AK RN Quality Management and Accreditation Risk Manager Sitka

Risk Manager (RM): Responsible for implementation of the internal risk management program. Develops implements and evaluates risk --- Ensure compliance with all state and federal regulations related to risk management (i.e. investigate reports and events in accordance with policy and statutory requirements). Patient Safety Officer (PSO): The Patient Safety Officer will have primary oversight of the organization-wide patient safety program. This role will direct others within the organization towards process improvements that will support the reduction of medical/healthcare errors and other factors that may contribute to unintended adverse patient outcomes. The RM/PSO provides leadership for safety assessments Root Cause Analyses (RCA) and Failure Mode Effects Analyses (FMEA) and educates management staff and physicians on the system-basis for medical errors.

Key Essential Functions and Accountabilities of the Job

May include any and/or all of the below:

• Participates in and maintains a comprehensive risk management program in accordance with AK Statutes.
• Collaborates decision making along with leadership regarding patient safety and risk management.
• Investigates evaluates and submits adverse incidents in accordance with regulatory reporting requirements.
• Coordinates and facilitates the disclosure of an adverse incident and/or ensures appropriate follow-up with patients families and the healthcare team. Analyzes patient grievances received in risk management in accordance with AK Statutes.
• Facilitates Patient Safety Rounds.
• Provides risk management and patient safety education to entity/departments.
• Participates in educational and/or developmental opportunities as appropriate. Adheres to appropriate safety procedures and lifting techniques. Stays abreast of industry/clinical risk trends.
• Works closely and collaboratively with the Medical Directors CMO and SEARHC Corporate Counsel as needed on quality of care and risk management issues stemming from peer review activities.
• Maintains working knowledge of regulatory standards i.e. DNV TJC CMS CARF etc.
• Maintains current knowledge of applicable federal and state laws and regulatory standards and monitors advancements in technologies to ensure organizational adaptation and compliance.
• Assists with accreditation and quality support to include but not limited to chart audits clinical reviews data support.
• Communicates professionally and effectively with all levels of the organization; serves as a resource mentor and role model for others.
• Other duties as assigned including cross coverage of other QM Team member roles.

Education Certifications and Licenses Required

• Current full unrestricted active Registered Nursing license in Hire must have applied for an Alaska nursing license before the start date.
  Agency staff must have an active Alaska license.
  
• Certified CPHRM within two (2) years.
• Clinical Competency required within 3 months and every 3 years

Experience Required

• 3 years experience monitoring risk management patient safety quality and regulatory requirements planning and coordinating process changes.
• Demonstrated experience that shows leadership skills in facilitating and leading cross-functional teams and in working collaboratively with groups or teams.