Apply on Employer Site

Stamford Health · 1 day ago

Risk Management Associate - Full-time

Stamford, CT

Full-time

Hybrid

Mid Level

3+ years exp

Stamford Health has a full-time opportunity for a Risk Management Associate who will assist RM Leadership in all phases of Risk Management, including litigation and claims evaluation. The role involves participation in quality improvement committees and projects, as well as responsibilities related to data analysis, report creation, and risk management functions.

Health CareHospitalityNon Profit

Responsibilities

Contribute to and participate in the Performance Improvement and Quality Improvement activities of the RM Department (Department). Contribution and participation includes data collection, analysis, report creation, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the SHS to include, but not be limited to: (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service

Risk Management Functions:

Assist RM Leadership in the smooth operation of the Department

Develop and monitor reports of occurrence data and harm events. Produce reports as requested on various department activities

Respond to inquiries or reports regarding potential or actual occurrences in the SHS that implicate medical, legal, ethical or loss control issues

Analyze and evaluate occurrence reports generated by employees or physicians, departments and individuals responsible for Medical, Nursing and other departments in an effort to determine the significance and possible compensability and reportability of events

Assist departments in determining appropriate corrective actions involving risk and medical error reduction

Undertake investigation and follow up of occurrences involving risk management, quality of care issues or professional or general liability exposure

Review and evaluate requests for medical information and/or records to determine appropriate authority of request and screen potential requests for litigation implications

Develop and track department metrics and create reports as directed by RM Leadership. Provide analysis of departmental trends and risk activities. Prepare reports, including PowerPoint slides for various committees, underwriter community and Healthstar Board as requested by RM Leadership

Assist RM Leadership in supervision and maintenance of multiple databases used within the department

Complete timely reports which provide analysis of department trends and risk activities. Examples of these reports include:specific department reports, HSS Collaborative reports, Chair Reports, Stamford Health Medical Group report for SHMG leadership

Participate in SHS committees as need at the direction of Director or RM Leadership

Assist in the investigation and preparation of case summaries of presentation at Clinical Review and/or Apparent Cause or Root Cause Analysis meetings

Participate in Apparent Cause or Root Cause Analysis team meetings

Assure that physician or nursing leaders on the Claims Committee are alerted, in advance of any potentially compensable events (PCEs) or claims that they may be asked to discuss at the monthly meeting ang provide them any requested documentation as needed

Send concerning PCEs or claims to Manager, Medical Staff Peer Review, for review at the appropriate peer review committee

Assist in PCE or claim reporting, send any necessary litigation hold memos and assist in any additional work or verification activities as requested by RM Leadership

Participate in professional organizations, representing Stamford Health in a positive light, collaborate with external resources to identify and develop improvements for the RM Program

Interface with the medical records department as necessary to ensure efficient processing of inquiries from regulatory agencies and legal representatives of patients

Assist in the training and education of new RM team members

Performance Improvement Functions:

Provide written critical analysis of cases and recommend policy or procedural changes as warranted

Follow up on risk reduction strategies and corrective action in response to sentinel or other critical events or quality of care issues

Regulatory Functions:

Assist the ED, Regulatory Affairs and Compliance Programs, Administrative Director, Regulatory Affairs or Senior Regulatory Affairs Specialist Regulatory. by providing any occurrence reports, investigative notes or documents and assisting, as needed, in reporting to the Department of Public Health pursuant to legislative and regulatory guidelines

Provide assistance to other departments under the supervision of the EDs, Director, RM or Regulatory Leadership with preparation for regulatory surveys and site visits

Within Administrative policy guidelines or at the direction of the RM or Regulatory Leadership, coordinate or participate in meetings with regulatory agencies

Coordinate efforts to provide assistance to regulatory agencies in response to inquiries or requests for information and/or medical records consistent with Department and Hospital policy

Assist the Regulatory or RM leadership, as needed, in interfacing with regulatory agencies, in MEDSUN submission and other issues that may arise

Educational Functions:

Provide in-service training at the new employee, nursing or other orientation sessions and other venues, as requested by RM Leadership regarding risk management issues and department functions

Participate in and/or attend education seminars and conferences at the request of RM Leadership

Assist with staff educational programs involving patient safety, including, but not limited to: medical injury prevention, documentation, informed consent policy and procedures, occurrence reporting, high level Joint Commission reporting and reporting involving other regulatory agencies, Guidelines for Withholding or Removing Life Support, Do Not Intubate/Do Not Resuscitate policies and procedures, Health Care Representative/Proxy policies and procedures, and other programs as requested or as determined by the Department of Risk Management

Qualification

Registered NurseQuality Improvement MethodsData ManagementBachelor’s Degree in NursingClinical Nursing ExperienceReport DevelopmentEducational ProgramsMS OfficePowerPointExcelCommunication SkillsOrganizational Skills