The Risk Manager is a professional registered nurse and is responsible for establishing and maintaining a comprehensive Risk Management (RM) Program in compliance with all applicable regulations. The incumbent serves as the key contact point throughout the Captain James A. Lovell Federal Health Care Center (FHCC), North Chicago, Illinois and all the Branch Health Clinics and Community Clinics (formerly known as CBOCS's) on risk management and patient safety issues. The purpose of this position is to foster a culture of integrity and accountability which is proactively risk aware, highly reliable, predictable, and strives for continuous improvement. The overarching goals of the RM program are to improve the quality and safety of patient care services, as well as mitigate risk. This is accomplished through ongoing data review, and the analysis of risk intelligence. RM activities contribute to the integration of key quality, safety and value functions. The Risk Manager initiates, conducts and documents individual health care provider Peer Reviews (PR), to ensure patient care standards are met. The Risk Manager may be requested to coordinate and facilitate administrative investigations and initiate inquiries into significant facility issues informing FHCC leadership as deemed appropriate. The Risk Manager also monitors and coordinates Tort Claim processes and works with the Patient Safety Manager to monitor institutional and clinical disclosures. In collaboration with Patient Safety and other Performance Improvement nurses, activities may include assistance with sentinel event related activities including Root Cause Analysis (RCA) of any event or near miss and the conduction of healthcare Failure Mode and Effects Analysis (hFEMA). The RM program is a vital aspect of the command's overall Performance Improvement program. The clinical expertise and knowledge proved by the position are essential to ensure compliance with standards established by FHCC/VHA/DoD directives. Accuracy, efficiency, and reliability are required to facilitate the efforts of others in providing optimum patient care. Data generated by the incumbent's activities provides a basis for identifying problem areas and opportunities for improvement, as well as, establishing hospital wide policy and procedures. The incumbent must take raw data, determine its significance and prepare meaningful reports for information, action, or further study by the FHCC Director, Deputy Director, Associate Directors, committees, teams and other FHCC personnel as appropriate. Major Duties and Responsibilities Coordinates, plans, and implements all aspects of the Risk Management (RM) Program. This includes serving as the functional expert and central resource person for the FHCC for all activities related to the development and monitoring of risk management processes. Assesses actual/potential risk issues through the coordination of a proactive risk control plan to avoid, prevent or limit risk liabilities and/or loss and to stimulate change to avoid medical errors and improve safety. Plans for personal growth as related to professional goals based on self-assessment, evaluation, and feedback. Assumes responsibility for acquiring knowledge and experience to meet goals. Actively participates in professional organizations. Maintains an active liaison with the Regional Counsel and Command Legal Officer for purpose of reporting, investigating, analyzing, settling and /or defending claims or compensatory events. Works in collaboration with the above to coordinate, plan, and implement the administrative aspects of Litigation Reports. This includes interpreting regulations, coordinating appointment of investigating officers and assisting assigned staff by providing information regarding the purpose of the investigation program, ensuring availability of medical records and other necessary documents, and assuring conformance to investigation requirements. Monitors recommendations of Litigation Investigations approved by the Director, FHCC or higher authority to ensure action is taken by the appropriate directorate. Participates in preparations for reviews conducted by internal and external organizations including, but not limited to, Command Evaluation, VA and Navy Inspector General, Navy Medicine East, Veterans Health Administration, and The Joint Commission. Collaborates with others in evidence-based research activities to improve care. Work Schedule: Monday - Friday 8:00am - 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.