Under the general direction of the Vice President of Risk Management, the Senior Risk Manager is responsible for developing, implementing and coordinating risk management activities for Tufts Medical Center, including the identification, evaluation and treatment of risk in the organization. The Senior Risk Manager develops and manages a systematic process to identify, assess, and treat actual and potential exposures to loss.
Proactively evaluates areas of organizational risk based on internal assessment and external benchmarking, and implements strategies, policies, and practices that promote patient safety.
Collaborates in reviewing events involving patient harm or significant deviation of standard procedures which could cause patient harm, and in conducting the harm analysis of such events.
Reviews and evaluates aggregate adverse event and claims data to identify high-risk activities, procedures and departments.
Compiles statistics on all areas of risk throughout Tufts Medical Center to use in identifying, evaluating, eliminating or reducing incidents in high-risk areas. Creates meaningful reports and graphic presentations to assist managers and administrators in assessing the impact of patient safety practices on loss prevention.
Initiates the investigatory process and manages investigations related to adverse outcomes and events, including interviewing staff, reviewing medical records, assessing policies and procedures, and identifying best practices.
Initiates safety event huddles, leads the review of adverse events, facilitates root cause and other causal analyses, and works with clinical and administrative leaders in designing solutions to prevent future events.
Provides support to the Patient Care Assessment Program, including assisting in the review and analysis of adverse events by the Program’s committee.
Provides advice, consultation, and support to hospital administrative and clinical staff, departments, and committees on clinical, regulatory, legal, insurance, risk, and ethical issues.
Assists administrative, medical and departmental personnel in the development of policies and procedures that reflect risk management principles.
Conducts risk management orientation and continuing education programs for administrative and clinical staff to enhance awareness of their role in patient safety and risk reduction.
Collaborates with the patient and family liaisons to promote an environment that supports successful outcomes through timely response to issues and concerns. In collaboration with the patient liaisons, coordinates with department directors and managers and physicians to facilitate resolution of complaints and grievances.
Collaborates with the Office of General Counsel attorneys on legal matters when requested.
Collaborates with Office of General Counsel and Claims departments in order to review and evaluate claims and other data to identify high-risk activities, procedures, and departments.
Works with outside counsel to facilitate timely responses to requests for documents, records, testimony, or other materials.
Integrates information identified through risk management program with the credentialing and reappointment process.
Participates in regional, state, and national organizations directly concerned with risk management.
Provides risk management services to Tufts Medical Center and Physician Organization employees and other clinical and support staff after hours and on weekends and holidays via a rotating on-call schedule.
Maintains positive and collaborative relationships with regulatory and oversight agencies including, but not limited to, the Department of Public Health, the Department of Mental Health, the Board of Registration in Medicine, the Board of Registration in Nursing, The Joint Commission, the Disabled Persons Protection Commission, and the Department of Children and Families, and submits appropriate reports and corrective action plans to these oversight agencies as required and appropriate.
Complies with all applicable federal and state laws and regulations, the policies and procedures of Tufts Medical Center, and the standards of any relevant accrediting organization; participates actively in and abides by the standards of Tufts Medical Center’s Compliance and HIPPA Programs.
Facilitates teamwork and collaboration in an environment of open, effective communication and problem resolution, and fosters a positive work environment.
May perform other job related duties as requested or required.
Leadership – ability to provide positive leadership within the Risk Management Department and throughout the institution.
Critical Thinking/ Problem Solving – ability to listen, to analyze, to gather additional relevant information, and to use knowledge effectively to solve problems.
Formal Presentation Skills – ability to present information in an understandable manner in formal and informal settings.
Process Management – ability to manage or facilitate management by others of important processes.
Striving for Continuous Improvement – knowledge of the continuous improvement process and ability to apply it when appropriate.
Professionalism – ability to represent the department and Tufts Medical Center in a manner, which reflects the goals and principles of each, while treating all individuals with respect.
Effective Negotiation – ability to achieve win-win solutions to problems.
Concern for Safety – responsibility for recognizing safety issues and for appropriate follow-through.
Personal Effectiveness – ability to set and accomplish individual goals and to assist others with achieving corporate goals.
Prioritizing and Multi-tasking – ability to prioritize and multi-task on-going case load of safety events, grievances, and regulatory reports, with team responsibilities including on-call consults.
R.N. or other clinical degree required.
Minimum of 5-7 years healthcare clinical experience preferably in a hospital or ambulatory setting.
Minimum of 3-5 years of risk management experience, preferably with a self-insured entity.
Internal Number: 12083
About Tufts Medical Center
Tufts Medical Center is an internationally-respected academic medical center – a teaching hospital where we pride ourselves not only in the sophistication of the care we provide but the compassionate way in which we provide it. We care for all patients from the tiniest newborns at our full-service pediatric hospital, Floating Hospital for Children to centenarians in our specialized Geriatrics clinic.