Employment Type:

Shift:

Description:

Responsibilities

• Develops coordinates and facilitates implementation of effective systems for risk identification investigation and mitigation of both potential and actual patient safety concerns and risks.
• Promotes and facilitates the transition from retrospective and reactive model of risk management to a prospective and proactive approach for patient safety models consistent with the concepts expected of a high reliability organization.
• Facilitates cross-functional/site process improvement endeavors to support elimination of errors and other factors that contribute to potential or actual adverse patient outcomes
• Develops and provides education/communication for leadership physicians colleagues and other stakeholders on patient safety needs initiatives activities and for shared learning across Mount Carmel Health System.
• Provides for 24/7 Patient Safety/Risk Management coverage and response for assigned areas of responsibility; Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities service areas and affiliated joint ventures.
• Oversight of incident reporting and response process including evaluation of all incidents investigation identification of risk exposures follow-up and performance of trending analysis for assigned facilities/service areas.
• Serves as ZeroHarm trainer for the organization. Coaches/mentors leadership and colleagues on use of Safety Behaviors. Participates on the MCHS Serious Safety Event Classification team and provides information on potential safety events for team review.
• Responsible for identification of potential and actual sentinel events with prompt notification of key stakeholders including senior leadership site administration and Trinity Health and for conducting investigation of event and root cause analysis.
• Proactively conducts failure mode and effect analysis for high risk or problematic care processes across Mount Carmel System facilities and joint venture businesses at minimum as required by The Joint Commission for continued accreditation.
• Collaborates with Mount Carmel legal counsel and Trinity Health IRMS colleagues to support their investigation and defense of claims against Mount Carmel Health System. Provides defense attorneys requested information to prepare for pending litigation and/or claim reimbursement.
• Provides guidance and support for patient care issues with patient safety/risk or legal implications i.e. consent issues adoption guardianship EMTALA HIPAA.
• Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations. Initiates bill adjustments to mitigate potential claims in collaboration with IRMS claims management and in congruence IRMS policy and CMS limitations.
• All other duties as assigned.

Requirements

• Education: Baccalaureate degree required; Masters or Juris Doctor (JD) degree preferred.
• Licensure / Certification: State of Ohio Licensed Registered Nurse required; Certified Professional in Healthcare Risk Management CPHRM required within two years of hire.
• Experience: 2-4 years of experience in the field of Patient Safety/Risk Management or at minimum 5 years of recent progressive management and clinical leadership experience with knowledge of complex healthcare environments required
• Demonstrated success in tactical and analytical thinking to identify and address actual or potential patient safety/risk concerns
• Understanding of tools and techniques used to identify system or process failures that contribute to patient safety issues. Familiarity with tools such as Failure Mode and Effect Analysis Root Cause Analysis Apparent Cause Analysis and Learning From Defects desired
• Knowledge of Federal State and Local regulations related to health care and of accrediting/certifying agencies such as The Joint Commission and CMS desired
• Knowledge of claims and reduction strategies desired.
• Ability to travel to multiple sites; Valid Ohio Drivers license required.

Discovering opportunities support and excellence all while making a real difference in patients lives begins at Mount Carmel. Find a new beginning and advance your career with us.

Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race gender religion sexual orientation or physical ability.

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Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.