Director - Risk Management

THE ROLE Providence Clinical Network is seeking a Director to lead Risk Management across our Puget Sound region. Provides direction and leadership for all aspects of the reliable delivery of safe and effective care to our patients and that we respond with compassion, thoughtful analysis and patient-centered solutions when adverse events occur for the Providence Puget Sound region. Evaluates and implements clinical programs to mitigate risk, reduce errors, risk identification, risk control, risk investigations and risk transfer. Strategies and actions reflect organization goals and the quadruple aim, risk contract requirements, regulations, best practice standards and organization values. Fosters the development of best-in-class safety and risk support, using the CANDOR and high reliability frameworks and other contemporary processes and tools, analytics and data management for the region. Provides a continuous learning and just culture approach to the investigation and reconciliation of all patients safety events and patient feedback.
In partnership with colleagues from PSJH, this role leads the tracking and effective settlement of claims and potential claims against medical staff and/or the organization.
This role will help lead the Ambulatory Quality Division in collaboration with executive leaders, clinical operations leaders, experience leaders, safety leaders, and value based care leaders. This requires success leading and operating in a complex, matrixed organization, leading through influence and working in partnership with a diverse group of stakeholders, including colleagues in Nursing, Risk, Compliance, Quality Program Management, Campus Quality Program Management, Analytics, Project Management and the Safety Team, among others. Participates in appropriate committees, exercises independent judgement and discretion and takes actions as needed based on knowledge of all regulatory and organizational standards. Minimal supervision required.
This role partners with the PSJH Risk infrastructure to coordinate the investigation and defense of all litigated liability claims. Ensures the collection of all information necessary to prepare a defense of a claim and approves defense postures or settlement values. This position works closely with the Executive team, Medical Directors and Operations leaders to align resources, ensure education and training, and measure outcomes of safe care delivery.
ESSENTIAL FUNCTIONS
Ensures patients and families experience best-in-class event response including disclosure programs and assisting in disclosure.
Consults with combined Safety and Risk team, in partnership with other leaders in the Quality Division and Providence St. Joseph Health.
Works in collaboration with Director of Quality & Safety for timely, thorough and accurate investigation of events and processing of electronic event reporting.
In partnership with operational leaders, develops organizational capacity to respond to events, investigate and put in place solutions to prevent future events.
Developed a collegial and effective working environment focused on the enablement of all caregivers and their development, leading to an outstanding work experience.
Represents the Safety & Risk & Experience Departments in a positive and collegial manner at internal and external meetings.
Ensures that the ambulatory event response system is best-in-class, easily satisfying CMS, DOH and other regulatory requirements.
Works proactively to identify risk threats and to mitigate them.
Oversees the investigation of incidents/accidents/events that could lead to financial loss, including professional liability, general liability and property. Manages process for writing off charges per policy.
Provides assistance in processing Summons and Complaints served on the organization and works with system legal counsel and PSJH claims managers to coordinate the investigation and defense of all litigated liability claims. Ensures the collection of all information necessary to prepare a defense of a claim and assists in development of defense postures or settlement values at lower levels.
Oversees the department's partnership with legal counsel, PSJH claims management, insurance carrier, and patients/family to effect prompt and proper settlement of liability claims.
Maintains awareness of legislative and regulatory activities related to healthcare in the risk and safety space and advises senior management of anticipated changes.
Provides direction and advice to staff as necessary in connection with malpractice litigation.
Oversees Safety and Risk consultative services for the adoption of new programs and/or services.
Prepares and support the presentation and/or presents periodic reports to senior leaders relating to organizational risks and performance of the Event Response, Safety Program, Risk Management Plan, Claims Management and other related topics.
Oversees ongoing planning and execution of caregiver and provider education, including annual risk management offerings.
Develops in collaboration with the Medical Director of Quality ambulatory medical quality/peer review process and provides guidelines and support for sustainment of improvement efforts.
Reviews proposed programs from a risk management perspective.
Reviews all outstanding root cause analysis action steps and ensures appropriate follow-up and reporting.
Participates in state and national Risk Management associations, remains current and proactive in identifying areas of risk and deployment of management strategies.
QUALIFICATIONS Bachelor's Degree in Business, Healthcare, insurance or related field
Master's Degree in Business Administration, Healthcare Administration or related field (preferred)
Upon hire: Risk Management Certification; ARM, CPHRM, FASHRM
5 years of risk management experience, quality management and/or patient safety
3 years of leadership experience in a matrixed health system (preferred)
Experience in a healthcare setting (preferred)
Demonstrated knowledge of risk management and patient safety principles that promote communication and optimal resolution
Demonstrated ability to set priorities, meet deadlines, take initiative and work independently
Excellent organizational, analytical and interpretive skills required
Ability to develop and maintain good working relationships with physicians, caregivers, patients and general public
Ability to read, analyze, and interpret common scientific journals, financial reports, and legal documents
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
Ability to effectively present information to senior management, public groups, and/or Board of Directors
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Requsition ID: 282390
Company: Providence Jobs
Job Category: Risk
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 3001 PMG ADMINISTRATION WA
Address: WA Mill Creek 16708 Bothell Everett Hwy
Work Location: Mill Creek Commons-Mill Creek
Pay Range: $77.96 - $127.07
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.