Clinical Risk Manager, MA

R26100254 Exemption Status: Exempt Hiring Range: $91,644.80 - $164,944.00Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday, On Call - Required Scheduled Hours: 0800-1600 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99900 - 6202 Quality Assur Risk Mgt Admin This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for UMass Memorial Health (UMMH)’s risk management activities of identifying quality of care, patient safety, medication safety, regulatory and risk management issues, and concerns by applying knowledge and principles of clinical care, standards of care, patient safety, quality improvement and risk management. Participates in UMMH System Risk Management activities. A major focus is on potential medical malpractice and general liability claims within UMMH. Responsible for identifying and implementing measures to improve patient safety and quality of care and decrease/limit risk. I. Major Responsibilities: 1. Responsible for applying the risk management process of identifying risks, setting priorities, and mitigating the risks through elimination, prevention, reduction, and transfer. 2. Responsible for identifying incidents with potential for liability and financial loss, using loss prevention monitors, including occurrence (incident reports), focused occurrences and patient complaints. 3. Conducts investigations of incidents/ adverse events with possible quality of care, systems, regulatory and/or potential liability questions and concerns. 4. Reviews daily occurrences through the on-line occurrence reporting system, aimed at identifying significant events, as well as patterns and trends, in order to identify and facilitate appropriate risk management and quality improvement interventions. 5. Serves as a resource and consultant for physicians, residents, patient care representatives, and other UMMH staff regarding risk management/loss control/loss prevention strategies. Conducts independent clinical department risk assessments and presents findings to department leadership. 6. Responsible for planning and executing Root Cause Analysis (RCA) in a timely manner, including conducting appropriate staff interviews and preparing various RCA documents. Responsible for monitoring progress on action item follow up in conjunction with UMMH senior leadership, physicians, and the Patient Safety Committee. 7. Coordinates and conducts investigations of potential/actual litigation cases with claims adjustors, and defense counsel as appropriate. Prepares observation cases and makes recommendations for reserves as appropriate. 8. Responsible for identifying and communicating potential regulatory reports to (e.g., DPH, the Joint Commission, and the Board of Registration in Medicine (BORM), and the staff of Regulatory Affairs. Primarily responsible for preparing BORM SQR, BORM Annual and Semi-annual and MedWatch reports. Participates in preparing DPH reports in conjunction with Patient Safety/Regulatory staff. 9. Provides weekly risk management orientation to new UMMH employees. 10. Proactively presents educational presentations to physicians, nurses, and other employees, focusing on patient safety, adverse medical event management, quality improvement and loss prevention/loss control strategies to reduce risk and limit liability exposure for the organization. 11. Develops and revises policies and procedures specific to Risk Management and other areas as required. 12. Ensures that concerns regarding product alerts and product recalls are addressed using the ECRI electronic Alert Tracker system. 13. Although this position is listed as primary location at UMass Memorial Medical Center, travel to member campuses on a weekly/daily basis is required. Travel to UMass Memorial Marlborough Hospital, UMass Memorial Health Alliance-Clinton Hospital (both Health Alliance and Clinton campuses), UMass Memorial Health Harrington and CMG locations. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor’s degree in healthcare field. 2. Current unrestricted driver’s license. Preferred: 1. Master’s Degree in health-related field or MBA. 2. RN license. 3. Certified Professional in Healthcare Ris