SHS-RISK MANAGER

General Purpose:

Under the direction of theAdministrative Director of Clinical Risk Management, is responsible for planning, organizing, communicating, evaluating and implementing the Clinical Risk Management program of Sparrow Health System. Respond, investigate, report, and follow-up on concerns related to clinical care and serice provided across Sparrow Health System to improve quality of care and reduce potential and actual professional liability claims through early resolution. Assists with ongoing compliance with other standards and guidelines of healthcare regulatory agencies.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Communicates, monitors and evaluates Clinical Risk Management program and activities to motivate others to achieve Clinical Risk Management goals.
• Develops and maintains systems to track, analyze and report occurrences and makes recommendations regarding prevention strategies based on this information.
• Investigates and analyzes patient care issues, concerns and event, including medical record review, staff interviews, workup of potential and actual professional liability claims incorporating the principles of the Michigan Model for early claims resolution.
• Presents investigative findings to relevant operational and medical staff leadership.
• Participates in Root Cause Analysis (RCA) meetings for identified events to understand root cause(s) and corrective actions(s) developed.
• Prepares professional, thorough written communication with patients, families, and caregivers in accordance with regulatory and legal guidelines/timelines.
• Maintains an atmosphere that supports and ensures continual dedication toward identification and reduction of clinical risk and improved quality of care throughout the Health System.
• Develops, coordinates and implements professional education and training programs relative to Clinical Risk Management, medical malpractice claims, and other relevant topics on a routine basis.
• Maintains and facilitates communication between Clinical Risk Management with outside vendors, insurance company representatives, attorney, and other relevant individuals as appropriate.
• Addresses and follows up on grievance, complaints and concerns related to patient and family clinical care concerns.
• Facilitates meetings and disclosure conversations and other communications with patients, families, and their representatives.
• Provides 24/7 Clinical Risk Management on-call support including weekends and holidays, on a rotating basis to respond to issues, concerns, phone calls, and serious adverse events that occur outside of normal business hours.
• Assists in developing and reviewing departmental and administrative policies and procedures.
• Serves on, and prepares reports for, Hospital and Health System committees, as assigned.
• Clearly communicates the mission, vision, and values of Sparrow Health System to all Caregivers.
• Conducts investigations assigned by and under the direction of the Administrative Director of Clinical Risk Management.
• Refers cases, as appropriate, to the professional staff peer review process.
• Assists in the carrying out of administrative responsibilities of the department, including budget, preparation and monitoring, assessment of workflow and reporting requirements, etc.
• Performs other related duties, as assigned by the Administrative Director of Clinical Risk Management