Mission Community Hospital · 4 hours ago
Risk Manger
Los Angeles, CA
Part-time
Onsite
Entry, Mid Level
2+ years expMission Community Hospital is seeking a Risk Manager to oversee administrative and technical support for the Performance Improvement Program. The role involves managing risk management programs, coordinating compliance with accreditation standards, and facilitating staff training in performance improvement tools.
Health CareNon ProfitWellness
Responsibilities
Greets/acknowledges customers warmly, with a smile, and immediately when they enter department/unit/area
Asks how the customer may be helped with interest and concern
Listens attentively, does not interrupt
Accepts ownership and takes action to resolve customer needs and/or concerns
Is attentive and responsive to the expectations of physicians, co-workers and direct reports
Accepts constructive criticism and modifies actions accordingly
Is generous in acknowledging a job well done
Uses words and behaviors that express consideration, concern and respect
Facilitates and holds staff accountable for meeting department customer service standards in the performance of duties
Utilizes telephone skills effectively as outlined in the Star Service Program
Keeps all private information about staff or patients confidential
Identifies customers and their service requirements
Meets or exceeds customer service improvement targets as demonstrated by dashboards, etc
Participates in marketing activities of the Hospital including but not limited to committees/task forces, speaking engagements, conducting tours, Hospital sponsored health fairs
Contributes to marketing materials such as brochures, newsletters, teaching materials
Participates in staff recognition activities in ways that reward behaviors reflecting positively on Mission Community Hospital
Engages in interdepartmental /multi-department/house-wide process improvement forums/task forces/committees
Offers and implements solutions to challenges/problems
Assist with development-related activities including fund raising programs & activities
Monitors the marketplace and recommends new and creative business opportunities
Analyzes targeted existing services and product lines for cost/benefit and develops appropriate strategies to improve growth where applicable
Attends/participates in activities that contribute to professional growth and development
Responsible for coordinating, facilitating and monitoring hospital-wide risk management activities/initiatives and data abstraction, analysis and reporting
Responsible for coordinating and facilitating hospital-wide accreditation and regulatory agency survey preparedness and readiness, which includes staff and physician education
Responsible for conducting a minimum of one failure mode and effects analysis annually and reporting findings to appropriate senior management and PI committees
Responsible for conducting and/or facilitating a minimum of two Root Cause Analysis (RCA) annually and reporting findings to appropriate senior management and PI committees
Assures that process improvement teams and committees develop strategies (based on their monitoring activities) to improve patient care outcomes by assuring that hospital practices reflect the best known science; that best practices are identified and emulated; that variations in clinical care processes are reduced; that reversible causes of patient care complications are identified and reduced or eliminated and that DRG specific patient outcomes are both measured and continuously improved, including but not limited to ORYX indicators, FEMA, patient safety initiatives, clinical pathways, restraint management, code blue effectiveness / outcomes, staffing effectiveness, DHS corrective actions plans
Collects, trends, reports and displays baseline and concurrent outcomes data demonstrating effectiveness of action plans as compared to national/regional benchmarks or outcomes excellence targets
Recommends modification(s) to corrective action plans as appropriate
Insures that activities are put in place to resolve defined problems
Coordinates, manages and keeps accurate records/files for large volume of information that includes data collection; aggregation and display of information; statistics; the dissemination of information to appropriate committees and personnel; reports; corrective action plans status / resolution; follow-up activities
Utilizes opportunities to function as both a designer and initiation of controlled change as needed or appropriate to restructure hospital clinical monitoring activities to reflect the vision and mission of MCH as well as current/anticipated trends
Supports and empowers employees to improve quality of care and/or service
Possess and maintains a working knowledge of JOINT COMMISSION standards, State of California laws and statutes (e.g., Title XXII), CMS regulations, Medical Staff Bylaws, policies and procedures, and community standards
Evaluates, monitors, and sustains compliance with accreditation and regulatory bodies
Coordinates MCH’s continuous readiness for the JOINT COMMISSION, DHS and CMS surveys in collaboration with the Performance Improvement and Operations Committees
Primary contact for CDPH and CMS surveys and completion of 2567 deficiency corrective action plan reporting
Schedules meetings, documents minutes, performs case review in concert with the demands of the medical staff, analyzes and aggregates data and prepare reports for the medical staff
Facilitates/assists with the evaluation of the seven safety plans and revision of the plans for the next year
Demonstrates willingness & ability to float to areas within area of specialty/cross-training
Performs all other risk management, quality management, quality of care peer review duties as related or assigned
Completes unusual occurrence forms within 24 hours of event, if not completed by department director/manager/supervisor
Completes investigations/assessments thoroughly and timely; corrective action plans are formulated and implemented
Reports, promptly, any suspected or potential violations to laws, regulations, procedures, policies and practices, and cooperates with investigations
Conducts all transactions in compliance with all corporate and medical center policies, procedures, standards and practices
Facilitates/fosters compliance with all applicable laws, regulations, procedures, policies and practices required by the job, based on the scope of practice of the position
Facilitates identification and reporting of occurrences of potential liability to the Hospital
Uses information sources appropriately in department/unit operations
Uses department specific information systems applications efficiently and effectively
Accesses and creates department specific information system application reports
Conducts reality and validation assessments of data processed by the department
Serves as an effective resource to IS to ensure accurate entry/updating of department specific systems applications
Complies with hospital policies, accreditation agency standards and state and federal confidentiality requirements related to management of information, including HIPAA
Obtains necessary training prior to initial equipment and software use
Uses software at an intermediate to advanced level
Qualification
Required
High level of knowledge related to Joint Commission hospital accreditation standards, Department of Health and Human Services, California Department of Public Health, and the Centers' for Medicare and Medicaid Services regulations
Current Registered Nurse license in the State of California
Bachelors' Degree required
Excellent English written/verbal communication skills
Computer skilled with experience using Microsoft Office software at an intermediate level
Intermediate to advanced level Microsoft Excel database and statistical analysis skills required
Preferred
Masters' Degree preferred
Two years risk management experience in acute care setting preferred
Certified Professional in Healthcare Quality (CPHQ) preferred
Company
Mission Community Hospital
Mission Community Hospital is a nonprofit organization that offers medical, surgical, psychiatric and 24/7 emergency room care services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
James Theiring
Chief Executive Officer
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