Department: Risk Management
FTE: 1.00
Full Time (30 - 40 hours per week)
Shift: Days

Position Summary:
Direct, plan, implement and monitor complex risk management investigations. Examine institution wide issues and prepare root cause analyses (RCA). Develop action plans, monitor milestone completion; audit compliance and analyze trends associated with clinical operations risks identified at the Health System. Prepare and present a variety of risk management reports and develop and conduct training sessions. Ensure adherence to Hospitals, departmental policies and procedures, and accreditation requirements. No patient care assignment.

Detailed responsibilities:
* RISK MANAGEMENT - Manage multiple complex risk management investigations, including the institution wide root cause analysis (RCA) process analyses and prepare root cause analyses (RCAs) to meet organizational needs; integrate with Health Sciences Center risk management
* RISK IDENTIFICATION - Conduct chart reviews and develop case summaries and timelines; review variance reports and investigate cases as appropriate; identify cases that meet TJC sentinel event criteria
* REPORTS - Draft RCAs, including action plans and distribute drafts in concert with appropriate departments, for comments; track and trend RCA data and prepare and present reports of findings; draft reports as assigned
* RESEARCH - Research standards of practice and best practices and recommend system redesign projects to reflect these standards and practices, in addition to accreditation requirements
* COMPLIANCE - In partnership with the quality department and involved assess the effectiveness of the action plan implementation and to ensure sustainability of system redesign
* TRAINING - Develop training materials and conduct training in-services
* POLICIES & PROCEDURES -� Participates in the development and review of policies, procedures and guidelines
* COMMITTEES - Participate in committees, which may include: Nursing Quality Council, Nursing Peer Review Council and Medication Safety Committee, as assigned
* OTHER - Provide coverage in the absence of the Exec Dir Risk Management
* SUPPORT- Perform rounding in assigned areas
* RISK MANAGEMENT- Assists with problem solving or situational guidance to healthcare providers as needed
* TECHNOLOGY- Ability to use appropriate technology to achieve completion of tasks and assignments

Qualifications

Education:
Essential:
* Associate Degree
Nonessential:
* Bachelor's Degree
Education specialization:
Nonessential:
* Related Discipline

Experience:
Essential:
2 years directly related experience in the hospital setting or similar healthcare environment

Nonessential:

Credentials:

Nonessential:
* NM RN or Licensed Clin Professional in State of NM

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment
* May be exposed to infectious agents/blood-borne pathogens
* May perform subordinate tasks in high census/vol