Patient Safety Risk Manager - Worcester, MA
Company: Optum
Location: Worcester
Posted on: October 8, 2024
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.
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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.
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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
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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
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Required Qualifications:
- Experience with health and safety regulatory agencies such as
DPH, MDS, etc.
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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.
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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.
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OptumCare is a drug-free workplace. Candidates are required to pass
a drug test before beginning employment.
Keywords: Optum, Lynn , Patient Safety Risk Manager - Worcester, MA, Executive , Worcester, Massachusetts
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