Healthcare Risk Management Jobs in McAllen, TX (NOW HIRING)

DHR Health - US:TX:Edinburg - Days - Varies
Summary:
FLSA STATUS: ☐ Exempt ☒ Non-Exempt
MISSION STATEMENT:
Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.
VISION:
Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.
POSITION SUMMARY:
The RN - Risk Coordinator is responsible for the day-to-day coordination of the hospital's Risk Management function. Coordinates the functions of the department to ensure that risks are identified and managed in order to reduce institutional liability and to promote patient safety. Coordinates collection of aggregate data from adverse event reports, claims and loss prevention strategies, for identification of corrective and preventive actions. Assist in the conduction and investigation of sentinel events, root cause analyses, process variation analysis and peer review. Assist in the development and conduction of continuing education programs for medical, nursing and clinical support staff.
POSITION EDUCATION/ QUALIFICATIONS:

• Graduate of accredited school of nursing required
• Current active registered nurses license in the State of Texas
• Advanced degree (JD, Masters) preferred.
• Excellent customer service skills.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.
• Bilingual - English/Spanish.

JOB KNOWLEDGE/EXPERIENCE:
¨ Five (5) years of clinical or other healthcare related experience.
¨ Knowledge of medical malpractice and healthcare law preferred.
¨ Experience in loss control and claims management preferred
¨ Risk management experience in a healthcare setting preferred
¨ Experience in working with teams in a complex organization.
Responsibilities:
POSITION RESPONSIBILITIES:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Assist in the development, coordination and administration of facility-wide systems for risk identification, investigation, and reduction; assist in the maintenance of network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facility and to assess loss potential.
• Participates on committees directed towards promoting patient safety issues.
• Assist in the maintenance of risk management statistics and files in compliance with Joint Commission and state and federal agencies; promotes maximum confidentiality by limiting access of such information. Also strives to verify that the following information is accurate, available, and secure: includes medical records, patient billing records, policies and procedures, incident reports, medical examiner's reports (if available), as well as any other data pertinent to a particular claim.
• Collects and evaluates, and distributes relevant data concerning patient's injuries: aggregate data summaries, monthly trend analyses of incidents, claim profiles and provides aggregate analysis of risk data; maintains statistical trending of losses and other risk management data.
• Informs directors of service and department heads regarding occurrences, issues, findings, and risk management suggestions; provides feedback to directors at all levels in the effort to eliminate risks; assists clinical chairs and department heads in designing risk management programs within their departments.
• Works with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary to prepare testimony in pending litigation.
• Responds to professional liability and facility liability questions posed by physicians, nurses, and other personnel.
• May have on-call responsibility.
• Advises security on procedures to reduce the frequency and/or minimize the severity of property loss or assets.
• Provides assistance to departments in complying with Joint Commission or other accrediting agencies, regarding risk management related standards.
• Recommends appropriate revisions to 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.
• Educates and trains leadership, staff and business associates as to the risk management program, and their respective responsibilities in carrying out the risk management program.
• Coordinates risk and safety management orientation and continuing education programs for providers, management, and staff to enhance awareness of their role in patient safety, risk reduction, and event reporting.
• Acts as liaison to outside agencies such as local, state, federal, or voluntary accrediting agencies. Prepares reports of events as required by law or in accordance with voluntary participation. Coordinates internal surveys and inspections, monitors reports, and coordinates corrective actions or recommended improvements with management and staff.
• Develops and maintains positive working relationships with providers, management, and staff to promote open communication and accurate flow of information.
• Investigates all serious events. Assists with the communication and documentation of errors or serious events in accordance with legal requirements and/or accreditation standards.
• Directly refers to administration those incidents with claims potential; reports to higher authority any serious event involving actual or potential injury to patients, visitors or employees.
• Assists in processing summons and complaints served on present and previous employees; assists in defendants in completing necessary documents.
• With director of guest relations: reviews patient complaints that may be the source of potential legal action; discusses and offers solutions when possible to resolve with patient and/or family any grievances perceived as potential liability claims.
• Assist with the evaluation of claims for settlement; assist with negotiation of settlement of small claims within administrative authority; replacement of lost property after evaluating claim.
• Assist in the reviews of national and local claims data; analyzes prior claims, lawsuits, and complaints against the facility.
• Assist in the notification to the liability insurance carrier of all actual and potential claims, including primary and excess carriers as necessary.
• May verify with the Medical Staff Services Coordinator that each independent practitioner provides proof of adequate professional liability insurance at the time of initial credentialing and at reappointment.
• Other duties as assigned.

Other information:
LINES OF REPSONSIBILITIES:
(Chain-of-command)
1. Director
CUSTOMER SERVICE:
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC:
Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.
AMERICANS WITH DISABILITIES ACT: (ADA):
A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.
The following table provides physical requirements that will be associated with, but not limited to, this position:
Light/moderate lifting up to 20 lbs, from the floor to shoulder height.
Yes
Kneeling
Yes
Must be able to assist other employees with lifting more than 20 lbs.
Yes
Walking
Yes
Light/moderate carrying up to 20 lbs.
Yes
Standing/Squatting
Yes
Straight pulling
Yes
Sitting
Yes
Pulling hand over hand
Yes
Pushing
Yes
Repeated bending
Yes
Stooping/Bending
Yes
Reaching above shoulder
Yes
Climbing Stairs
Yes
Simple grasping
Yes
Climbing Ladders
No
Dual simultaneous grasping
Yes
Depth Perceptions needed
Yes
Ability to see
Yes
Identify Colors
Yes
Operating office equipment
Yes
Twisting
Yes
Operating mechanical equipment
Yes
Crawling
No
Ability to read and write
Yes
Ability to Count
Yes
Ability to hear verbal communication without aid
Yes
Operating Personal Vehicle
Yes
Ability to comprehend written/verbal communication
Yes
Other: Ability to deal with stress
Yes
OSHA Category
III
B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
D. Aptitudes: HIGH 1 2 3 4 5 6 LOW
Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3
Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3
Numerical: Ability to perform arithmetic operations quickly and accurately. 2
Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2
Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3
Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2
Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3
Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3
Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3
Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3
Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3
I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
Employee Signature: ________________________________ Date: ____________________
Transfer/Hire Date Effective: ________________________.