CHI Franciscan Health has 3 full-time RN - Program Manager, Risk Management opportunities available in the following locations: Federal Way, Tacoma and Silverdale, Washington.
CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.
Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!
This position is responsible for managing the risk management function for the assigned Franciscan Health System (FHS) facility to strengthen risk profiles through quality management and to improve patient safety, utilization of clinical resources and achievement of desired clinical outcomes. Work also involves collaborating with clinical service lines in carrying out performance improvement projects/initiatives relating specifically to risk management. An incumbent oversees various management-level work teams, providing support, expertise and guidance in: 1) the application of accepted clinical quality improvement methodologies/tools; 2) data collection and statistical/operational analysis; 3) risk assessment and outcomes measurement; 4) best practices research; 5) documenting and implementing process improvements; and 6) evaluating desired vs. actual clinical effectiveness of performance improvement efforts. An incumbent also provides litigation support for the FHS Legal Counsel, including chart review and discovery.
Work requires strong clinical nursing expertise as demonstrated by possession of RN licensure and an understanding of patient care standards/practices and applicable regulatory requirements sufficient to review nursing/provider documentation to analyze whether the Standard of Care was met, facilitate risk control, loss mitigation and claims management. Considerable knowledge of risk/quality improvement concepts, methodologies and tools, and of the importance of data to performance improvement processes (e.g. establishing baseline, providing objective measurement, determining the degree of the problem, showing variation/causes of variation, identifying root causes, developing appropriate solutions, etc) is also required. Duties performed involve weighing and evaluating many factors requiring judgment, analytical ability and problem-solving in dealing with complex data and situations.
Operations: Manages and evaluates the operations/services of the assigned functional area to ensure that all activities are conducted in a timely and cost-effective manner and in accordance with organizational values, professional standards, internal policies/standards/procedures, collective bargaining agreements and/or applicable regulatory requirements; facilitates the application of consistent practices relating to the function across the organization; modifies work-flow processes and/or internal auditing functions as necessary to improve performance/productivity; ensures that work unit activities, productivity, and/or quality indicators are documented in accordance with FHS guidelines; produces reports on key performance indices and other significant benchmarking metrics to FHS Leadership as required; collaborates with other departments to address and resolve problems, share information and enhance overall effectiveness/productivity.
Procedures Development/Implementation: Serves on teams engaged in the development and updating of policies, procedures, workflows, tools and action plans; recommends, implements and evaluates new/revised standards, policies, procedures, guidelines, training materials and/or general communications in support of assigned functional area to ensure consistency with the philosophy/values of the organization and compliance with applicable regulatory/accreditation requirements; ensures that all functional activities are fully documented in accordance with the standards and practices of the organization; ensures that employees understand and apply internal guidelines appropriately.
Short- and Long-Term Planning: Participates, as a key member of the management team for the assigned function, in short- and long-term planning activities, including the development/implementation of plans/projects to address current and future needs to support achievement of business objectives.
Regulatory Compliance: Interprets and ensures compliance with applicable internal/external legal and regulatory agreements, standards and requirements; keeps abreast of changing regulatory requirements/regulations, professional standards and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current operations; monitors impact on existing activities and identifies/implements effective response/solution while maintaining acceptable service levels and work quality.
Performance/Quality Improvement: Monitors and assesses current operations/services to identify opportunities and provide recommendations to Director for performance/process improvements initiatives; implements approved changes and ensures that staff receive the necessary on-site training and consultation to enhance their understanding of quality/performance improvement initiatives.
Works with facility managers in the development and implementation of risk plans, processes and tools to improve performance, reduce loss and control risk; rounds regularly on clinical units to be aware of potential risk issues. Provides consultation, investigation and analysis of actual and potential risks in the assigned facility; notifies CHI Risk and Insurance claims representatives or other appropriate insurance carriers of actual and potential claims to access available coverage; works with insurance representatives toward successful resolution of identified claims.
Assists in implementing and monitoring effective claims identification, analysis and management systems; identifies, develops and communicates with facility managers and staff about “lessons learned” from claims experience to achieve system improvement.
Identifies and advances issues for medical staff peer review and hospital staff corrective action processes; works with Medical Directors and Section Chiefs (medical staff) and Clinical Managers and representatives of Human Resources (hospital staff) to facilitate resolution of identified issues.
Participates in the resolution of grievances related to accidents, injuries, treatment or other events that may result in claims of medical malpractice or negligence; provides guidance to patient advocate in resolving other patient grievances.
Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.
Bachelor’s degree in health administration, nursing, business administration or related field, graduation from an accredited school of nursing, and a minimum of six years of progressively responsible related work experience (hospital/health care risk management) that demonstrates attainment of the requisite job knowledge/abilities, including three years in a supervisory or management capacity.
An equivalent combination of additional qualifying work experience and education that demonstrates attainment of the requisite job knowledge/abilities may be substituted for the degree requirement.
Current licensure as a Registered Nurse by the Washington State Nursing Commission.
American Society of Hospital Risk Managers (ASHRM) preferred.
Internal Number: 2019-R0216622
About CHI Franciscan Health
At CHI Franciscan, our skilled physicians and their teams offer expert care with a compassionate touch for people throughout the Puget Sound area. Our physicians and team members create healthier communities through healing the whole person — in mind, body and spirit.
The mission of Catholic Health Initiatives is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthier communities.
We will lead the transformation of health care to achieve optimal health and wellbeing for the individuals and communities we serve, especially those who are poor and vulnerable.