Clinical Risk Manager-Hospital Risk Management - Mount Sinai Downtown - Full Time - Monday-Friday, 9am-5pm

The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing summarizing analyzing presenting and monitoring safety events claims management loss prevention and reduction patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS). The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification mitigation management and prevention of risk throughout the organization. This position supports Mount Sinais objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies policy and/or organizational changes

1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution

2. Conducts an initial review and develops a case summary inclusive of focused questions if the case requires further review providing all required documentation for investigations activities and resolutions related to the reported incident

3. Evaluates reviews completed by leadership provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.

4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health

5. Review and analysis of all incident reports to identify risk management quality of care regulatory and insurance concerns

6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required

7. At the direction of the Director of Risk Management conducts investigations which includes assessing need for focused review by departments and or clinical chairpersons for peer reviews.

8. Maintains risk management information system database.

9. Identifies organizational risk through trend analysis of incidents incident letters and reports; assures accuracy of data prior to internal distribution

10. Interface with the insurers and legal counsel reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports

11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting

12. Acts as a resource person to staff on risk management issues

13. Keeps abreast of appropriate regulatory requirements related to risk management

14. Responds to inquiries regarding various reports and individual professional liability matters

15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns

16. Expect to work flexible hours to participate in staff interviews risk management and patient safety events debriefs and meetings as needed

17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission Drug Enforcement Agency New York City and New York State Departments of Health

• Bachelors degree in Nursing or related field; Masters or JD preferred.
• Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare experience can be utilized in lieu of licensure.
• 3 years risk management experience (greater than three years preferred) Experience with Just Culture and Culture of Safety principles preferred. Knowledge of clinical quality patient safety patient experience and/or patient satisfaction performance measures and indicators.