Manager-Risk Management Operations, Lake Forest Hospital

The Manager, Risk Management Operations reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.Responsibilities:Collaborate with Director, CMO, and others to assure provision of complete and integrated clinical risk management servicesLead the department to collaborate in development of strategic and operational programs in support of the NM strategic planLead the department to identify clinical and other institutional risk exposure, in collaboration with director and CMO(s). Participate in risk financing and insurance program development.Conduct system analysis to identify and drive improvement in patterns/behaviors to meet risk management best practice and reduce liability exposure.Provide leadership to department heads and clinical chairs in designing risk management and related programs and policies within their departments to advance patient safety and qualityOversee in-service education and training of all NM staff in relation to all aspects of risk management including risk identification and prevention.Work closely with risk, legal and quality/safety staff to assure alignment and advance shared goals.Creates an environment of partnership, collaboration, seamless quality and service enhancement across teams, departments, and regions within the organization.Provide coordination and organization to assure consistent and effective 24/7 risk management consultative, educational, and problem-solving services to physicians, management, and staffAssure that incidents, claims and potentially compensable events are reported to appropriate leadership in a timely manner and that investigative findings and recommendations for actions to prevent/resolve problems are forwarded to appropriate personnel and/or implemented in a timely manner.Oversee investigations, evidence preservation, and trial preparations and assures completion within the prescribed timeframe.Lead efforts to advance comprehensive, effective and patient-centered disclosure policies, practices and expertiseLead efforts to assure comprehensive, effective support of staff (employees, attending and house staff) following adverse events.Plan and coordinate the activities of the risk managers within the region.Monitor the work of the risk managers and personally conduct, coordinate, facilitate, and participate in quality committees and process improvement efforts such as the Clinical Care Evaluation Committees, root cause analysis, and failure mode effect analysisLead proactive risk management activities such as risk management rounds, risk assessments, program/policy evaluationsManage, advise, and direct Patient Representatives, physicians, and staff to resolve significant patient complaintsRecruit, manage, coach, and develop staff to optimal professional effectiveness and engagementMentor, train and orient new Risk Managers and other Risk Management staffDesign and implement comprehensive data management program and analysis of incidents and other data (includes identification and tracking of incident trends, monitoring and addressing compliance with incident reporting policy, identification of system issues, and development and implementation of process improvements)Supervise designated staff to manage the data system for incident reporting and analysisLead efforts to improve and/or replace the data system as neededAnalyze patterns and makes appropriate recommendations on trends to senior management and clinical areas to improve patient safety.Participate in the development, review and revision of hospital policies and procedures that affect risk management and related disciplines.As delegated, oversee effective use of budget and other resourcesOther duties as assigned