The Clinical Risk Manager is responsible for the primary risk identification and mitigation processes throughout Medical Faculty Associates and for MFA-PIC insured providers as directed by the Risk Management Plan, Chief Quality and Population Health Officer and Assistant Vice-President of Risk Management & Insurance . With the information gathered, the Clinical Risk Manager analyzes loss and other data sources, and develops risk mitigation activities, metrics for monitoring these activities, and supports the claim reporting function when risk issues are identified that could lead to a liability claim against an individual insured and/or MFA.
Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.
Reviews all events and near misses reported through the event reporting system and any other means. Make appropriate referrals for event investigation and follow-up to business unit owners.
For any Serious Safety Events and Sentinel Events, leads or contributes to investigation of event (to include staff interviews, review of records for timeline development, verification of policy/procedure compliance or variance). Collaborate with Quality Coordinators to organize Root Cause Analysis.
Completes medical record reviews, compares current practice against best practice guidelines and provides recommendations to reduce risk and improve patient care processes.
Complete and submit Notice of Claim Advisory Form to Claims Manager using established guidelines.
Lead/Organize disclosure teams for adverse outcomes when appropriate for disclosure.
Collate, write and disseminate quarterly Risk Analysis and Summary report in support of Risk Management Committee activities.
Coordinates and/or conducts annual Risk Assessment in high-risk area or process and implements actions plans from findings.
Support Patient Relations with Complaint and Grievance responses specific to harm (and potential for liability).
Collaborates with Claims Manager to investigate potential compensable events, which may include interviews of medical staff, employees, visitors, and patients, and assesses potential liability.
Identifies potential loss conditions and practices and evaluates their significance. Reports findings and devises remedial action plans.
Bachelor’s degree or higher in Nursing, Medical or other clinical degree required.
Five (5) years of nursing, medical or other clinical experience, preferably hospital based.
Minimum three (3) years of experience in risk management, quality improvement, professional liability claims, legal, or the equivalent combination of experience required.
Experience working with electronic medical records, hospital operational policies and procedures, basic financial statements and data.
Required Licensure/Certification Skills
Certified Professional in Healthcare Risk Management (CPHRM),
Associate in Risk Management (ARM), or Certified Professional in Patient Safety (CPPS).
One designation must be achieved within one year of eligibility of certification
Internal Number: CLINI03155
About George Washington University - Medical Faculty Associates
The GW Medical Faculty Associates was incorporated in July 2000 as a non-profit, physician-led practice group. Formerly part of The George Washington University, we have grown to become the largest independent physician practice in the Washington DC metro region with more than 750 providers.Our physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of The GW School of Medicine and Health Sciences faculty, our providers are teachers and mentors for medical students, residents, and researchers preserving our rich tradition of academics, research, and healing. In addition to maintaining a close alliance with The George Washington University and The George Washington University Hospital, The MFA has active referring relationships with 12 area hospitals.