Valley Presbyterian Hospital
Director, Risk Management & Patient Safety
Valley Presbyterian Hospital, Los Angeles, California, United States, 90079
Overview
Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Director, Risk Management & Patient Safety to join our dedicated team. Pay
Base pay range: $74.54/hr - $93.55/hr Responsibilities
The Director, Risk Management & Patient Safety reports to the General Counsel and works closely with the Medical Staff, Nursing and Ancillary leadership to provide expertise, oversight and leadership of Enterprise Risk Management (ERM) and patient safety according to the goals set by the organization. Provides leadership and influence with the development, planning, coordination and administration of a systematic risk management and patient safety program designed to promote high reliability, culture of safety and reduce organizational risk and injury. Analyzes clinical risk management data and develops and conducts clinical risk educational programs in compliance with clinical risk management standards established by DNV, CDPH and other regulatory agencies. Oversees Enterprise Risk Management program and analysis. Supports change through promoting patient safety, enhancing quality care and minimizing loss to protect the assets of the organization. Supports process improvement with multidisciplinary teams to achieve the organization’s mission and values for the highest level of safety and efficient patient care. Experience/Qualifications
5-7 years nursing experience in a hospital or clinical environment and 1-3 years progressive healthcare leadership in nursing or other related field required. 5-10 years Risk Management and/or Patient Safety experience required. Knowledge and experience with risk management principles, patient safety, lean and quality management-performance improvement methods required. Ability to effectively utilize a variety of computerized software applications including Excel, Word, etc. Excellent communication skills accompanied by the ability to analyze and present data to influence behavior, stimulate innovation, promote best practices and drive organizational change. Education
JD required. Licenses/Certifications
Current licensure with the California Board of Registered Nursing required CPHRM or equivalent certification preferred. Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment Duties and Responsibilities
Develops and manages an effective risk management (RM) and patient safety (PS) program for hospital operations, departments and services; utilizes judgment, prioritization, problem solving, and decision-making to complete a comprehensive review of quality-of-care incidents. Evaluates potential and/or actual patient harm clinical incidents using a multi-disciplinary, risk-based approach; leads root cause analyses (RCA), conducts Failure Modes and Effects Analysis (FMEA), deploys lean tools to streamline processes, and collaborates with Safety, EOC and Emergency Management on hazard vulnerability assessments. Develops and revises RM, PS and other organizational plans, policies and procedures when needed and as requested; recommends and facilitates changes to improve patient safety based on identified risks. Functions as organizational Patient Safety Officer. Leads the claims management function; partners with outside counsel and third-party administrators for claims reviews, discovery and coordinates interviews, site visits and depositions; attendance at depositions, mediation and trials may be required. Works with Patient Financial Services (PFS) and General Counsel to address billing procedures on pertinent patient incidents and recommend write-offs or discount charges to mitigate claim potential. Maintains regulatory knowledge specific to EMTALA, consents, restraint use, CDPH-reportable adverse events, and other Federal and State patient safety requirements; provides education to the organization regarding regulations. Responds to state inspections and regulatory audits and reviews. Owns the analysis and investigation of incident reports and maintains oversight of the incident reporting system; performs statistical analysis, creates reports on trends, and leads proactive risk mitigation strategies. Reports trended data and mitigation actions to appropriate committees, departments and individuals. Educates and assists other managers and directors in proactively assessing their areas of responsibility for exposures to loss and unsafe processes and conditions. Leads timely investigation, communication and documentation of errors or serious events in accordance with legal requirements and accreditation standards. Conducts annual proactive risk assessments to identify opportunities to improve reliability and reduce risk; provides education to the Board and Quality & Patient Safety Committee of the Board. Coordinates Enterprise Risk Management orientation and continuing education and training for providers, management and staff to enhance awareness of their role in high reliability, just culture, patient safety, risk reduction and event reporting. Participates in Patient Safety Teams and other committees as needed to communicate findings, recommendations, actions and results. Provides clinical risk management information on medical and allied health staff to Medical Staff Services for credentialing and reappointment. Manages and responds to patient complaints and grievances. Collaborates with Quality Department staff on regulatory compliance, policy planning and implementation. Stays abreast of health care risk management and patient safety-related legislation, guidelines and accreditation standards; advises the organization on developments affecting patient safety and ERM. Assesses the ongoing culture of safety and leads actions to strengthen the culture. Demonstrates excellent communication and interpersonal skills; problem solving, critical thinking, and teamwork with other departments. Reviews and maintains ongoing competency requirements of the role to perform role-specific functions. Any other risk management and patient safety related duties as assigned by the General Counsel. Why You’ll Love Working Here
Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture. Impactful Work: Your role will directly contribute to the smooth operation of our organization. Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career. Additional
Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence. Apply today to make a difference!
#J-18808-Ljbffr
Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Director, Risk Management & Patient Safety to join our dedicated team. Pay
Base pay range: $74.54/hr - $93.55/hr Responsibilities
The Director, Risk Management & Patient Safety reports to the General Counsel and works closely with the Medical Staff, Nursing and Ancillary leadership to provide expertise, oversight and leadership of Enterprise Risk Management (ERM) and patient safety according to the goals set by the organization. Provides leadership and influence with the development, planning, coordination and administration of a systematic risk management and patient safety program designed to promote high reliability, culture of safety and reduce organizational risk and injury. Analyzes clinical risk management data and develops and conducts clinical risk educational programs in compliance with clinical risk management standards established by DNV, CDPH and other regulatory agencies. Oversees Enterprise Risk Management program and analysis. Supports change through promoting patient safety, enhancing quality care and minimizing loss to protect the assets of the organization. Supports process improvement with multidisciplinary teams to achieve the organization’s mission and values for the highest level of safety and efficient patient care. Experience/Qualifications
5-7 years nursing experience in a hospital or clinical environment and 1-3 years progressive healthcare leadership in nursing or other related field required. 5-10 years Risk Management and/or Patient Safety experience required. Knowledge and experience with risk management principles, patient safety, lean and quality management-performance improvement methods required. Ability to effectively utilize a variety of computerized software applications including Excel, Word, etc. Excellent communication skills accompanied by the ability to analyze and present data to influence behavior, stimulate innovation, promote best practices and drive organizational change. Education
JD required. Licenses/Certifications
Current licensure with the California Board of Registered Nursing required CPHRM or equivalent certification preferred. Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment Duties and Responsibilities
Develops and manages an effective risk management (RM) and patient safety (PS) program for hospital operations, departments and services; utilizes judgment, prioritization, problem solving, and decision-making to complete a comprehensive review of quality-of-care incidents. Evaluates potential and/or actual patient harm clinical incidents using a multi-disciplinary, risk-based approach; leads root cause analyses (RCA), conducts Failure Modes and Effects Analysis (FMEA), deploys lean tools to streamline processes, and collaborates with Safety, EOC and Emergency Management on hazard vulnerability assessments. Develops and revises RM, PS and other organizational plans, policies and procedures when needed and as requested; recommends and facilitates changes to improve patient safety based on identified risks. Functions as organizational Patient Safety Officer. Leads the claims management function; partners with outside counsel and third-party administrators for claims reviews, discovery and coordinates interviews, site visits and depositions; attendance at depositions, mediation and trials may be required. Works with Patient Financial Services (PFS) and General Counsel to address billing procedures on pertinent patient incidents and recommend write-offs or discount charges to mitigate claim potential. Maintains regulatory knowledge specific to EMTALA, consents, restraint use, CDPH-reportable adverse events, and other Federal and State patient safety requirements; provides education to the organization regarding regulations. Responds to state inspections and regulatory audits and reviews. Owns the analysis and investigation of incident reports and maintains oversight of the incident reporting system; performs statistical analysis, creates reports on trends, and leads proactive risk mitigation strategies. Reports trended data and mitigation actions to appropriate committees, departments and individuals. Educates and assists other managers and directors in proactively assessing their areas of responsibility for exposures to loss and unsafe processes and conditions. Leads timely investigation, communication and documentation of errors or serious events in accordance with legal requirements and accreditation standards. Conducts annual proactive risk assessments to identify opportunities to improve reliability and reduce risk; provides education to the Board and Quality & Patient Safety Committee of the Board. Coordinates Enterprise Risk Management orientation and continuing education and training for providers, management and staff to enhance awareness of their role in high reliability, just culture, patient safety, risk reduction and event reporting. Participates in Patient Safety Teams and other committees as needed to communicate findings, recommendations, actions and results. Provides clinical risk management information on medical and allied health staff to Medical Staff Services for credentialing and reappointment. Manages and responds to patient complaints and grievances. Collaborates with Quality Department staff on regulatory compliance, policy planning and implementation. Stays abreast of health care risk management and patient safety-related legislation, guidelines and accreditation standards; advises the organization on developments affecting patient safety and ERM. Assesses the ongoing culture of safety and leads actions to strengthen the culture. Demonstrates excellent communication and interpersonal skills; problem solving, critical thinking, and teamwork with other departments. Reviews and maintains ongoing competency requirements of the role to perform role-specific functions. Any other risk management and patient safety related duties as assigned by the General Counsel. Why You’ll Love Working Here
Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture. Impactful Work: Your role will directly contribute to the smooth operation of our organization. Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career. Additional
Ready to Elevate Your Career? Join us at Valley Presbyterian Hospital and be a part of a team dedicated to excellence. Apply today to make a difference!
#J-18808-Ljbffr