Under the minimal supervision of the Director of Patient Safety & Risk Management, provides consultation and expertise for regulatory requirements promulgated by the New York State Department of Health and CMS and Joint Commission. The Risk Manager has a broad scope of responsibility by serving as a resource for Bassett Healthcare Staff at all levels of the organization, including Executive Leadership, Physician Leadership and Nursing Leadership. Uses professional judgment and advanced knowledge in risk management issues to serve as a support for the organization. The Risk Manager is responsible for the administration of the institutional systems to comply with regulatory reporting initiatives including the New York State Patient Occurrence Tracking and Reporting system (NYPORTS). Responsible for the information gathering, data analysis, investigation and response to Sentinel Events and NYPORTS events and applies the appropriate and current root cause analysis methodology to the investigative process. Investigates all near miss events. Independently performs follow-up as needed to assure recommended review, investigation inquiries regarding quality of care issues. Tracks and trends NYPORTS quality outcomes and makes recommendation as needed. Responsible for the coordination of internal and external clinical reviews as needed. Works closely with departments to recommend and implement system improvements as a result of the RCA and investigative process actions. Responsible for monitoring for sustainability of actions. Assists Director with maintaining a Culture of Safety. Serves as a knowledgeable resource for risk issues, legal and regulatory matters. Reviews, investigates and analyzes Medication Variance Reports for trends, safety and liability issues for the organization. Prepares monthly, quarterly, and annual reports for various committees to include the Board of Trustees Performance Improvement Committee, Board of Trustees, and Annual Safety Report, and Safety Action Council with analysis of trends. Acts as a consultant to providers and staff members on all risk management issues. Represents Risk Management on a number of different teams to include Medication Safety, Emergency Preparedness, Morbidity & Mortality, and Risk Reduction Committees (falls, medication errors, pressure ulcers, DVT, etc) as well as other committees as assigned. Participates in special studies and other duties as assigned. Serves as a resource for intern and residents, including providing input and participation for requirements outlined by the CGME. Completes reports and compiles materials for OPPE reports, as required by regulatory and accrediting agencies, and for Department Chiefs and the Medical Director.
Bachelors degree in Nursing must be completed within 2 years from date of hire
Associate Degree or Diploma Nursing program requiredExperience:
Minimum 5 years of Acute Care Nursing experience required
Plus one year of the following experience:
Quality Management (RN)
Performance Improvement (RN) including unit specific projects
Leadership experience (including charge nurse, ANM, House Supervisor, etc.)
Experience with database management systems required
Current NYS License as a Registered Nurse required.
CPHRM certification may substitute for 1 year of experience
Strong communication, interpersonal, and analytical skills.
Exceptional written communication ability
The ability to perform data analysis and to evaluate and prioritize problems and concerns.
Strong computer knowledge and expertise with database management systems is required.
Office setting working at a computer terminal. Some walking up and down stairs. Frequent interactions on the telephone. Ability to ambulate on occasion throughout the campus to perform onsite investigation as appropriate. Contacts with physicians, providers and other staff members. Occasional need to work early morning, evening, or weekend hours. Occasional travel required.
Internal Number: 1466
About Bassett Medical Center
Bassett Medical Center and affiliates is a partnership of diverse healthcare settings, including physicians, providers, hospitals and community health centers. Services are provided in 8 counties (6 are considered Medically Underserved Areas), covering 5,000 square miles. The Bassett Medical Center, the foundation for this network, is a 180-bed, acute care inpatient teaching facility in Cooperstown. The Bassett Clinic is located on the same campus as the hospital and provides outpatient primary and specialty care. Additionally, Bassett offers 24-hour emergency and trauma care, comprehensive cancer care and heart care, dialysis, and most medical and surgical specialties in Cooperstown. Bassett is fully accredited by the Joint Commission on Accreditation of Healthcare Organizations.