Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Job Functions

1. Coordinates and assures regulatory preparedness and readiness for Methodist Physicians Clinic.

• Prepares regular project status reports related to status of meeting regulatory standards.

• Provides consultative services to all levels of the organization on regulatory issues interpretation of standards and policies and linkage to clinical and operational processes.

• Develops and implements a continuous readiness plan with scheduled activities designed to educate and engage all levels of staff and providers to sustain high performance per internal and external standards.

• Coordinates formal on-site surveys for regulatory bodies including CMS and DHHS acting as primary liaison with the surveyor team including overseeing and coordinating schedules activities and remediation of open issues.

• Organizes and delivers education and communication on continuous accreditation standards and readiness at all levels of the organization including senior leaders managers physicians and staff.

• Performs routine audits to ensure readiness and sustainment of necessary practice changes.

2. Responsible for overall development implementation and ongoing administration of a robust risk management program to mitigate risk and promote a culture of safety.

• Works with staff leadership compliance legal and/or insurance carriers as needed to provide timely review of incidents and patient complaints.

• Collaborates with compliance legal and risk management teams to resolve risk management and safety concerns and pro-actively identifies trends and issues and works to ensure quality improvement.

• Provides risk management support to all departments of the organization.

• Provides risk management support and counsel to operations and clinical leaders.

• Approaches risk from an enterprise risk management perspective to include: insurance legal operations clinical/patient safety strategic initiatives human capital legal/regulatory technology and environmental hazards.

• Monitor progress of patient safety outcomes.

• Attend and work in collaboration with risk management team regarding all Root Cause Analysis process and follow to completion.

• Oversees service recovery efforts for MPC including encounters performed within affiliate locations by MPC providers.

• Collaborates directly with the medical director of patient safety and senior leadership for MPC.

3. Oversee MPC Infection Prevention Program

• Design plan implement and evaluate annual Infection Control plan/surveillance program based on risk assessment strategic planning high risk high volume and historical issues of patient population served.

• Facilitate and complete an organizational infection prevention and control risk assessment and analysis using a multidisciplinary team. Develop program goals based upon risk assessment.

• Review and revise as needed infection prevention and control department policies and procedures.

• Ensure proper infection prevention practices are practices across MPC.

4. Collaborates with Hospital Affiliate Quality and Risk Management Teams to support patient safety risk and infection prevention improvement initiatives.

5. Works with staff leadership compliance legal and/or insurance carriers as needed to provide timely review of incidents and patient complaints.

6. Responsible for the identification implementation and ongoing evaluation of loss prevention and loss mitigation strategies which encompass patient employee and environmental loss exposure to the organization.

• Utilizes claim management strategies to reduce or minimize the amount of severity of financial loss to the organization to include reporting potential claims preserving evidence and completing investigations in collaboration with the legal department and insurance carrier or third party administrator.

• Prepares and communicates claim related information to facility leadership and other stakeholders.

• Provides support and assistance to assigned defense counsel and legal matters as requested.

• Provides continuous oversight of the variance/N.O.T.E. system and evaluating its effectiveness and communicating aggregate data to departments service lines or committees in order to reduce exposure or potential harm to patients employees or loss of physical assets.

7. Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

8. Follows understands and supports the mission vision core values and Employee Standards of Behavior and company policies/procedures.

9. Other duties as assigned.

Schedule:

Work Schedule: Monday through Friday 8am - 5pm

Job Description:

Job Requirements

Education

• Masters Degree in clinical legal or related field required.

Experience

• 7-10 years experience in health care required.

• Risk management and patient safety experience required.

• Proven effectiveness at working directly with senior organizational leadership as well as front-line staff required..

• Knowledge of State and Federal regulatory standards and other regulatory requirements including infection prevention standards preferred.

• 5-7 years experience in risk management or patient safety working with patients families staff and providers/physicians preferred.

• 2-4 years supervisory experience preferred.

License/Certifications

• Healthcare Risk Management Certification obtained within 2 years of hire (CPHRM) required.

Skills/Knowledge/Abilities

• Skilled in demonstrating work outcomes through leadership and collaboration.

• Requires skills and experience facilitating teams and understanding group dynamics.

• Excellent verbal and written skills to communicate effectively with a wide range of departments and individuals at all levels throughout the organization.

• Skilled in effectively bringing change management ideas forward gain agreement through leading discussions define measurable goals and develop an implementation plan.

• Superior organizational and project management skills with ability to function effectively in a changing environment; develop timelines and meet deadlines; prioritize multiple projects; manage time efficiently.

• Skilled in use of Microsoft Office applications including Word Excel Access PowerPoint and Outlook.

• Ability to lead motivate and influence others to reach common goals.

• Ability to manage vision and purpose of the department.

• Skilled in seeking determining and evaluating outcomes.

• Knowledge of quality management and service expectations.

• Ability to communicate clearly and actively listen.

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Not necessary for the position (0%):

  • Climbing

  • Kneeling

• Occasionally Performed (1%-33%):

  • Balancing

  • Carrying

  • Crouching

  • Distinguish colors

  • Lifting

  • Pulling/Pushing

  • Stooping/bending

  • Twisting

• Frequently Performed (34%-66%):

  • Grasping

  • Keyboarding/typing

  • Reaching

  • Repetitive Motions

  • Sitting

  • Speaking/talking

  • Standing

  • Walking

• Constantly Performed (67%-100%):

  • Hearing

  • Seeing/Visual

Job Hazards

• Not Related:

  • Chemical agents (Toxic Corrosive Flammable Latex)

  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)

  • Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)

  • Equipment/Machinery/Tools

  • Explosives (pressurized gas)

  • Electrical Shock/Static

  • Radiation Alpha Beta and Gamma (particles such as X-ray Cat Scan Gamma Knife etc)

  • Radiation Non-Ionizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)

  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.