Job Description:
RN - Risk management at Administrative Offices (Denver, CO)
Senior Clinical Risk Manager eff 8/11 13 weeks RN Preferred Shift - M-F 8a-5p This position is on-site RN-Registered Nurse - DORA - Department of Regulatory Agencies Required or CPHRM-Certified Professional in Healthcare Risk Management - ASHRM - American Society for Health Care Risk Management Required Bachelors degree 4-6 years risk management experience
Role Detail: Seeking a Clinical Risk Manager with a clinical background and experience conducting root cause analyses (RCAs) for adverse events, partner with Patient Safety and Quality teams, and conduct root cause analyses from a systems perspective to identify opportunities for process improvement. The individual will partner with Patient Safety and Quality teams to identify system-level improvement opportunities. RN experience is preferred but not required.
Job Summary
The Senior Clinical Risk Manager supports Denver Health's system-wide risk management program by identifying, investigating, and mitigating clinical and operational risks across all care settings. This role leads investigation and reporting of significant health events, collaborates with clinical and operational leaders to reduce harm, and ensures compliance with regulatory and insurance requirements. The position develops and maintains risk reduction strategies, policies, and educational programs, analyzes trends, and provides critical guidance regarding potentially compensable events and patient safety concerns.
Essential Functions:
Provide support across all Denver Health entities to address clinical, operational, and legal concerns. Serve as subject matter expert and trusted advisor, delivering guidance on navigating time-sensitive complex matters such as patient disclosures, informed consent, custody arrangements/decision making, patient care management issues, patient safety concerns, crisis management, risk mitigation, and liability exposure. This often may involve close collaboration with in-house attorneys on legal/risk/care related questions - serving as a liaison and understanding when to further escalate situations. (35%) Independently investigate and determine if significant occurrences meet elements for a state reportable event to CDPHE and/or meet the Joint Commission criteria for a sentinel event or near miss. For sentinel events, direct the Root Cause Analysis (RCA) process to ensure compliance with CMS Conditions of Participation by performing timely and thorough investigations, interviewing key clinical staff, and leading/facilitating multiple meetings with clinical staff and senior leadership to identify system contributions and vulnerabilities. Submit required reports and actions items when applicable, and collaborate with Patient Safety, Quality and Excellence to develop risk reduction initiatives and enhance patient safety following the RCA. (20%) Under the quality management privilege and at the direction of in-house legal counsel, conduct early investigations into all potentially compensable events to evaluate standard of care (professional standards, statutes, regulations, hospital and department policies and guidelines) and liability exposure, and help facilitate individual claim reporting for professional liability insurance to ensure appropriate coverage. Undertake clinical review and prepare detailed timeline of care, maintain appropriate case files and documentation, and prepare critical communications and reports for internal and external partners. (20%) Conduct various types of risk assessments to identify, evaluate and propose risk reduction strategies. Assess high-harm events and claims trend data to reduce economic impact and improve patient outcomes. Design and deliver system-wide presentations and education on clinical risk management, documentation best practices, patient disclosures, statutory and regulatory compliance, legal interactions, risk mitigation, and patient safety topics. (15%) Lead or partner with others on system-wide committees and initiatives that strengthen risk prevention and patient safety and mitigate institutional risk. (5%) Develop, draft, edit, and review policies and procedures, and participate in system or department-wide implementation and education. (5%)