Director Clinical Risk Management - Quality Management

Summary:

In a High Reliability Organization, the Director Clinical Risk Management (DCRM) is responsible for overseeing the clinical risk management program in one or more ministries. The DCRM strategizes, directs, and develops a clinical risk management program. In doing so, the DCRM implements process improvement methods to address adverse events, near misses, root cause analyses, and issues related to clinical risk. The DCRM will work collaboratively with Health System leaders and clinicians to develop plans or system improvements to enhance an organizational culture that supports patient safety, mitigates risks of safety events, and supports the provision of safe, quality patient care. The DCRM will have a dual-reporting structure to both Quality leadership and the System Director Clinical Risk Management.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Conducts system analyses to identify patterns that could result in safety and compensable events.
• Assist the ministry in designing programs to mitigate risk of safety events using HRO Principles and Universal Skills to promote the reduction of errors.
• Develops and implements clinical risk management facility policies.
• Directs and performs investigative activities, including but not limited to RCAs, witness interviews and reporting.
• Works closely with the System Legal Claims team to timely report events, obtain assistance in investigations, and assist in potential or ongoing litigation.
• Supports the leadership with performance improvement activities based on the safety risks identified.
• Communicate effectively to different audiences.
• Proficient in computer skills using EXCEL, PowerPoint, MSOffice, and Flowchart tools.
• Knowledgeable on High Reliability Principles and PDSA methodology.
• Knowledge of process improvement practices pertaining to risk management pertaining to a healthcare setting.

Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains

• Quality Leadership and Integration - Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Advanced
• Performance and Process Improvement - Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Advanced
• Population Health and Care Transitions - Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Proficient
• Health Data and Analytics - Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Advanced
• Regulatory and Accreditation - Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Advanced
• Patients Safety - Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Advanced
• Quality Review and Accountability - Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Proficient
• Professional Engagement - Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Proficient

Job Requirements:

Education/Skills

• Bachelor's Degree of Science in Nursing, or of other clinical degree specialties required.

• Master’s degree with relevant clinical experience and evidence of additional training in patient safety or risk management or Juris Doctorate preferred.

Experience

• 5 years of healthcare experience required.
• 2 years of management experience required.

• 3 years of clinical risk management experience required.

Licenses, Registrations, or Certifications

• CPHRM (Certified Professional Healthcare Risk Management) or CPPS (Certified Professional Patient Safety) required or within 1 year of hire.
• Active license if discipline requires licensure.

Work Type:

Full Time

EEO is the law - click below for more information: 

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

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