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Quality Risk Manager, Inpatient Rehabilitation Hospital
Brooks Rehabilitation
Phoenix, AZ
Category
Healthcare
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Job Description
The Quality Risk Manager is responsible for the day-to-day administration of the Clinical Risk Management Program for Brooks Rehabilitation Hospital entities and provides support to the Brooks System Director Risk Management.
Requirements
Serves as Clinical Risk Manager for BRH entities under the direction of the System Director of Risk Management.
Reviews all hospital incident reports and reports all actual and potential losses to the insurance company as directed by System Director Risk Management.
Evaluates potential and/or actual patient harm clinical incidents to ensure a multi-disciplinary, risk-based approach is taken to effectively learn from unanticipated outcomes, patient safety events, sentinel events, and medical errors.
Maintains incident file management within scope of Risk Management and Patient Safety processes to ensure accurate and thorough documentation of risk management investigation.
Performs pertinent medical record and medical/nursing practice guideline reviews, provider queries, and coordinates specialty reviews, as needed, to facilitate investigation of assigned incidents.
Consults on the incident reporting process that enables reporting of trends to leadership team to help support the oversight of quality, safety, and shared learning.
Identifies problematic practices and/or adverse clinical risk trends.
Partners with Operations and Quality to eliminate or decrease risk of patient harm and liability to Brooks.
Serves as a member on various System Risk/Peer Review/Patient Safety/Quality committees to offer input and provide consultation on risk identification and reduction strategies.
Works with Patient Financial Services (PFS) team regarding billing procedures on pertinent patient incidents to write-off or discount charges deemed necessary to proactively mitigate claim potential.
Provides clinical knowledge and assistance to the System Director of Risk Management throughout the litigation process to assist in achieving resolution of incidents, claims, and litigation matters.
Collaborates with Legal Counsel, and others to respond to and achieve resolution of critical incidents and/or other legal/regulatory clinical queries by Florida’s Agency for Health Care Administration.
Assist the System Director of Risk Management in the orientation and training period for new hires during the onboarding process.
Benefits
Competitive Pay
Comprehensive Benefits package
Vacation/Paid Time Off
Retirement Plan
Employee Discounts
Clinical Education and Professional Development Programs
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