Risk & Patient Safety Manager

The Risk and Patient Safety Manager is responsible for analyzing clinic processes, identify risks for patients and employees and developing strategies to maximize safety, effectiveness and efficiency. Directs, assists and guides the staff members toward establishing, maintaining and/or improving systems to prevent incidences, accidents, and injuries. Oversees the development and implementation of medical errors reduction strategies in collaboration with all departments and patient care areas.

ESSENTIAL FUNCTIONS:

• Plans, directs and coordinates the Risk Management and Patient Safety Program to minimize the risk of personal injury to patients, visitors and employees reducing exposure to liability or litigation.

• Monitors risk management issues, conducts in-depth analysis when necessary, and assists individuals or departments with development of corrective action/prevention programs.

• Oversees the Patient Safety program, develops and maintains a written plan and annual evaluation of the plan's effectiveness; ensures that all required elements of a compliance program are addressed.

• Coordinates the hospital's clinical and administrative activities to identify, evaluate and reduce the risk of injury and loss to patients, personnel, visitors, and the institution itself.

• Develops and applies standards to evaluate a hospital's performance in conducting risk management activities designed to identify, evaluate and reduce the risk of patient injury associated with care and services.

• Investigates risk management/compliance issues within the facility and participates in Root Cause Analysis of internal error reports.

• Provides on-going staff development and education in the Risk Management and Patient Safety process to facilitate an understanding of the Risk Management and Patient Safety Program.

• Uses risk factor data to develop evidence-based patient safety interventions and process improvement strategies.

• Supports and coordinates facility risk assessments, root cause analysis, failure mode and effect analysis (FMEA), and other investigations.

• Demonstrates expertise and participation in Performance Improvement team facilitation, leadership and membership.

• Ensures that confidentiality is provided by the Risk Management and Patient Safety Program.

• Develops policies and procedures to establish guidelines for the organization, based on analysis of risk management and compliance issues.

• Supports and encourages error reporting throughout the organization through a nonpunitive error reporting system.

• Reports to the Chief Quality and Compliance Officer, and as directed, to the Executive Leadership Team and Hospital Board of Directors, on the occurrence of known medical and health care errors, identified near misses and dangerous conditions within the facility.

• Performs other duties as assigned.

• Five (5) years of clinical practice experience with three (3) years of progressive performance improvement experience.

• Associates Degree in Nursing, with a Bachelor's degree in health related field (for example, BSN, BSHC).

• Current and valid registered nursing license with any United States recognized Board of Nursing

• Certified Professional Healthcare Risk Management (CPHRM) or will obtain certification in Healthcare Compliance and/or Risk Management within one year of hire

• BLS certification

Indian Preference and Equal Employment Opportunity

SCAHC gives preference in hiring to San Carlos Apache Tribal members and other Native Americans in accordance with the San Carlos Apache Tribe's Tribal Preference Policy, as set forth in Section 402 of the Tribe's Human Resources Department Policies and Procedures Manual. Otherwise SCAHC does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect him/her because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, citizenship, veteran status, military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, SCAHC complies with all applicable federal, and Tribal laws governing nondiscrimination in employment.