Director of Risk Management

LOCATION: Remote (within 50 miles of Knoxville, TN; 75% travel required)

JOB TITLE: Risk Management Director

DEPARTMENT: Risk Management

TREATMENT SETTING: Outpatient

POSITION TYPE: Non-Direct Care

FLSA STATUS: Exempt         

PURPOSE STATEMENT:

The Risk Management Director is responsible for implementing and facilitating the company’s risk management programs at the facility. They direct facility compliance with laws, regulations, and the standards of accrediting and approval agencies, including state licensure and Joint Commission. The Director coordinates compliance activities with Bradford’s Chief Legal Officer and oversees implementation of related policies, procedures, and investigations, as directed.  

ESSENTIAL FUNCTIONS:

• Provide the Sr. Director Risk Management with timely and accurate information related to Risk Management and Safety issues.
• Advise and assist on Risk Management and Safety issues.
• Provide management and staff education as needs identified.
• Provide relevant information pertaining to Risk Management and Safety initiatives for inclusion in site performance improvement documentation, as requested.
• Interpret and implement corporate and facility policies and procedures in accordance with law and regulatory/accreditation requirements.
• Enter Risk Management data into the facility shared drive spreadsheets.
• Identify opportunities to reduce risk exposure.
• Report risk management data and issues to Bradford Risk Management leadership.
• Lead sentinel and critical event analysis.
• Participate in Compliance investigations and other activities, as requested, in conjunction with Bradford’s Chief Compliance Officer.
• Direct compliance with laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies.
• Provide Risk Management and Safety information to the locations, as requested, for inclusion in Performance Improvement tracking.
• Facilitate plans of correction that result from Risk Management and Safety initiatives.
• Ability and willingness to travel up to 75% of the time.
• Other duties as assigned
• Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. Implement, educate and encourage incident reporting system throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.
• Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees.
• Work with internal auditors, security contractors, and other staff to establish an internal control system.
• Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Ensure compliance with all administrative requirements.
• Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
• Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed.
• Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives.
• Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care.
• Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure.
• Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility.
• Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback.
• Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety.
• Monitors and maintains compliance for accreditation for the facility.
• Monitors and maintains compliance for state licensure for the facility.

OTHER FUNCTIONS: 

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's degree, risk management, business, finance, or a related field required.   
  • Master's degree in health information management, nursing, or related field preferred.  
• Five or more years’ experience in a risk management position required.  
• One or more years’ supervisory experience required. 
• Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies as applicable to the facility preferred.
• Comfortable working with the public. 
• If recovering, two (2) years of continuous, verifiable sobriety. (See Sobriety Policy.)
• Must be able to work in a constant state of alertness as to perform the job in a safe manner.
• Regular attendance; including conference calls and onsite meetings, as necessary
• Able to work in a cooperative manner with coworkers, managers, perspective patients, patients, and families.  
• Pass a criminal background check.  
• Maintain a valid driver’s license, personal automobile liability insurance, and a driving record permitting coverage under company’s automobile liability policy if necessary.  
• Maintain appropriate professional boundaries and confidentiality, including a working knowledge of 45 CFR “Health Insurance Portability and Accountability Act” and 42 C.F.R. Part 2 “Confidentiality of Alcohol and Drug Abuse Patient Records” with respect to patient and potential patient identifying information and health information. This position has unrestricted access to identifying information and health information concerning patients, potential patients and participants.
• Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence or exposure to critical incident, and possible sentinel events.

LICENSES/DESIGNATIONS/CERTIFICATIONS: 

• CPR and de-escalation certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.