Manager Risk

About Steward Health Care

Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Steward is among the nation's largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.

Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah.

For more information, visit www.steward.org.

St. Luke's Behavioral Health Center is a 127-bed facility located in the heart of Phoenix, Arizona. The Behavioral Health Center offers a full spectrum of inpatient and outpatient services for seniors, adults, adolescents, and children requiring psychiatric and chemical dependency care. Want to learn more, click here: St. Luke's Behavioral Health Center

Position Title: Risk Manager

Status: Full-Time

Job Summary:

Reporting to the Director of Quality & Risk Management and to corporate risk management, theRisk Manageris responsible for management of the risk management department and the various functions under its umbrella, including but not limited to: regulatory survey preparedness and participation, patient safety, incident reporting and claims management,loss prevention, managing and analyzing risk management data, legal issues, and conducting proactive risk assessments to minimize loss and protect the assets of the facility. Provides reports to the Performance Improvement (PI) Committee, Medical Executive Committee, Board of Directors, Patient Safety Triage Team, administrative team, health plans, and other committees/entities as requested and required. Assures collaboration between quality, risk, patient advocacy, and case management functions. Oversees the Patient Advocate position.

Essential Functions:

• Responsible for collaborating with the Director of Quality & Risk Management to develop and implement departmental procedures for risk management.
• Reviews and provides recommendations on organizational policies and procedures as requested.
• Reviews incident reports daily, ensures timely response and follow up, and documents appropriate risk manager follow up activities including but not limited to investigation, collaboration with responsible department leader on corrective actions, reporting to committees/senior leaders, outcomes, etc.
• Conducts investigations as appropriate for all actual or suspected patient safety events, allegations, patient rights violations, injuries, adverse and "near miss" events, etc. to include camera review, patient/staff interviews, chart reviews, policy review, etc.
• Facilitates the Root Cause Analysis (RCA) process for events meeting criteria for an RCA.
• Submits "Incident, Accident, and Death (IAD) Reports" through the AHCCCS web portal for reportable incidents within the time frame specified by AHCCCS policy for IAD reporting
• Reports up to executive leadership all risk/regulatory issues as appropriate and ensures leaders are knowledgeable about issues as they occur.
• Responsible for maintaining the incident reporting system to ensure integrity of data. Collects and analyzes data to compile monthly, quarterly, and annual reports for presentation to the PI Committee, Medical Executive Committee, and Board of Directors.
• Provides education to staff on risk management as a part of New Employee Orientation, in service trainings, and on an ongoing basis as needed.
• Responsible to facilitate preparation for review by all regulatory agencies. Remains current, educates, and assists department managers to maintain appropriate policies, procedures, and documentation to fulfill requirements and regulations.
• Participates in the development and/or revision of the organizational performance improvement plan pertaining to risk management, in collaboration with the Director of Quality & Risk Management.
• Provides daily administrative supervision and support to the Patient Advocate position including participation in interviewing, hiring, evaluating, and firing with approval from the Director.
• Participates in routine and short-term audits as a part of the hospital's Internal Audit Plan.
• Manages all seclusion and restraint data reporting to the health plans
• Manages all patient loss issues as they arise, serving as the facility's main point of contact for legal entities, law enforcement, protective service agencies, etc., and coordinating with the legal department as needed.
• Additional responsibilities as assigned by the Director of Quality & Risk Management or senior leader.

Requirements:

Knowledge and Skills

• Current clinical knowledge as well as knowledge of regulations and standards as relating to the Joint Commission, DNV, CMS, Arizona Department of Health Services, and other regulatory agencies.
• Ability to listen and to communicate clearly and appropriately to physicians, providers, contracted agency representatives, medical director, senior directors, and administrative team.
• Works well with others and able to contribute to a successful multidisciplinary team approach to success.
• Ability to maintain a professional, mature, disciplined, and tactful approach to department responsibilities.
• Investigative skills including the ability to conduct an effective investigative interview and to gather necessary factual information to arrive at an unbiased conclusion.
• Ability to document clearly, thoroughly, timely, and factually without interjecting bias or presupposition.
• Effective organizational skills and ability to exercise sound, independent judgment and decision making in the completion of assignments and duties.
• Ability to gather and analyze/interpret data in a way that enables hospital leaders to come to useful conclusions that will aid the facility in performance improvement and patient safety initiatives
• Maintains a flexible, organized attitude and approach and ability to function under stressful situations.
• Ability to speak and write fluently in the English language.

Education/Experience/Licensure/Technical

Minimum Education/Certification/Licensure:

• Current Arizona Registered Nurse licensure preferred
• BSN or Bachelors Degree in healthcare-related field
• 2 or more years of clinical experience in an acute care setting; and 3 or more years of risk management experience preferred
• CPHQ preferred
• MOAB certification or recertification every two years.
• CPR certification every two years.
• Annual health screening
• Annual Steward University online learning requirements
• Current fingerprint card