The Director of Patient Safety/Risk Management is responsible for planning and implementing the Risk Management and Patient Safety Program with the objective of controlling and minimizing loss to protect the assets of the facility.
Essential Functions and Responsibilities:
Review and analysis of notification reports and occurrences, including adverse/sentinel events, conducts event investigations and root cause analyses, collaborates with managers and staff in the development of risk reduction action plans, Conducts risk management educational programs as needed. Manages the incident reporting and document control system (Intelex).
Leads Patient Safety Program as defined within the Quality Management-Performance Improvement and Patient Safety Plan: Chairs the Patient Safety Council, implements patient safety initiatives and practices to continually improve patient safety and prevent harm. Annually assesses outcomes for inclusion in Quality Management-Performance Improvement and Patient Safety Plan appraisal and identifies areas for focused improvement.
Manages patient grievances: Works in coordination with hospital staff to resolve complaints before they develop into professional liability claims; ensures required response to patient is complete and timely; analyzes trends; develops and presents reports to administration, directors, medical staff and the Board;
Claims Management: Investigates and analyzes actual and potential risk in the institution. Assesses liability and probability of legal action for potential notification of insurance carriers. Works with hospital legal counsel to coordinate the investigation, processing, and defense of claims against the hospital. Collect documents, maintains and provides hospital attorneys with any requested information and documents necessary to prepare testimony in pending litigation.
Regulatory Compliance: Assesses and implements processes to ensure compliance with regulatory and accreditation requirements; reviews and updates policies and procedures to ensure consistent with current practice and requirements; educates staff and medical staff members as needed. Serves as a Lead Internal Auditor as assigned.
Evaluates the Risk Management Program on an annual basis. Revises Plan as needed.
Preforms other duties as assigned.
Supervises the Patient Relations/Risk Coordinator.
Bachelors of Science in Nursing (BSN) or Risk Related Field
Minimum five (5) years clinical experience in an acute care setting
Minimum three (3) years risk management experience
Current Registered Nurse License
Current Certified Professional in Healthcare Risk Management certification (CPHRM)
Internal Number: 2019-4000
About Community Memorial Health System
Community Memorial Health System is a community-owned, not-for-profit organization that consists of two hospitals and 15+ community clinics including family-practice, urgent care, our residency program, and several specialties within Ventura County. We are fully accredited by Det Norske Veritas (DNV), licensed by the California Department of Public Health and ISO 9001:2015 certified. Located close to the beach, just 60 miles north of Los Angeles, is Community Memorial Hospital. Our 242-bed, acute care facility, is committed to providing quality patient care in an environment that promotes clinical excellence and innovative leadership. Ojai Valley Community Hospital, an affiliate of Community Memorial Hospital is a 25-bed general acute care facility designated as a Critical Access Hospital with a distinct part 66 bed skilled nursing facility. OVCH provides inpatient, outpatient, and skilled nursing services for mostly primary and secondary care needs. In addition, we operate a 24-hour standby emergency department. CMHS offers some of the best benefits in the industry, along with great career choices, training, and leadership development. At our facility, our employees share their... enthusiasm for life as well as for helping others. As you balance your work life with your other passions, we're there for you every step of the way. CMHS offers excellent benefits, such as Medical, Dental, Vision, Life, and AD&D insurance. We also offer a comprehensive 403(b) retirement plan, flexible spending accounts, paid time off, and a variety of other great benefits. If you are interested in joining teams that meld quality care and compassion to create an environment of excellence, please take a moment to discover more about what it's like to work at Community Memorial Health System. “We are an AA/EEO/Veterans/Disabled Employer”