Risk Management Consultant

General Summary of Position

The Risk Management Consultant works under the direction of the Director of Risk Management to identify and mitigate patient safety risks. The Consultant maintains an understanding of patient safety and risk management practices and serves as coordinator and consultant for review of patient safety events and evaluation of litigation exposure as well as interfaces with claims management staff and legal defense counsel regarding claims and the professional liability program.

Primary Duties and Responsibilities

• Directs the collaborative review of patient safety events.
• Monitors the patient safety event reporting system for events requiring review.
• Creates summary reports and timelines of events for reporting to both senior leadership and regulatory entities.
• Maintains an awareness of regulatory requirements for reporting events.
• Reports potentially compensable events in the claims management system and maintains an accurate and current claims file in collaboration with the claims file manager and defense counsel.
• Identifies and participates in performance improvement initiatives that enhance patient safety and reduce risk.
• Engages in an Enterprise Risk Management approach to reducing risk exposure by collaborating with both clinical and non-clinical service lines to guide and assist them with risk assessments and responding to their liability issues.
• Performs or coordinates proactive risk and patient safety assessments of patient care areas.
• Maintains a network of subject matter experts who act as resources for the review of patient safety events.
• Works directly with legal counsel to coordinate the management of claims including collecting and providing medical records and other pertinent documents and facilitating communication of all information required for litigation.
• Collaborates with the Office of Patient Experience on the review and response to patient complaints when risk management and patient safety is an issue.
• Develops and delivers risk management educational programs that train associates in appropriate communication documentation reporting and processing of patient safety and risk events.
• Actively participates on committees focusing on patient safety issues.
• Proactively recommends appropriate revisions to policies and procedures that reduce the risk of patient safety issues and prevent future occurrences.
• Contributes to the Risk Management Department Plan and develops goals for the Risk Management Department that utilize new concepts and solutions for delivering risk management and patient safety services to the organization.

Minimal Qualifications
Education

• Bachelor's degree preferably in nursing or related healthcare field required
• Master's degree in Nursing or Business preferred
• Jurisprudence doctorate a plus

Experience

          Minimum of 5 years of clinical healthcare experience required

          Minimum of 5 years in the field of healthcare risk management preferred 

Licenses and Certifications

• CPHRM - Certified Professional in Healthcare Risk Management within 1 Year required
• RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia preferred

Knowledge Skills and Abilities

• Knowledge of accrediting regulatory and licensing standards and processes is preferred.