Quality Risk Manager, Inpatient Rehabilitation Hospital

Brooks Rehabilitation
Phoenix, AZ
Category Healthcare
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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