Betty Jean Kerr People's Health Centers

Job Description

Job Title: Risk Manager

Department: Administration

Reports To: Corporate Compliance Administrator

FLSA Status: Exempt

Prepared By: Human Resource Department

Prepared Date: April 17, 2009; Revised: October 2011

Summary:

Develops and implements the organization’s risk management program in a manner that fulfills the mission and strategic goals of the health center while complying with State and Federal laws and regulations and accreditation standards related to quality, safety, and risk management. Develops and implements compliance department activities related to customer satisfaction, performance improvement, and risk reduction. Implements and manages health center emergency response activities and program deliverables. Ability to collect, review, and interpret data required for reporting. Reports statistical data using Microsoft excel (including graphs). Requires excellent communication skills and critical thinking; able to make recommendations to assist in staff, patient and visitor complaint resolution.

Essential Duties and Responsibilities:

Include the following…

Participate in the health center's performance improvement, safety, infection prevention, compliance and emergency response plans.

Monitors and collects data related to performance improvement plan.

Performs data entry into personal computer using appropriate software and programs.

Provides weekly and/or monthly statistical reports/graphs on as requested.

Maintain required department records, reports, documents and files necessary to ensure proper documentation and follow up on responsibilities, department operations and assignments.

Conduct Compliance department training for new hires and annually for all staff, students & volunteers; to include but not limited to topics on OSHA, complaint process, incident/accident reporting, health center policies, HIPAA, age-specific care, incident command system, compliance program, infection prevention, patient rights & responsibilities, use & handling of personal protective equipment and emergency equipment & supplies.

Responsible for training on use, distribution of and inventory maintenance of emergency equipment (disaster kits, communication equipment, PPE, and other supplies).

Review / revision of MSDS and chemical inventory lists. Monitors and ensures department compliance with maintaining documents on site and proper use of chemicals.

Maintains current MSDS files at each site.

Implementation and coordination of patient satisfaction survey (written, phone interview, and on-site) and provides written report of findings.

Implementation and ongoing coordination of patient focus group for patient satisfaction and improvement activities.

Monitors patient / visitor complaints and suggestions (comment lock boxes) and make recommendations to reduce agency exposure to risks and improve services.

Checks lox boxes and compliance hotline and responds promptly per health center policy.

Assists with implementation and monitoring for adherence to new and revised agency policies.

Assist with policy writing, electronic access (shared drive) and formatting for print.

Function within the legal and ethical parameters of your profession, as a member of the interdisciplinary treatment team and according to the policies of BJK People's Health Centers.

Participate in outreach activities; volunteer participation in at least two health center-sponsored community events for a minimum of four hours each per year.

Monitors equipment checks assessing compliance with service maintenance and safety checks.

Performs frequent monitoring of the environment of care and conduct annual hazard vulnerability analysis for each site, reporting findings to Performance Improvement committee.

Monitors and reports compliance findings related to Joint Commission requirements.

Monitors and reports compliance findings related to Patient Centered Medical Home and NCQA requirements.

Function within the legal and ethical parameters of your profession, as a member of the interdisciplinary healthcare team and according to the policies and procedures of Betty Jean Kerr People’s Health centers.

Attends meetings as requested. Chair meetings as requested.

Other duties as assigned.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

Analytical - Collects and researches data.

Design - Uses feedback to modify designs; Demonstrates attention to detail.

Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group and individual problem solving situations; Uses reason even when dealing with emotional topics.

Project Management - Communicates changes and progress.

Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Participates in meetings.

Written Communication - Writes clearly and informatively; edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information.

Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone's efforts to succeed.

Visionary Leadership - Inspires respect and trust.

Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Accepts feedback from others; Gives appropriate recognition to others.

Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; educates others on the value of diversity; promotes a harassment-free environment; Builds a diverse workforce.

Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values; maintains confidentiality of information received.

Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Supports affirmative action and respects diversity.

Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.

Motivation - Sets and achieves challenging goals; Measures self against standard of excellence.

Planning/Organizing - Uses time efficiently; sets goals and objectives.

Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors and proofs own work to ensure quality.

Quantity - Completes work in timely manner. Performs chart audits/reviews as expected.

Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions; Uses equipment and materials properly.

Adaptability - Adapts to changes in the work environment; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.

Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals. Completes tasks on time or notifies appropriate person with an alternate plan.

Initiative - Volunteers readily; Looks for and takes advantage of opportunities; Asks for and offers help when needed.

Innovation - Displays original thinking and creativity; Generates suggestions for improving work; Presents ideas and information in a manner that gets others' attention.

Qualifications:

Requires Bachelor Degree in Nursing (BSN) or Advanced Degree in primary health, health administration or related health field. Experience in public health environment and excellent communication skills.

Education and/or Experience:

Bachelor's degree (B. A.) from four-year College or university; or one to two years related experience and/or training; or equivalent combination of education and experience.

Language Skills:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Mathematical Skills:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability:

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Database software and Word Processing software. Requires ability to compile reports; ability to use access, excel and other programs to present reports/graphs.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and talk or hear. The employee is frequently required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include ability to adjust focus.

To perform the job requirements, this position requires travel to all agency sites/locations and may require travel for required training.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Age Specific Requirements: Applicable

I acknowledge that I have read and fully understand the above job description and agree to abide by its content. I understand that failure to satisfactorily perform the assigned duties may result in disciplinary action and/or termination.

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Print Employee Last Name, First Signature of employee Date Signed

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Print Department Supervisor Last Name, First Signature of employee Date Signed