Officer-Healthcare Risk and Quality

Description

Job Summary:

 

In collaboration with the Healthcare Risk Director, lead the affiliate risk and risk mitigation operational functions, including Risk Management , Program Development, Claims Management, Risk Mitigation, Risk Assessment and Guidance, and Educational in assigned affiliate (s). As a member of the Healthcare Risk team and the Office of the General Counsel , the Risk Officer collaborates with the affiliate leadership to improve the patient  experience and patient safety by identifying and controlling risks, reducing and eliminating  the possibility of losses associated with healthcare delivery and related core business activities. Collaborate with affiliate and system leadership in developing and executing pro-active patient safety focused risk management, risk mitigation, and loss prevention programs. Develop a collaborative relationship with other members of the OGC and Compliance in order to ensure risk, legal and regulatory concerns are addressed properly. The Risk Officer reports jointly to the Healthcare Risk Director-Valley and the Chief Executive Officer of Kahi Mohala.

 

To provide assistance to the Chief Executive Officer in Kahi Mohala in the activities of planning, coordinating and guiding the integrated functions of quality assessment and improvement within the functions of quality improvement, infection control and regulatory compliance.

 

 

Assimilates information to proactively develop quality activities aligned with Kahi Mohala's stratagies and values. Proactively builds strong teams and business relationships, both internally and externally. Serves as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence improvement strategies.

 

Has significant responsibility for working with the organization to pursue operational improvements and efficiencies; supporting the development and implementation of clinical assessment/process improvement and redesign. TH director participates on a team that works toward identifying the best clinical and operational practices for the organization. Pursues opportunities for work that adds value and eliminates wasted and redundancy for the organization to help achieve and retain optimal quality outcomes.

Qualifications

Education:

 

 

• Bachelor's Degree in Business, HealthCare Administration, Risk Management, Nursing or related field is required.
• Associate in Risk Management (ARM)
• Master's Degree in Nursing, Management or Leadership field of study.

 

Licensure and Certification:

 

• Certified Professional in HealthCare Risk Management CPHRM-Required
• Certified Professional in Healthcare quality-Preferred
• Certified Profession in Patient Safety (CPPS) -Preferred
• Registered Nurse-Hawaii State Licensure-Preferred

 

Experience:

 

•  Significant healthcare risk management experience required, as typically acquired during 3 years in a similar role.
• Proven experience in a healthcare role with an emphasis on the implementation of a risk management program in a patient care environment.
• Demonstrated experience adopting and implementing healthcare quality review/improvement and accreditation process.
• Extensive experience managing healthcare-related liability claims.
• Demonstrated capability of proficiency in managing key, sensitive working relationships with people from diverse groups of business backgrounds, in a rapidly changing environment.
• Proven experience leading teams and system initiatives.
• Significant experience conducting system analyses to identify and improve patterns/behaviors that do not meet risk management best practice and could result in increased liability exposure. 

 

Skills and knowledge:

 

• Intermediate knowledge of healthcare-related state and federal law and regulations including accreditation and professional standards.
• Through knowledge of methods used to identify and develop solutions to loss and risk control problems.  
• Broad knowledge of healthcare risk identification and control methods, loss reduction and prevention activities and claims management.
• Understanding of and experience with Lean or other process improvement, philosophies and methodologies desired.
• Practical knowledge of healthcare quality review/improvement and accreditation processes.
• Broad knowledge of risk management best practices and methods used to limit exposure liability and risk.
• Proven ability to effectively and independently utilize consultative skills and maintain excellent interpersonal relationships.
• Strong RCA, FMEA and problem solving skills and ability to reprioritize workload as needed to assure completion of work.
• Proven ability to effectively communicate and mobilize staff in order to implement risk management strategies.
• Demonstrated ability to identify risks, review past incidents and liability claims and make recommendations to minimize risk.
• Basic computer literacy, including knowledge of word processing, email and use of the internet.