Description
**JOB DESCRIPTION**
The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS).,
The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification, mitigation, management and prevention of risk throughout the organization.
This position supports Mount Sinais objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies, policy and/or organizational changes.
**RESPONSIBILITIES**
1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution.
2. Conducts an initial review and develops a case summary, inclusive of focused questions, if the case requires further review providing all required documentation for investigations, activities and resolutions related to the reported incident.
3. Evaluates reviews completed by leadership, provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.
4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health.
5. Review and analysis of all incident reports to identify risk management, quality of care, regulatory and insurance concerns.
6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required.
7. At the direction of the Director of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews.
8. Maintains risk management information system database.
9. Identifies organizational risk through trend analysis of incidents, incident letters, and reports; assures accuracy of data prior to internal distribution.
10. Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports
11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting.
12. Acts as a resource person to staff on risk management issues.
13. Keeps abreast of appropriate regulatory requirements related to risk management.
14. Responds to inquiries regarding various reports and individual professional liability matters.
15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns.
16. Expect to work flexible hours to participate in staff interviews, risk management and patient safety events, debriefs and meetings as needed.
17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York State Departments of Health.
18. Active participation on committees directed toward promoting risk management, patient safety, quality of care and with availability to attend/cover other Committee meetings as may be requested.
19. Assists in developing and presenting educational programs to raise staff, including staff on off-hour shifts, awareness to risk exposure and the impact on professional liability,.
20. Coordinates, supports and assists in developing Patient Safety Fair and Risk Management Week activities.
21. Performs other related duties
**QUALIFICATIONS**
Bachelor's degree in Nursing or related field; Masters or JD preferred.
Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare experience can be utilized in lieu of licensure.
3 years risk management experience (greater than three years preferred).
Experience with Just Culture and Culture of Safety principles preferred.
Knowledge of clinical quality, patient safety, patient experience and/or patient satisfaction performance measures and indicators.
**REQUIRED SKILLS**
Microsoft Office Suite
**ABOUT US**
**Strength Through Diversity**
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.
Explore more about this opportunity and how you can help us write a new chapter in our history!
**"About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all peopl
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