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Risk Manager Clinical Improvement FT Day Shift

Req #: 17008280
Location: Orange City, FL
Job Category: Risk Management
Organization: Florida Hospital Fish Memorial

Work Hours/Shifts
Florida Hospital Fish Memorial
For a young hospital built in 1994, Florida Hospital Fish Memorial has a long history dating back to 1952. Beginning as a humble, 50 bed facility more than six decades ago, we’ve grown to become one of Volusia County’s most comprehensive and trusted healthcare resources. With Florida Hospital's tremendous resources and expertise, our community hospital has continued to thrive due to constantly improving advanced medical technologies and experienced clinical talent.
Through our dedication to excellence we have been recognized as Orlando Sentinel’s "Top 100 Companies for Working Families" for 9 consecutive years. We also received the Performance Achievement Award from the Medicare Quality Improvement Organization of Florida, as well as, the 24th Annual Commissioner’s Business Recognition Award from the Florida Educational Foundation and Florida Department of Education.
As a member of Adventist Health System, Florida Hospital Fish Memorial operates as a not-for-profit organization focused on improving the health of the community it serves. This is a direct reflection of our mission to extend the healing ministry of Christ with skill and compassion." Best of all, it’s just a short trip from some of Florida’s most exciting attractions—and minutes from the beaches in Daytona!
What you will be responsible for:
  • Risk Management.
    • Oversees the system for identification and analysis of loss or injury exposure. With the help of the Risk Management Associate,
    • Maintains both mandatory and voluntary incident reporting systems for identifying and evaluating unit specific risk issues.
    • Provides statistical analysis on areas of risk throughout the system for the purpose of identifying, evaluating, eliminating or reducing incidents in high risk areas.
    • Maintains documentation on identified trends and sentinel events, with referral to the appropriate committee, manager, or individual for follow-up.  Monitors follow-up.
    • Maintains familiarity with, and implements statutory requirements for hospitals’ Risk Management Program.
    • Plans, develops and maintains loss prevention activities.
    • Oversees and coordinates risk education classes for new orienteers to enhance attention to prevention of potential hazards to patients, visitors and themselves.  Promotes reporting of potential as well as actual incidents. Provides continuing education on an annual and as needed basis.
    • Serves, in conjunction with legal counsel, as a conduit of information on legal questions as they arise throughout the operating units. Additionally, serves as an advisory resource in risk matters for clinical staff who encounter potentially litigious situations.
    • Coordinates, chairs/or facilitates RCA (root cause analysis) projects for issues/errors which have life threatening potential or have caused a serious injury or death.
    • Maintains and coordinates claims control.
    • Reviews, or provides for review, of records and documentation on potentially compensable events, which are reported to AHS Corporate Risk Management. Additionally, provides for reporting of liability claims to administration as well as to AHS Corporate Risk Management for establishment of adequate loss reserves.
    • Assures the proper and timely investigation of accidents and incidents including gathering of information, sequestering of equipment and lock-up of records.
    • Provides for coordination of legal process in scheduling statements, depositions, trial appearances in response to subpoenas to employees on liability cases.
    • Assures that the hospitals, and associated hospital owned physician practices are represented at mediations, arbitrations and trials, as directed by legal counsel.
  • Patient Grievances:
    • Assures facilitation of the patient grievance process as required by state and federal statutes.
    • Assures that grievances are   investigated and directs inquiries and complaints to appropriate directors and managers. Participates in grievance mediations when necessary. Authorizes write-offs or payments.
    • Oversees investigations of complaints about medical care which involve a member of the medical staff and assures appropriate referral to the medical director, and or Performance Improvement, and/or other appropriate venues.
    • Assures collection of data and maintenance of files on patient grievances as related to patient care and medical care.  These include unsolicited complaints as well as solicited comments from Gallup surveys and from Share boxes.
    • Encourages understanding and adherence by staff to AHS’s philosophy on patients’ rights and responsibilities through education in orientation and in annual updates.
  • Joint Commission and Organizational Ethics:
    • Assists in maintaining Joint Commission Accreditation
    • Provides direction and assistance for activities directly related to the Ethics, Rights, and Responsibilities standards.   Monitors current TJC standards in these areas, educates staff, reviews policies and monitors as needed.
    • Oversees the ethics mechanism, which is approved and supported by the Board of Directors.
    • Plans and develops quarterly Ethics Forum meetings to provide education, promote discussion on ethical issues, and contacts members to serve in an advisory capacity in ethical decision-making.
    • Serves as Ethics Forum Chairperson to coordinate activities and act as a resource person for educational materials, speakers, and for information on ethics consults.
    • Makes referrals to appropriate channels for resolution of ethical issues and makes referrals to Ethics Forum.
  • Human Resource and Administrative Duties:
    • Participates in the hiring process for department.  Completes performance evaluations timely and is involved in employee counseling, coaching and termination per policy.  Provides orientation for new employees and ensures compliance with department policy and procedure. Maintains high levels of employee engagement and job performance by providing recognition and opportunities for learning
    • Attends meetings as appropriate and required to disseminate risk program information and to receive feedback.
    • Meets with the Executive Director of Clinical Effectiveness on a regular basis to coordinate risk functions and review risk reports.
    • Presents risk information and reports to the Performance Improvement Committee and Patient Safety Committee.  Risk Manager or designee serves in advisory capacity to Safety Committee; reports incidents as appropriate to various Safety Subcommittees.
    • Assists administration and departmental personnel in development of policies and procedures that reflect Risk Management principles.
    • Produces appropriate internal Risk Management departmental policies as well as organization-wide Risk Management policies.
 What you will need:
  • Associate degree, certification/degree from an accredited risk management course/program within one year from employment.
  • Three or more years in risk management or related management experience required.
  • RN preferred. 
  • Florida Driver’s License.
  • Competent in use of Cerner electronic medical record software.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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