Clinical Risk Manager

Stanford Health Care - Palo Alto, CA (25 days ago)4.1


Job Summary

Under the direction of the Director of Clinical Risk Management Operations, the clinical risk manager (CRM) is responsible for administering the risk management program for Stanford Health Care (SHC) and its affiliates on a day-to-day basis. Ensures effective loss prevention and loss control in compliance with state, federal and SHC standards. Conducts investigation of unanticipated/unexpected clinical outcomes, preventable significant clinical outcomes and potential compensable events (PCEs). Analyzes risk management data, develops and conducts risk management educational programs, and provides risk management advice with the objective of maintaining patient safety, enhancing quality care, and minimizing loss.

Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification, and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions.

Manages and implements SHC's risk management program in a manner that fulfills the organization's mission and strategic goals.
Reviews, analyzes and manages preventable patient harm, unanticipated/unexpected clinical outcomes with significant harm and general liability cases, such as visitor slips, trips and falls.
Manages and documents investigations related to hospital professional liability (HPL) and general liability (GL), including interviews with staff, insured physicians and insured Advanced Practice Providers (APPs).
Responsible for intake and file management of adverse events with harm and potential for harm in the risk management information system (RMIS).
Extracts lessons learned and risk mitigation strategies from open and closed claims for shared learning through organized distribution channels.
Collaborates closely with Patient Safety, Accreditation, Licensing & Regulatory, Compliance, Security, Patient Relations, Ethics and the Office of General Counsel to identify, manage and resolve risk management issues.
Prepares and provides risk management education to insureds and stakeholders.
Develops and reviews hospital policies with risk management implications.
Actively participates in root cause analysis and various hospital committees with risk management implications.
Identifies risk management trends and collaborates with stakeholders to design strategies to prevent error/harm and reduce loss.
Provides 24/7 on-call risk management coverage as scheduled and provides risk management consultation as appropriate.
Assists medical staff with internal and external risk reviews as directed.
Collaborates with pathology regarding device preservation requests related to medical device class action lawsuits.
Establishes and maintains protected and effective channels of communication.
Performs other duties as assigned. Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Minimum Qualifications
Any combination of education and experience that would likely provide the required knowledge, skills and abilities, as well as possession of any required licenses or certifications.

Education: Bachelor's Degree or equivalent combination of education and experience required.

Experience:
  • Required
5 years or more prior clinical experience.
3 years or more experience in healthcare risk management.
3 years or more experience in providing risk management recommendations, risk presentations and investigative findings with liability analysis.

  • Preferred
1. Experience in loss control and claims management.
2. Experience working in collaborative team environments in complex and dynamic organizations.

License/Certifications:
  • Active California Registered Nurse (RN) License preferred
  • CPHRM preferred
Knowledge, Skills and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

Excellent oral and written communication skills for providing guidance, support, presentations, education and investigative findings.
Ability to accurately and efficiently issue spot, analyze, prioritize and manage general liability and hospital professional liability.
Demonstrates knowledge of federal and state laws applicable to risk management, privacy, patient safety, accreditation, regulatory and licensing.
Proficiency in Microsoft Word, Excel, PowerPoint, internet computer navigation and research, EPIC and Midas.
Ability to analyze complex data and problem solve based upon research, knowledge of risk principles and sound judgment.
Adept at working independently and collaboratively with insureds and stakeholders.
High level of organizational and time management skills to effectively and efficiently manage multiple competing priorities and the integrity of projects and case files.