The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS).,
The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification, mitigation, management and prevention of risk throughout the organization.
This position supports Mount Sinais objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies, policy and/or organizational changes.
1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution.
2. Conducts an initial review and develops a case summary, inclusive of focused questions, if the case requires further review providing all required documentation for investigations, activities and resolutions related to the reported incident.
3. Evaluates reviews completed by leadership, provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.
4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health.
5. Review and analysis of all incident reports to identify risk management, quality of care, regulatory and insurance concerns.
6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required.
7. At the direction of the Director of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews.
8. Maintains risk management information system database.
9. Identifies organizational risk through trend analysis of incidents, incident letters, and reports; assures accuracy of data prior to internal distribution.
10. Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports
11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting.
12. Acts as a resource person to staff on risk management issues.
13. Keeps abreast of appropriate regulatory requirements related to risk management.
14. Responds to inquiries regarding various reports and individual professional liability matters.
15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns.
16. Expect to work flexible hours to participate in staff interviews, risk management and patient safety events, debriefs and meetings as needed.
17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York State Departments of Health.
18. Active participation on committees directed toward promoting risk management, patient safety, quality of care and with availability to attend/cover other Committee meetings as may be requested.
19. Assists in developing and presenting educational programs to raise staff, including staff on off-hour shifts, awareness to risk exposure and the impact on professional liability,.
20. Coordinates, supports and assists in developing Patient Safety Fair and Risk Management Week activities.
21. Performs other related duties