SPECIFIC DUTIES AND RESPONSIBILITIES: All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA).
• Evaluates all incidents for severity, frequency, and probability of financial loss, and reports as necessary to appropriate administration, committees, and personnel. Develops and maintains an incident reporting system by establishing a comprehensive incident reporting plan that establishes policies, educational programs, and reporting methods for the appropriate areas. • Directs information on incidents as appropriate to medical staff and nursing peer review processes. Uses industry benchmarking to compare appropriate data. • Directs the risk investigation of all identified potentially compensable events (patient, visitor, employee, and product). • Develops loss control measures relating to patient care complaints including, but not limited to, access to medical care and the provision of certain treatments when appropriate. • Presents summary information to outside legal counsel and to the Chief Executive Officer with an opinion as to potential for litigation. Manages the documentation and computerized files of all claims. • Develops and implements preventive risk management programs. Educates and trains staff in appropriate procedures, documentation, reporting, and follow-up in key areas of risk management interest. Acts as the facility’s expert resource in risk reduction and keeps abreast of trends in the industry. • Demonstrates knowledge and implementation of creative and innovative risk management processes. • Builds and maintains trusting relationships with both internal and external customers to enhance communication regarding risk and safety. • Maintains chain of custody on all medical records with outstanding claims, and maintains all evidence, documents, and communications on legal cases in a confidential manner. Sequesters medical records as necessary. • Acts as the primary spokesperson for the facility to persons who have a complaint that may be considered a potentially compensable claim. Analyzes patient complaints and directs inquiries to appropriate personnel. • Acts as liaison to outside litigation counsel in the management and investigation of filed lawsuits and related litigation processes. Understands the legal components of the risk management industry. • Reviews and revises the risk management plan and all risk management policies on an annual basis. • Chairs the Risk Management Committee and participates as a member of additional committees and task forces assigned to improve quality and safety and to reduce organizational risk. • Prepares all necessary documentation and promotes compliance with internal policies and external regulations regarding areas of risk management responsibility, including but not limited to sentinel events and root-cause analyses. • Develops statistical and qualitative reports on risk management trends and patterns and communicates this information effectively to appropriate audiences. • Promotes compliance with all applicable regulations and standards including but not limited to HRSA Health Center Program, FTCA, Joint Commission, PCMH, the Safe Medical Devices Act (SMDA), and Health Insurance Portability and Accountability Act (HIPAA). • Trains and supervises risk management staff. • Serves as a resource to facility staff on issues related to risk management and patient safety. Demonstrates role model behavior regarding proper customer satisfaction, conduct, confidentiality, complaint resolution, and problem solving. • Develops annual goals for the risk management department. Employs a vision to develop new concepts and solutions. Is inspired to succeed and driven to deliver on goals and expectations. • Ascertains that risks are minimized through follow-up and actions on all regulatory/insurance survey report recommendations/deficiencies. Understands the fiduciary duties to identify, disclose, and manage the organization’s risk. • Proactively recommends appropriate revisions to new or existing policies and procedures to eliminate or reduce risk and to prevent future occurrences. • Ensures adherence to deadlines.
Qualifications: • Demonstrated ability to communicate effectively with medical and administrative personnel and to manage stressful situations. • Exhibits strong leadership skills. • Possesses strong data analytics skill set and able to manage complex spreadsheets and databases. Able to translate data into actionable items. • Proficient with Microsoft Suite. • Demonstrates the ability to organize complex information and documentation systems. • Shows determination to always maintain confidentiality. • Exhibits the ability to deal with difficult situations diplomatically. • Possesses strong skills as a communicator and educator.
Physical Requirements and Work Environment: The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.
In 1976 a group of concerned citizens representing the City of Bridgeport, Bridgeport Housing Authority and other neighborhood agencies formed the West End Neighborhood Advisory Council. They saw that there was a desperate need for medical and dental services in southwest Bridgeport and submitted a request for Public Health Services, Section 330 funding to the Department of Health, Education and Welfare to provide health care to their impoverished neighborhoods. The Health Center became a reality when the Advisory Council received the “Notice of Grant Award” in August 1977. This funding was given to the City of Bridgeport to support the Health Center for three years. At the end of this three year funding cycle the Council emerged as the Board of Directors with the full fiduciary responsibilities of the newly incorporated Health Center. The services were relocated from Building #14 of the P.T. Barnum complex to the refurbished St. Stephen’s School on Bird Street in 1978. On August 1, 1980 Southwest Community Health Center was incorporated as a not-for-profit-entity.
The Corporation is dedicated to providing high quality, accessible medical, dental an...d behavioral health services to individuals and families, in the Greater Bridgeport area, especially the uninsured, who reside in the medically underserved Southwest Bridgeport community.
Southwest Community Health Center is the provider of choice for all residents of the Southwest Bridgeport community, and is recognized as a leader in the community health field that engages in cooperative alliances with other agencies dedicated to the total well-being of the people in the community.
The Staff and Board of Directors of the Southwest Community Health Center value and are committed to:
-The dignity and inherent worth of every human being.
-Recognition of health as a complex phenomenon (with many contributing factors).
-The right to basic health care, regardless of ability to pay.
-Friendly, professional and efficient health care delivery.
-Excellence and quality.
Creativity and innovation.