The Clinical Risk Manager reports to the Associate Administrator of Operations and works collaboratively with the General Counsel as well as the risk management team in the development, implementation and review of clinical risk management frameworks to ensure the facilitation of best practice across all parts of the organization. The main focus will be on establishing and improving systems and processes to monitor, follow up and reduce the incidence of adverse events and enhance patient safety.
Promote an organizational culture that allows safety issues to be openly reported, discussed and addressed;
Lead and communicate ‘best practice’ in clinical risk management;
Ensure the day-to-day review of the incident reporting system and follow up of potentially compensable events;
Assist with the implementation of risk assessments and documentation review regarding significant care issues;
Identify and liaise directly with patients and family members regarding potentially compensable events to help eliminate litigation matters and provide resolution where appropriate benefitting both the provider and the patient/family;
Review medical records, facilitate litigation production and prepare records for litigation and medical malpractice matters;
Review incident reports, follow up and assist with Root Cause Analyses (RCA);
Identify potentially compensable events and coordinate with company and operations staff;
Provide support to the clinical operations team in risk management areas;
Ensure that recommendations are monitored and tracked to completion;
Liaise with and provide assistance to clinical operations team relevant to patient safety and clinical risk management projects, including skin issues, falls and medication errors;
Assist with the development and coordination of the risk management education program to promote organizational awareness of the principles of clinical risk management;
Conduct clinical documentation audits and reviews, as requested, as part of the Avamere Compliance Program.
Performs other job related duties as required.
Graduation from an accredited registered nursing program;
Possess and maintain valid and unrestricted license issued by the State of California to practice as a Registered Nurse;
Bachelor’s degree in Nursing is preferred;
Minimum of three (3) years nursing experience in an acute care facility with demonstrated knowledge of Joint Commission, State Licensure and CMS regulations;
Clinical experience in acute patient care, long term care, home health or hospice patient care in situations where clinical risk and outcome review are applicable;
Possess and maintain a current American Heart Association Healthcare Provider Basic Life Support (BLS) card;
Depending on assignment incumbents may be required to possess and maintain specific certificates of competency as a condition of employment;
Employees must maintain all health requirements designated by Kern Medical;