RN Risk Manager
ABOUT COMMUNITY HOSPITAL:
Community Hospital in Grand Junction, Colorado, is a full-service, acute-care hospital licensed for 60 beds. As part of the Colorado West Healthcare System, we offer full outpatient diagnostic services and inpatient care for the Western Slope region of Colorado, and eastern Utah. Community Hospital brings together expert staff and world-class technology in a healing, family-centered environment. We provide a full range of medical services, including inpatient and outpatient surgery and emergency care.
We pride ourselves on delivering personalized care to our patients, and in working closely with our medical-care providers in treating the whole person. This approach has resonated with our patients, and we are growing to meet our community’s demand. Our NEW four-story, 140,000 square foot, hospital opened Thursday, March 17th, 2016!
WHERE WE LIVE:
Grand Junction is located in beautiful Western Colorado and is the largest city in between Denver and Salt Lake City. Grand Junction is an outdoor lover’s paradise with hundreds of miles of mountain biking and hiking right out your front door. There is fantastic winter and summer activities including skiing, snowmobiling, snowshoeing, camping, and hiking. Enjoy the numerous lakes and rivers that supply abundant opportunities for boating, rafting, paddle boarding, and fishing. Avoid the traffic with close access to world class skiing in Aspen, Telluride, Vail, and Crested Butte. Come and tour one of the valley's 24 unique wineries and explore downtown Main Street with unique shops and delicious cafes and restaurants. Journey through the awe-inspiring Colorado National Monument or catch an event at Colorado Mesa University or a Grand Junction Rockies baseball game. Your activity options are endless in Western Colorado!
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Manages the risk management program:
- Plans and implements a system-wide program for both loss prevention and loss control, and a comprehensive orientation program directed to all current and future employees, board members, physicians and advise them of their responsibilities, obligations, and role in CWHS’s risk management program.
- Develop and maintain a system for proper reporting, follow up, investigation, analysis and file maintenance of all incidents and risk events that occur in Colorado West HealthCare System. Reports such events as required to state-mandated reporting systems and/or patient safety organizations.
- Collects and analyzes data for risk indicators. Plans and oversees special focused data collection and analysis to support quality clinical and management outcome decisions and program development. Maintains risk management statistics and files.
- Conducts risk management educational programs, complying with risk management related standards by Medicare Conditions of Participation, the Joint Commission and other agencies with the objective of promoting patient safety, enhancing quality care, and minimizing loss to protect the assets of the CWHS.
- Conducts systems analyses to uncover and identify patterns that could result in compensable events. Monitors the environment for changes in legal and regulatory requirements. Prepares system responses to new regulations and standards
- Develops and implements departmental and facility policies and procedures that affect liability exposures.
- Participates in evaluation of claims for settlement. Negotiates settlement of small claims with administrative authority; advises collection department of appropriate action for unpaid accounts involved in litigation.
- Works with the Chief Medical Officer to integrate risk management information into the credentialing process in compliance with state and federal agencies, accrediting bodies, and organizational requirements. Implements relevant statutes and regulations, including mandated mechanisms of physician monitoring with feedback to the CMO and CCO for credentialing and reappointment processes.
- In partnership with the Chief Medical Officer and the Chief Compliance Officer, responsible for coordination of the medical staff peer review process. Sets up committee, helps to identify cases and coordinates sending cases to the Peer Review Committee. Responds to requests from the Board of Medical Examiners.
- Participate in risk-based monitoring of Clinical Trial Research, collaborating with the Research Oversight Committee when needed to assist in reducing clinical trial risk and improve data quality.
- Completes annual Risk Assessment for healthcare facility and associated clinics by mid-year.
- Sets annual risk management goals and objectives by each April of the CWHS fiscal year. Develops reports (at least quarterly) for presentation to physician committees and to the Board relating to risk management issues and goals/objectives.
EDUCATION and/or EXPERIENCE:
- Bachelor’s Degree in Nursing or other clinical area with at least three (3) years of experience as a health care risk manager or management consultant
OR
- Equivalent combination of education and experience.
CERTIFICATIONS/LICENSES:
- Current and unrestricted clinical license in the State of Colorado
- Current BLS, ARM, CPCU, FASHRM, DFASHRM, CPHRM and/or CHC designation (must be obtained within first year after hire)