Presbyterian Healthcare Services

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RISK MANAGER (RN) PART TIME

at Presbyterian Healthcare Services

Posted: 9/16/2020
Job Status: Part Time
Job Reference #: 16209
Keywords:

Job Description

Requisition ID
2020-16209
Category
Legal/Compliance
Default: Location : City
Espanola
Location : Name
1010 Spruce Street Espanola, NM 87532-2724
Default: Location : State/Province (Full Name)
New Mexico

Overview

Known as “The Jewel of Northern New Mexico,” Española sits at 5,500 feet above sea level and is a cultural destination. With a population of more than 10,000, Española offers a community environment that is growing, yet rooted in its southwest culture. Learn more about Española: http://docs.phs.org/cs/groups/public/documents/phscontent/pel_00936933.pdf


Job Description
Type of Opportunity: Full Time
FTE: 1.000000
Exempt: Yes
Work Schedule: Days

Summary:
Provides basic and complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation and liaison activities. Initiates, coordinates, and manages all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Identifies and manages actual or potential sources of financial loss arising from: 1) injury to the person, property, or reputation of PHS, patient, volunteers, and staff, or (2) failure to comply with applicable laws or regulations.

Responsibilities

*Acts as the liaison between PRMC and PHS and external legal counsel and procurement of information necessary for litigation support. Collects information from all departments of the hospital to complete interrogatories completes questions, and interacts with legal counsel.

*Collaborates with corporate concerning the identification, investigation, and management of potentially compensable events. Investigates, evaluates, and responds to customer complaints concerning all aspects of care delivery and business operations, coordinates business office account adjustments. Manages incident reporting system (MIDAS). Coordinates business office account adjustments charged against risk management s professional or general liability accounts.

*Evaluates and distributes relevant data concerning patient injuries, aggregate data summaries, monthly trend analyses of incidents and analyzes prior claims lawsuits and complaints against the facility, to all levels of the organization from front-line staff to the Board of Trustees.

*Directs, recommends, and integrates changes to support risk management program goals of decreased harm and increased patient safety.

*Communicates with administration, medical leadership, affected departments, and leadership to implement protocols to avoid, reduce and minimize risk.

*Develops and presents educational offerings designed to raise employee awareness of risk management issues, promote loss control/reduction, and reduce frequency of potentially compensable events in the facility. Acts as a resource for and responds to employee and/or physician inquires related to professional liability, standards of practice, policy interpretation, system administration, release of informational and other issues as they arise.

*Interacts with external insurance companies and CMS/DOH regarding quality of care concerns and complaint follow-up.

*Manages physician peer review of quality of care concerns.

*Must be proficient with Root cause analysis (RCA) and Failure Mode Effects Analysis (FMEA). Oversees Sentinel event review, RCA completion and progress tracking of all corrective action plans.

Compliance Liaison
*Serves as the primary contact for all matters related to ethics and compliance.

*Compiles and submits a Provider-Based Attestation to CMS for the Medical Group Clinic.

*Oversight of all employee required annual compliance training and response to government investigations. Assure that inappropriate disclosures of HIPAA Protected Health Information are reported and entered into the Disclosures database.

*Reviews and disseminates compliance, ethics, and RAC updates as received from corporate.

*Facilitates the completion of the annual OIG Risk Assessment report.

*Evaluates and distributes relevant data concerning compliance auditing and monitoring via Facility Scorecards to hospital leadership through the Board of Trustees.

*Coordinates response to detect deficiencies and follow-through of corrective action plans.

Patient Safety Officer
*Delivers patient safety presentations to new-hires, drafts and disseminates hospital-wide Safety Alert memorandums, coordinates hospital activities for Patient Safety Awareness Week (PSAW), executes error-prevention training sessions for high-risk areas such as OR, OB, and ER staff and physicians.

*When applicable coordinates and submits hospital quality data to the LeapFrog Group via hospital survey submissions twice annually, monitored and facilitated the implementation of Texas Medical Institute of Technology (TMIT) Safe Practices.

*Analyzes and reports Safety Culture Survey findings to all levels of the organization from front-line staff to the Board of Trustees.

*Maintains professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations or journals to stay abreast of current trends in field of expertise.

Qualifications

Current New Mexico Registered Nurse License required. BSN preferred. Five years relevant experience in healthcare. Requires knowledge of legal issues, data management and interpretation, management of self-insured retention and effective communication skills. Previous experience in risk management preferred. Risk Management certification is preferred

Credentials: Registered Nurse-NM

Benefits


Benefits
Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries
  • Full medical, dental and vision insurance
  • Flexible spending accounts (FSAs)
  • Free wellness programs
  • Paid time off (PTO)
  • Retirement plans, including matching employer contributions
  • Continuing education and career development opportunities
  • Life insurance and short/long term disability programs

About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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