Director of Risk Management - Full Time

Responsibilities

The Director of Risk Management is a key member of the Southwest Healthcare Leadership Team. This position oversees two facilities. This position qualifies for a Sign on Bonus!

Southwest Healthcare Inland Valley Hospital in Wildomar, California , is a licensed 122-bed facility accredited by the Joint Commission. It is Southwest Riverside County's only designated Trauma Center and a county-designated Paramedic Base Station. The hospital performs more than 4,000 surgeries a year, and has an average of 4,000 Emergency Department visits per month. The hospital features a Bariatric Weight-Loss Surgery Center of Excellence and the region's only Total Joint Center.

Southwest Healthcare Rancho Springs Hospital in Murrieta, California , is a 120 bed acute-care hospital with the region's only Pediatric Emergency Services team (for children 14 and under) provided by board certified Rady Children's emergency medicine physicians. Rancho Springs Hospital also provides the area's only OB / Emergency Department program, which gives expectant mothers 24 / 7 on-site access to OB / GYN physician coverage. The Childbirth Center at Rancho Springs Hospital is the largest in the region and features spacious family-friendly private suites. Rancho's Neonatal Intensive Care Unit (NICU) is operated by Rady Children's.

Benefits include :

• Tuition Assistance
• Student Loan Repayment
• Career development opportunities across UHS and our 300+ locations!
• Diverse programming to expand your experience
• HealthStream online learning catalogue with plenty of free CEU courses
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Pet Insurance
• SoFi Student Loan Refinancing Program
• More information is available on our Benefits Guest Website : uhsguest.com

Job description :

Under the direction of the Chief Executive Officer (CEO) the Director, Risk Management / Accreditation is responsible for directing, organizing, leading, implementing and supervising day to day operations of the Risk Management, Accreditation / Regulatory Compliance and Infection Control efforts for SWHS. The director serves as the hospital Patient Safety Officer, Compliance Officer and Civil Rights Coordinator in compliance with the Office of Civil Rights Requirement 1557.

Serves as a resource to senior leadership, facility and medical staff. Participate in 24-hour call.

Made aware of all serious incidents ensuring thorough investigations and notifications to senior leaders, and UHS Risk as warranted.

Reviews and updates the Risk Management Plan, Goals and Objectives yearly.

Is responsible for maintaining the risk management database and notifies Sr. Director Corporate Risk Management and / or Corporate Group Risk Manager of all G. H. I incidents.

Oversees and participates in facility risk assessments for clinical and non-clinical areas

Participates in RCA's and FEMA's and ensures submission to Corporate Risk Management

Participates in the peer review process and presents serious incidents, when applicable

Participates in the new employee orientation for discussion of the Risk Management Program, Patient Safety, incident reporting and TERM.

Acts as a resource for issues (i.e., consents, confidentiality, documentation, ethical, standard of care, compliance).

Promotes Best Practices by educating facility and medical staff on risk management issues.

Participates in the development, implementation and review / revision of policies and procedures.

Collaborates with clinical leaders to actively work and establish compliance with standards of care, best practices in industry accepted high-risk areas (i.e., ED, ICU, Surgery, OB, medication administration, fall prevention).

Collaborates with the leadership team to promote positive patient / family / visitor experience.

Works collaboratively with security and Human Resources to enforce facility safety practices (i.e. visitation, workplace violence, identification / harm prevention regarding patient belonging's, and disclaimer for liability of vehicles parked on facility property.

Provides reports to Corporate Risk Management, as per established guidelines.

Complies and reports Midas RDE analysis and trends to appropriate individuals, departments and committee to be utilized for improvement of patient care.

Provides confidential reports of significant occurrences and incidents to applicable peer review committees and PSC.

Administration ensures the presentation of risk management information and reports are presented to the peer review committee by either the Director of Risk Management / Accreditation or the Director of Performance Improvement / Patient Engagement.

Directs and participates in the investigation of serious incidents concurrently with guidance from corporate risk management. Works with CBO regarding suspension of bills.

Timely forwarding of claim notices and submission of Probable Claim Reports.

Through administrative support develops and institutes policies and formalizes receipt of claims notices, securing evidence and confidentiality of information and material relating to claims.

Concurrently informs Corporate Insurance ,Risk Management and Senior Facility Executives of attendance on any pending trials, mediations, or depositions and submits report of activity.

Receive, review, and process grievances, filed under the grievance Facility's grievance procedure; Coordinate Facility's recordkeeping requirements; Coordinate effective implementation of Facility's language access procedures; Coordinates effective implementation of Facility's effective communication procedures; Coordinate effective implementation of Facility's reasonable modification procedures; and Coordinate training of relevant employees, including maintaining documentation required by law.

Qualifications

Qualification Requirements :

Graduate of a state accredited school of nursing or graduate of an accredited collegiate program in a health-science related field.

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE : UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

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