Director, Risk Management (Ambulatory Services) Risk Management Full Time 8 Hour Days (Exempt) (Non-Union)

The Director of Ambulatory Risk Management (Director) contributes to the day-to-day operations management and advancement of Keck Medical Systems Ambulatory Risk Management Program. This includes participating in proactive system-wide risk identification investigation mitigation and risk reduction activities. This role is critical to the commitment of the Integrated Risk Management Department (Risk Management Department) to deliver collaborative data-driven risk management and risk mitigation services to the Keck Medical System. The Director serves as a subject matter expert providing risk management consultation and support to providers and staff in the ambulatory setting. Functions include: Coordinating systems to identify evaluate monitor and reduce/eliminate risk exposures Working to identify risk quantify and prioritize risk capture and learn from near misses and good catches along with being proactive and creating value to the organization Managing occurrence reporting data collection analysis tracking and trending Consulting and educating management staff patients and guests on risk exposures prevention and reduction strategies

Essential Duties:

• Planning and Organization Oversees the daily operations of the Ambulatory Risk Management Program. Independently integrates all activities of the Ambulatory Risk Management Program with clinical programs health system operations and administration such as patient safety patient care services human resources physician services compliance/privacy etc. Assists the Risk Management Department with system-wide projects i.e. Culture of Safety Risk/Patient Safety TEAMSTEPPS ensuring programs support unique needs of the ambulatory care environment.
• Communication Builds and maintains trust relationships with both internal and external customers to enhance communication regarding risk and safety. Collects and communicates significant information and data to appropriate members of the health care team. Facilitates various risk-related meetings i.e. critical debriefing investigations and other meetings with key internal and external stakeholders. Collaborates with units throughout the ambulatory setting to identify and assess unusual incidents unexpected outcomes and potential risks translating learnings into the development of loss prevention strategies.
• Consultation Acts as a liaison to administration management and ambulatory care staff to provide guidance on issues such as consent patient/family patient care concerns documentation disclosure family conferences and policy and procedure development. Serves as a resource and consultant for risk management activities on an on-going basis and per request.
• Education Leads efforts to increase understanding in the ambulatory setting of patient safety and risk management principles through dedicated educational programs for staff.
• Patient Safety Events Review Investigation & Follow-up - Provides comprehensive system analysis of patient safety events utilizing just culture principles and standard processes. Completes required reporting and documentation in accordance with legal regulatory and accreditation standards and requirements. Investigates evaluates and analyzes events that threaten or potentially threaten patient safety through the following: review of medical records identification and interview of staff collection of data and/or creating timelines review of related literature and review of event reporting. Demonstrates knowledge and competency of maintaining event reporting system and review investigation and evaluation of harm events per defined process and policy. Focuses on high reliability concepts when developing improvement initiatives and corrective actions.
• Special Projects/Initiatives - Facilitates and/or participates with various task forces cabinets and ad-hoc committees both at the system and entity level to implement identified patient safety and clinical risk initiatives as needed with on-going monitoring and involvement to assure continued progress. Coordinates the selection presentation and follow-up of cases to assigned committees.
• Leadership Supports the organization and leadership. Acts as a role model to others. Plans for provision of services through provision of appropriate levels of qualified competent staff. Ensures policies and procedures are in place to support scope of services within the ambulatory environment. Leads the development of department and system-wide risk management metrics. Monitors space/resource requirements and utilization of outside resources.
• Risk Management - Participates in planning implementing managing monitoring and documenting an integrated comprehensive and proactive risk management program for the Ambulatory Risk Management Program at Keck Medical System. This includes identifying and tracing risk through trend analysis of incidents leading investigations of adverse events conducting risk assessments creating risk registers prioritizing risk developing risk mitigation plans developing corrective action plans and risk reduction strategies and assisting with formulation and implementation strategies for best practices and risk reduction strategies. Facilitates the development of written procedures and guidelines as needed to direct the provision of risk management services effectively across the ambulatory setting. Maintains current and accurate knowledge of regulations laws and standards pertaining to the ambulatory setting at Keck Medical System including but not limited to FDA TJC AAAHC NCCA CDPH and CMS Conditions of Participation. Knowledge of and abides by the American Society for Healthcare Risk Management (ASHRM) Healthcare Risk Management Code of Professional Conduct. Reports to external agencies as applicable.
• Data Management Administers all aspects of electronic risk management reporting system; planning implementation controlling and oversight. Analyzes data and identifies trends and solutions to reducing harm across the ambulatory setting. Collects and trends patient safety and clinical risk data to guide initiatives and improvement efforts. Demonstrates advanced data management communication analytical and decision-making skills on a consistent basis to effectively work with project teams to understand and respond to meaningful data generating change at both the entity and system level through the entire project life cycle. Manages tracks trends and analyzes the frequency and causation of general categories and types of incidents and accidents. Assists with analyzing and managing risk management data including management of the on-line incident reporting system and tracking incidences to closure. Audits medical records and monitors performance measures for risk management sentinel events report events and trends. Assists with FMEA gap analysis and incident trend analysis.
• Performs other duties as assigned.

Required Qualifications:

• Req Bachelors degree Clinical Degree Health Care Management or related field.

• Req 5-7 years Experience in risk management or experience utilizing risk management liability and/or loss control principles

• Req Knowledge of clinical practices and statistics.
• Req Excellent organizational oral and written communication skills problem solving program development computer skills strong leadership and team building skills
• Req Demonstrates ability to utilize effective appropriate and diplomatic oral and written communication skills.
• Req Commitment to continuous quality improvement and results driven outcomes.
• Req Excellent analytical problem-solving planning and evaluation skills.

Preferred Qualifications:

• Pref Masters degree
• Pref Certified Risk Manager Successful completion of a specialized education program in Risk Management and/or certification in Risk Management.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC is 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 protected veteran status disability or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.

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Director