Risk Manager

Title: Risk Manager

State Role Title: Health Care Compliance Spec I

Hiring Range: $59,508 - $82,121

Pay Band: 4

Agency: Dept Behavioral Health/Develop

Location: Hiram Davis Medical Center

Agency Website: https://dbhds.virginia.gov/facilities/hwdmc/

Recruitment Type: General Public - G

Job Duties

Performance Management, with requirements of the performance planning and evaluation system which must be met and evaluations must be completed by the established deadlines with proper documentation.

Manages the interdisciplinary facility-wide risk management program designed to address risk identification, reporting, analysis, investigation and reduction.

Collects, evaluates, and distributes relevant data on client/staff injuries and other relevant risk management issues.

Provides recommendations for, and monitors implementation of risk reduction and management strategies.

Completes event investigation, root-cause analysis, and follow-up including Failure Mode and Effects Analysis (FMEA) for events.

Coordinates insurance carrier surveys and plans of correction in response to survey findings.

Prepares and submits documentation and reports in accordance with established timelines and in a manner determined to be appropriate by CMS, DBHDS, and OIG.

Receives, evaluates, and processes all patient events and recommend action when necessary.

Evaluates employee and visitor events and recommends action when necessary.

Prepares a summary of events for Quality and Safety Committee.

Submits in-depth reports of findings and recommendations to resolve operations deficiencies.

Collaborates with appropriate parties to ensure that the facility maintains an inventory of all exposures requiring insurance coverage and that these needs are coordinated with DBHDS.

Provides monthly Risk Management employee training to new hires and on-going training to existing employees.

Multiple duties to be completed during the investigation such as documentation, timeframes, evidence, interviewing, etc.

Prepares and submits a signed and dated investigation summary report and transmittal memo with all documentary evidence and the finding recommendation (Substantiated, Unsubstantiated, or Improbable) to the Facility Director/CEO and Human Rights Advocate (Office of Quality Improvement as needed/requested).

Brief the Facility Director/CEO and Human Rights Advocate (Office of Quality Improvement as needed/requested) to provide additional information.

Will serve on multiple various committees, not limited to agency Safety Committee.

Minimum Qualifications

• Knowledge of rules and regulations governing Risk Management programs, including state & federal requirements regarding Joint Commission and CMS standards.
• Strong analytical and problem-solving skills, with demonstrated ability to interpret complex data, identify trends, and implement solutions.
• Excellent project management and organizational abilities, with experience managing multiple priorities in a fast-paced environment.
• Superior written and verbal communication skills, including the ability to present information effectively to diverse audiences.
• Proficiency in quality improvement methodologies such as Lean, Six Sigma, or PDSA/PDCA cycles.
• Experience with electronic health records (EHR) systems and health information management.
• Comprehensive knowledge of HIPAA regulations and healthcare privacy/security requirements.
• Advanced proficiency in data analysis, statistical methods, and healthcare metrics.
• Demonstrated experience in policy development, implementation, and management.
• Ability to review clinical documentation to determine standards of care compliance.
• Significant experience reviewing Mortality and Morbidity cases.
• Strong independent decision-making skills with ability to work autonomously.
• Proficiency in PC applications and healthcare-specific software.

Additional Considerations

• Master's degree in healthcare administration, public health, or related field.

• Extensive background in healthcare quality management or compliance.

• Professional certification in healthcare quality (CPHQ), compliance (CHC), or risk management (CPHRM).

• Lean and Six Sigma certifications.

• Proficiency with electronic health record (EHR) systems and data analytics.

• Demonstrated project management skills and leadership of cross-functional teams.

• Experience in behavioral health or psychiatric care settings.

• RN license with minimum 5 years of direct clinical experience strongly preferred.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

Contact Information

Name: HWDMC HR

Phone: 804-524-7600

Email: hiramhr@dbhds.virginia.gov

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.