ESSENTIAL FUNCTIONS OF THE JOB: (This list may not include all of the duties that may be assigned.)
Strategy - Acts as the company’s expert advisor to management and senior leadership in the area of clinical risk.
Recommends, develops and implements cutting edge and innovative programs and clinical protocols that represent best practices in patient and staff safety.
Reviews data, identifies emerging trends, and makes proactive recommendations on programs to address concerns.
Evaluates areas of organizational risk based on site risk assessments and external benchmarking; and implements strategies and procedures promoting patient and staff safety.
Represents the function in due diligence, strategic investment and integration activities in support of company growth plans.
Administration - Implements and maintains systems and processes to monitor and mitigate risk.
Implements and administers effective data and activity tracking systems, appropriate KPI’s & benchmarks, and reporting to senior management and regulatory authorities.
Maintains compliance with all federal, state and local laws & regulations.
Interacts with regulatory authorities and represents the programs and company in relation to clinical risk management.
Implements and carries out effective incident response systems and programs. Provides immediate and appropriate responses to any safety events and complaints from actual or potential patients and/or visitors. Acts as lead investigator and utilizes Root Cause Analysis (RCA) or Failure Mode and Effects Analysis (FMEA) on incidents or other serious safety events. Provides consultative risk management advice in the management and reporting of such events to providers, staff and administrative leadership.
Assures that the department provides exemplary customer service to providers, staff and patients. Works closely with providers in evaluating patient experience.
Collaborates with the corporate legal department in the development of privileged incident or claim reporting systems, legal investigations, and the resolution of legal/risk issues facing the company.
Leads the company’s disaster response preparedness team.
Training & Communications - Provides effective training & communications to management, clinical staff, and patients.
Develops and implements clinical incident, crisis and business continuity management plans with legal and business teams.
Develops and administers education programs for providers and staff regarding risk management/patient safety issues. Maintains a risk management education calendar which includes general & targeted education as well as new employee/physician/ leadership training & orientation.
Measures the effectiveness and compliance of training activities.
Communicates effectively and in a timely and proactive manner with management, senior leadership, and legal advisors.
Represents the clinical risk management functions on internal committees and workgroups.
Develops and manages direct and matrix reporting staff.
Manages departmental budgets, activities, and resources in alignment with company and departmental goals.
Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.
Expertise in legislative, regulatory and industry best practices around the subject of clinical risk management.
Must be an organized, and creative individual with, super judgment, strong communication, interpersonal and critical thinking skills.
Experience with electronic health records and knowledge of risk management electronic event reporting systems.
Proven experience in program and training development and delivery including different modalities and training technology.
Demonstrated integrity, sound judgment and subject matter expertise enabling the incumbent to manage and respond to medical/legal inquiries regarding patient care issues (i.e., consent, disclosure of adverse events, documentation, mandatory reporting, etc.) is essential to success.
Must have strong presentation skills inclusive of the ability to create comprehensive educational materials and presentations to executives, management, employees and regulators.
The ability to represent the Company both internally and externally as the authority on clinical risk.
Proficiency in Microsoft Office, including PowerPoint, Word and Excel is required.
Experience (Required): A minimum 7 years progressive experience in Risk Management or Patient Safety within a hospital or ambulatory care setting providing advice and training on risk related issues to internal clients.
Experience (Preferred): Proven experience in a growth setting with due diligence and integration activities; A clinical and/or business related Bachelors or Graduate degree in addition to an RN; Pediatric experience preferred.
Education: Requires a degree in Nursing (RN) or other advanced clinical degree such as APRN or PA
Licensure/Certification: Certified Professional in Healthcare Risk management (CPHRM).
Internal Number: 3678
About Pediatric Associates
Founded in 1955, Pediatric Associates is one of the oldest and most respected pediatric practices in the United States. Pediatric Associates opened its first office in Hollywood, Florida. The Company was one of the first medical groups to introduce satellite office locations in consumer retail locations. They were also one of the first pediatric groups to embrace managed care in the 1970s, collaborating with insurance plans as healthcare partners with the common interest of providing South Florida's children with the best healthcare available. Today, Pediatric Associates is a national leader in pediatric population health management with over 200,000 patients under global risk. Keeping abreast of medical advances and changing lifestyles, Pediatric Associate’s modern facilities offer comprehensive services, including X-ray and state certified laboratories. The Company currently has 33 neighborhood locations, which are staffed by more than 200 employed providers who proudly serve families throughout Miami-Dade, Broward, Palm Beach, St. Lucie, counties, including Tampa and Jacksonville. Pediatric Associates will continue to bring the best possible healthcare service to its patients we...ll into the 21st Century. Ease of access, prompt courteous service and responsiveness to our patients' concerns will always be their primary goal. Pediatric Associates has continued to thrive and today is recognized as one of the premier general pediatric and population health management practices in the United States.
Our mission is to deliver the best and most comprehensive medical services to you and your family. From newborns to age 21, we strive to serve as your family’s total resource for raising healthy and happy children.
Parents have been choosing Pediatric Associates for their children’s healthcare for more than 60 years. We are proud of our unwavering commitment to provide quality healthcare that is both affordable and accessible with on-site services, such as lab and X-ray, free support groups, chronic disease management assistance, educational and safety classes and events. Our pediatricians are on staff at most major hospitals and our practice accepts most insurance carriers.