Medical, Dental, Vision, and Prescription Benefits
Pension Plan (401a)
Deferred Compensation (457)
Personal Leave, Long Term Sick
Public Service Loan Forgiveness (PSFL) Qualified Employer
Internal Number: RISKM003150
Bargaining Unit: Non Represented - Professional
Rate of Pay: $71.66/hour + DOE
Responsible for the enterprise-wide risk management patient safety plan. Responsible to eliminate or reduce the incidence and severity of harm/loss to patients, families, staff, and the organization. Assists in the identification, management and reduction of risk involving both clinical scenarios, general and specific liability exposures. Responsible for district wide professional liability, and property insurance coverage.
Essential Duties and Responsibilities
Serves as the Risk Management and Patient Safety subject matter expert. Provides consultation and education to clinical practitioners, administration, and staff; functions as process improvement team leader/member to reduce hospital-acquired conditions, injuries, errors, and unintended outcomes. This expertise is provided in various venues as appropriate or assigned.
Develops, monitors, and reports activities to improve patient safety and minimize risk (focusing on National Patient Safety Goals, Hospital Acquired Conditions (HACs), Institute for Healthcare Improvement (IHI), and Agency for Healthcare Research and Quality (AHRQ) indicators).
Responsible for risk management standards in the applicable accreditation survey, state licensure regulations, and federal conditions of participation.
Responsible for the event reporting system. Reviews and closes every event, investigates as needed, follows up with key stakeholders, and requests their input and resolution. Analyzes event-reporting data, identifies trends, and develops plans for improvement with stakeholders.
Participates in the Beta HEART program as a domain lead, actively involved in disclosures, and patient/family follow up.
Active member of the Reliability Management Team.
Identifies and implements risk management best practice initiatives by reviewing Risk Management related information and resources, and other key organizations and references.
Performs or participates in event analysis/root cause analysis, and case reviews. Reports event summaries and action plans to appropriate venues, and monitors corrective action plans to ensure implementation.
Conducts event investigations, and interacts with clinical staff regarding ongoing investigations and corrective action plans.
Reviews care and treatment provided by staff, and providers, as part of the event analysis and investigation process.
Prepares and submits summary reports to the Environment of Care, Medical Staff Quality Committee, Board Quality Committee, and Board of Directors as assigned. Creates reports and develops graphical displays for presentations.
Recommends appropriate revisions to new or existing policies, procedures, and practices related to areas of expertise based on evidence based practice and regulatory standards.
As assigned, works under the direction of the Director of Quality & Regulations to investigate events, conduct research, or other relevant activities associated with the department.
Conducts or facilitates Failure Mode and Effects Analysis (FMEA) when indicated on prospective operations.
In conjunction with TFH Legal department, and outside counsel, participates in all litigation related to health care liability, personal injury, premises/property, crime, Director and Officers, Errors and Omissions, cyber liability and other claims matter within the areas of responsibility. Monitors legal performance and costs in areas of responsibility, and serves as liaison to insurers and retained legal counsel. Attends any legal proceeding as District (corporate) representative, as appropriate.
Maintains knowledge of state and federal regulations, proposed changes or revised interpretations, related to healthcare law.
Responsible for all-lines of insurance programs for the District (except the employee health benefits and Workers’ Compensation); to include claims management with insurers, renewal applications, certificates of coverage, risk analysis and coverage determinations. Responsible to preserve District’s insurance coverage through timely and proper notice of claims to any insurer for any covered event.
Demonstrate System Values in performance and behavior.
Comply with System policies and procedures.
Other duties as may be assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's Degree or 3 or more years relevant experience
California Registered Nurse (RN) - Upon Hire (or as defined in other experience/qualifications below)
A minimum of three years of related experience in risk management, patient relations, patient privacy and/or quality management in a hospital or health care setting is required.
Recent experience in a related position with a history of receiving direction from a risk/quality/patient safety manager.
Three to five years of experience in managing insurance programs in complex medical organizations.
Current California RN License or commensurate clinical license and/or healthcare degree
Certified Professional in Healthcare Risk Management; upon hire
Certifications may be obtained within the first year of employment.
Ability to problem-solve patient care issues, perform interpretation of policies and procedures, and collaborate with various staff members at all levels of the organization.
Tahoe Forest Hospital offers 24-hour emergency care, an ambulatory surgery center, intensive care, orthopedics and sports medicine, a medical/surgical unit, women and family center, home health and hospice programs, a health clinic, cancer center, long term care center, children’s center, a health and sports performance center, as well as a variety of community health outreach programs.Tahoe Forest Hospital is a not-for-profit rural health care facility and designated critical access hospital. It is fully accredited by the Healthcare Accreditation Facilities Program and licensed by the State of California Department of Health Services.Tahoe Forest Hospital has 25 acute care beds and 36 long-term care beds. Our service area covers six rural counties, two states and approximately 3,500 square miles, reaching the communities of Truckee, North Lake Tahoe, Donner Summit, the Sierra Valley in California, and Incline Village in Nevada.