Quality Risk Manager, Inpatient Rehabilitation Hospital

The CRM 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. The CRM assumes responsibility for incident investigation and identification/management of areas considered to be risk management liabilities.  The CRM acts as a consultant to physicians, leadership, and staff on matters of clinical risk management. The CRM serves as a member of the risk management team which aims to mitigate risk to Brooks and ensure quality of care in a constantly changing health care environment.

Responsibilities: 

• 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.
• Reviews medical records relative to reported incidents.
• Utilizes a high degree of judgement, 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 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.
• At the direction of the System Director of Risk Management, conducts the analysis and clinical investigation of incidents involving patient harm that pose potential for and/or actual liability to Brooks.
• Performs pertinent medical record and medical/nursing practice guideline reviews, provider queries, and coordinates specialty reviews, as needed, to facilitate investigation of assigned incidents. 
• Independently reviews non-critical incidents to achieve resolution. 
• 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.
• At the direction of the System Director of Risk Management, will collaborate 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. 
• Other duties as assigned.

Qualifications:

• Education
  • Minimum Required: Bachelor of Science in Nursing (BSN) from an accredited nursing program. 
• Experience  
  • Minimum Required: Five to seven years nursing experience in a hospital or clinical environment and one to three years progressive healthcare leadership in risk management, quality improvement, patient safety, or related field. Demonstrated proficiency with Microsoft Office Suite. 
• Excellent written and verbal communication skills. Attention to detail and analytical skills. 
• Strong interpersonal, organizational and customer service skills. Ability to handle challenging situations that may involve adverse outcomes. 
• Certifications/Licenses 
  • The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
    • Minimum Required: Current State of Arizona Registered Nurse License or Multistate License under the Nurse Licensure Compact.
    • Preferred: Certified Professional in Health Care Risk Management (CPHRM).

Location: Brooks Rehabilitation Inpatient Hospital  18500 64th Street, Phoenix Arizona

Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended.

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan
• Employee Discounts
• Clinical Education and Professional Development Programs