Clinical Risk Manager

Posted December 18, 2023

Tri City Medical Center
Oceanside CA


Job Description:

City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high-quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability, or socioeconomic status.

 

Our mission is to advance the health and wellness of the community we serve. To achieve our mission, we see, hear, and listen to our front-line healthcare workers, employees, medical staff, and all community stakeholders to understand and meet our community’s needs.

 

Position Summary:

This position is responsible for the relationship between patients, families, and hospital departments to ensure patients receive a high level of care. In coordination with the Quality Assurance/Performance Improvement and Clinical Quality Committees, this position identifies potential risks and weaknesses to mitigate errors, accidents, and losses and develops strategies to improve them. The individual must consistently support the mission, vision, and values of the Medical Center, and act as a role model relative to the Medical Center’s Service Standards. This position reports to the General Counsel.

 

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

 

* Maintains a safe, clean working environment, including unit based safety and infection control requirements.

* Patient Relations

* Oversees the relationship between patients, families, and hospital departments to ensure patients receive a high level of care.

* Investigates patient complaints. Serves as a liaison between patient’s families and medical center to see timely resolution and work to achieve maximum satisfaction levels.

* Develops plans for case review, conducts and coordinates investigations and multi-disciplinary reviews recommending solutions.

* Quality and Risk

* Responsible for investigating potential risks and weaknesses to mitigate errors, accidents and losses and develops strategies to improve.

* Responsible for data management and incident reporting analysis within incident tracking database.

* Education

* Develops and implements educational programs for employees, medical staff based on analysis of risk assessments, historical and concurrent occurrence and claims data and national trends.

* Additional Responsibilities

* Works collaboratively with the Patient Safety Officer for reporting of suspected violations of all relevant laws and regulations including Joint Commission, Department of Public Health, Medicare Conditions of Participation, and District’s Policies and Bylaws. Proactively communicates with staff and regulatory bodies to prevent deficiencies and draft plans of correction in coordination with Regulatory Department.

* Elevates material non-compliance and concerns to General Counsel or designee.

 

Qualifications:

* Minimum one (1) year experience in quality and/or risk management, required.

* Legal experience, preferred.

* Various knowledge and understanding of the healthcare industry, California laws regulating hospitals and health systems, such as California Tort Claims Act, Joint Commission, Title 22, and experience dealing with such in matters related to quality, risk and the patient complaint process, required.

* Intermediate computer skills, required.

* Experience to gather and analyze data & manage databases, required. Experience with RL Solutions or other incident reporting databases, preferred.

* Able to multi-task in an organized efficient manner and high degree of flexibility, required.

* Excellent communication and interpersonal skills to communicate clearly and effectively verbally, in writing and in person with a diverse range of individuals at all levels, required.

* Excellent customer service skills, required.

* Knowledge of medical terminology, medical practices and procedures and experience with medical record review techniques, preferred.

 

Education:

* Bachelor’s degree in healthcare or related healthcare area from an accredited university, required.

* May consider current CA RN license with two (2) years applicable quality and/or risk experience in lieu of degree.

* May consider four (4) years applicable quality and/or risk experience in lieu of degree.

* Master’s degree, preferred.

Licenses:

* California RN license or other healthcare profession, preferred.

Certification:

* Hospital or Healthcare Risk Management certification required upon hire or within two (2) years, required.

How to Apply:

[email protected]