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Clinical Risk ManagerOrlando, FL

Clinical Risk ManagerOrlando, FL

AdventHealthOrlando, FL, US
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Clinical Risk Manager

At AdventHealth Orlando, what started as a converted farmhouse in rural Central Florida has become Central Florida's major tertiary health care facility. Patients come from the Southeast, the Caribbean and even as far as South America for our proven expertise and compassionate health care.

With a variety of Orlando hospital jobs, we invite you to start or elevate your career with a new job at AdventHealth Orlando. We constantly seek out Orlando nurses, medical assistants, nurse assistants, patient care and health administration professionals who share our passion for whole-person health care. Learn more about our open positions and apply to become an invaluable part of our team.

Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

The Clinical Risk Manager (CRM) is responsible for managing the risk management program for the assigned areas. This position is responsible for working in collaboration with the clinical team to ensure adherence to all federal regulations and hospital policies. The CRM or their designee will systematically investigate all clinical incidents / accidents / events that could lead to patient harm and / or financial loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute 395.0197. The CRM identifies areas of risk and facilitates risk mitigation / safety strategies including the Root Cause Analysis and Response process as well as regulatory surveys. The CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The CRM is responsible for integrating the risk management program into the quality and safety activities of assigned areas.

The value you'll bring to the team :

  • Develop, manage, and administer facility-wide systems for risk identification, investigation, and reduction. Assess operational and clinical risk across the assigned areas based on knowledge of national and state regulatory and accreditation standards and / or licensing requirements. Assess, develop, implement, and maintain educational risk management programs for all personnel, leaders, and Executive Team on identified issues and any other related activities as statutorily required.
  • Maintain working knowledge of CMS, DNV, AHCA, or other state. national and / or federal standards such as required reporting of quality-of-care issues, Sentinel Events, corporate compliance related issues and any other requirements that directly impact the continued operation of the facility / entity. Ensures compliance with patient safety and risk management related standards by DNV and other accrediting and regulatory entities and participates in the clinical quality and safety efforts of the facility.
  • Responsible for the management of the internal event report system for assigned area, in compliance with Florida Statute 395.0197 including identification and reporting of adverse events.
  • Identify, investigate, and report on Sentinel Events and facilitate the Root Cause Analysis & Action process. Participate directly in the facility process for Disclosure of Unanticipated Outcomes.
  • Responsible for integrating the risk management program with the quality and safety activities of the assigned areas.
  • Serves as a resource to hospital administration, other employees, and physicians on Risk Management / legal / ethical issues, including off-hour and holiday coverage as needed
  • Monitors, analyzes, and reports aggregated event report data to the Risk Management Director and hospital leaders, with a focus on risk exposures for trends or patterns.
  • Manages regulatory surveys as they pertain to complaints against AdventHealth as well as Risk Management Program Surveys
  • Investigates and reports to the Risk Management Director and to claims management any occurrence which has the potential to give rise to a claim
  • Manages the formal Patient Grievance process per CMS guidelines for the assigned facility
  • Demonstrates through behavior AdventHealths Core Values in Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.

Qualifications

The expertise and experiences you'll need to succeed :

  • Three to five years experience in risk management or claims field
  • Experience in process improvement / patient safety / clinical risk management / quality activities
  • Bachelors degree in health care related field
  • This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

    Category : Risk Management

    Organization : AdventHealth Orlando

    Schedule : Full-time

    Shift : 1 - Day

    Req ID : 25037089

    We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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    Clinical • Orlando, FL, US