Patient Safety Risk Manager - Worcester, MA
Company: Optum
Location: Worcester
Posted on: October 10, 2024
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Job Description:
Opportunities with Reliant Medical Group, part of the Optum
family of businesses. Join a community-based, multi-specialty,
physician-led organization where you will work with talented peers
on a common purpose: improving the quality, cost and experience of
health care. Here, we focus on delivering the best patient care,
rather than volume. Through innovation and superior care
management, we support patients and your well-being as a team
member. Join a team at the forefront of value-based care and
discover the meaning behind Caring. Connecting. Growing together.
The Patient Safety Risk Manager provides day to day risk management
and patient safety support across all Reliant Medical Group sites.
Performs a variety of duties related to data input, analysis,
trending and tracking of claims and risk management information.
Serves a point of contact for all providers, managers and staff,
handles all risk management issues, offering advice, coordinating
investigations, ensuring follow-up and establishment of corrective
action plans as needed. Primary Responsibilities: Actively promotes
the use of the electronic reporting Staff Safety Alert System for
all adverse events, including near misses occurring organizational
wide Reviews incident reports and enters appropriate information
into the database to refer incidents to other involved departments
and assures follow-up is complete and accurate for file closure
Identifies incident reports to determine if reporting to outside
parties is necessary (i.e., reporting to a regulatory agency,
liability carrier, third party administrator, workers compensation
carrier, FDA, etc.) Track and trends incident reports on a regular
basis to identify safety issues and concerns throughout the
organization Assists department managers in the identification of
trends, timely resolution of incomplete, unresolved reported events
and the development of meaningful action plans Provides guidance,
advice, consultation and support to all providers, staff and
leadership on risk management, legal and regulatory matters
Conducts data analyses to assess performance improvement
opportunities and measure these improvements within the
organization Utilizes data and conducts research to find industry
trends related to risk management while identifying and sharing
best practices Actively serves on and participates in selected
Reliant Medical Group Committees as assigned to promote the health
and safety of our patients with high quality standard while
addressing issues with risk management implications. Also, provides
data to committees regarding risk management issues identified
through the incident reporting process Prepares and maintains
standardized PCE, claims, and suits files on the departments G
drive Assists in the processing of documents for discovery as
requested by the Manager of Risk Management and/or Director of Risk
& Quality Management Reviews insurance carrier information reports
such as open/closed claims, report and loss runs for accuracy and
trends as necessary Develops patient warning and termination
letters per the organizational policy and works with the providers,
managers, and/or directors involved Works with clinical sites to
plan, coordinate and evaluate corrective action plans recommended
by the PCAR committee, the Manager of Risk Management and/or
Director of Risk and Quality Management Collaborates with the
Manager of Risk Management and Director of Risk and Quality
Management to proactively identify risk reduction opportunities and
to design and implement risk mitigation interventions Collects,
evaluates and distributes relevant data concerning patient
injuries; aggregate data summaries, monthly/quarterly trends;
provides aggregate analysis of risk data and trending of losses,
etc. Assists daily in the initiation of patient safety related
strategies to ensure the delivery of high-quality care within the
organization Identifies and reviews all PCEs, follows all
recommending reporting requirements and hands off all incidents for
a Quality Peer Review as identified Participates actively in the
content planning, coordination of risk-related educational programs
for physicians and support staff on concerning risk management
issues such as informed consent, documentation, policies and
procedures, etc. Presents risk management educational sessions to
individual departments or groups to address trending topics of
concern such as incident reporting; documentation concerns;
regulatory requirements; informed consent, or other concerns
identified through the incident reporting system Participates in
Risk Management site visits which are conducted at all Reliant
locations on a regular basis throughout the year Appropriately
create or revise new or existing policies and procedures to reduce
the frequency of future occurrences; recommends ways to minimize
risks through system changes; reviews and revises facility policies
as appropriate to maintain adherence to current standards and
requirements Assist in the revision of and development of new
department specific and organizational consent forms Conducts root
cause analysis (RCA) and failure mode effects analysis (FMEA) as
needed Complies with health and safety requirements and with
regulatory agencies such as DPH, MDS, etc. Complies with
established organizational policies, departmental policies,
procedures, and objectives Enhances professional growth and
development through educational programs, seminars, certifications,
etc. Attends a variety of meetings, conferences, and seminars as
required or directed Performs other similar and related duties as
required or directed Other responsibilities as requested by the
Manager, Risk Management and/or the Director of Risk and Quality
Management You'll be rewarded and recognized for your performance
in an environment that will challenge you and give you clear
direction on what it takes to succeed in your role as well as
provide development for other roles you may be interested in.
Required Qualifications: Bachelor's Degree in Business
Administration, Healthcare or equivalent experience 3+ years of
experience in Healthcare Risk Management 2+ years of Patient Safety
experience Experience and basic command of Root Cause Analysis
(RCA), FMEA and other risk management and quality improvement
techniques Experience formulating data correlations to determine
drivers of risk Experience conducing moderate level statistical
analysis Experience communicating effectively and sensitively with
clinicians in stressful situations Proficient in Microsoft Office
Suite - Word, Excel, and PowerPoint Required Qualifications:
Experience with health and safety regulatory agencies such as DPH,
MDS, etc. At UnitedHealth Group, our mission is to help people live
healthier lives and make the health system work better for
everyone. We believe everyone-of every race, gender, sexuality,
age, location and income-deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes - an
enterprise priority reflected in our mission. Diversity creates a
healthier atmosphere: OptumCare is an Equal Employment
Opportunity/Affirmative Action employers and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. OptumCare is a drug-free
workplace. Candidates are required to pass a drug test before
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Keywords: Optum, Providence , Patient Safety Risk Manager - Worcester, MA, Executive , Worcester, Rhode Island
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