Risk Management Liaison- Quality Care Management (Days)

Job Description

JOB SUMMARY
At Houston Methodist, the NTW Risk Management Liaison is responsible for developing and managing a risk management program to maintain a safe environment and ensure that the organization is able to fulfill its mission and continue providing quality patient care to the community. Responsible for advising management on all potential sources of loss and making recommendations to improve patient care and reduce or minimize losses. The program shall include systems to identify, control, and administer risk reduction efforts. This position assures compliance with accreditation and regulatory agencies requirements.

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 20%

Collaborates with Houston Methodist Risk Management to develop risk monitoring and reduction programs. Provides leadership in the review of system and entity policy and procedures. (EF)
Works closely with department leaders and Patient Liaisons to identify and address potential risk opportunities that may impact the customer experience. (EF)

SERVICE - 20%

Develops and provides training and education programs for leadership, medical staff, and staff to improve patient care and reduce losses. (EF)
Promotes and leads performance improvement activities throughout the hospital including reporting such activities. Assists in the peer review process, as assigned. Conducts chart review, generates reports, and presents performance information to the appropriate medical staff departments and/or committees. (EF)

QUALITY/SAFETY - 40%

Investigates, analyzes and documents actual and potential risks. Assesses the liability and probability of legal action. Notifies management of potentially compensable events and coordinates communication with Houston Methodist Risk Management. When warranted, in conjunction with quality management, initiates and conducts root cause analyses (RCA's) and internal audits (IA's), as appropriate. Collects, organizes and disseminates data to appropriate persons including preparation and presentation of reports as required. Reports data to external agencies as needed. (EF)
Administers the risk management program on a day-to-day basis to include a system for risk identification, investigation, and reduction. Develops and implements a plan for reviewing, trending, and reporting risk management occurrence reports and reports generated from Houston Methodist Risk Management. (EF)
Responsible for ensuring compliance with accreditation standards and regulatory agency requirements; applies current knowledge of accreditation and regulatory agency requirements. Participates in regulatory and accreditation surveys. (EF)
Designs and implements an organized record keeping system for essential/critical documents (i.e. potential claims, claims, reports and patient/medical staff matters) that provides ease of retrieval by management, in the absence of the Risk Management Liaison. Assures all files are protected from tampering. (EF)
Evaluates effectiveness of the Risk Management program at least annually and documents the evaluation.

FINANCE - 10%

Participates in cost reduction efforts by making recommendations to mitigate risk. (EF)

GROWTH/INNOVATION - 10%

Designs, develops, and implements project plans related to risk management initiatives. Manages reporting of these projects/measures to internal departments/committees and/or outside agencies, as needed. Provides oversight for these projects to ensure desirable outcomes are met. (EF)
Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development in risk management.

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

Must meet one of the following requirements:

Bachelor degree in Nursing
Master degree in a clinical discipline
Juris Doctor (JD)

EXPERIENCE REQUIREMENTS

Three years of hospital quality management, risk management, insurance, claims or legal experience

CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED

For RNs: Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.
Associate in Risk Management (ARM) designation, Certified Professional in Healthcare Risk Management (CPHRM) designation, or other risk management certification highly preferred

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of risk management methodologies & principles
Knowledge of accreditation and regulatory requirements
Computer proficiency to complete job duties independently

SUPPLEMENTAL REQUIREMENTS

Work Attire	Yes/No
Uniform	No
Scrubs	No
Business professional	Yes
Other (dept approved)	No

On-Call*

Yes, on a regular basis (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc) regardless of selection above.

Travel**

May require travel within	No
Houston Metropolitan area

May require travel outside	No
of Houston Metropolitan area

**Travel specifications may vary by department.

Please note any other special considerations to this job: Able to flex schedule to meet needs of the job required.

Company Profile:

Houston Methodist The Woodlands Hospital, a master planned campus with a 400 bed hospital – initially opening 187 beds – will ensure that we continue to deliver our special brand of health care to those who call The Woodlands home. As the eighth hospital in the Houston Methodist system, Houston Methodist The Woodlands Hospital is a full service hospital building upon our rich history of clinical excellence in the Texas Medical Center.