risk management experience required
• Experience applying modern improvement methodology to lead change required.
• Experience in the concepts and applications of continuous improvement including ability to manipulate data trend and analyze data
• Writes reads comprehends and speaks fluent English.
• Demonstrated excellence in judgment temperament confidentiality collaboration education written and verbal communication skills facilitation and crisis management teaching and interpersonal skills.
• Must be familiar with general clinical aspects of patient care.
• Flexibility tolerance and demonstrated ability to prioritize multiple tasks with attention to detail essential.
• Demonstrated ability to interact with a wide diversity of people and situations while maintaining a customer focus.
• Ability to adapt to stressful situations quickly and effectively.
• Must have accurate word processing/computer skills.
• Must have excellent verbal/written communication skills analytical skills and must exhibit good judgement.
• Must have knowledge and good understanding of hospital policies and procedures related to patient care and safety
• Proficient use of software applications including but not limited to Microsoft Word PowerPoint Excel and Outlook
• Use of usual and customary equipment used to perform essential functions of the positio