Internal Close Date: 08/19/2020
Requisition Number: 15202084
Position Code: 810
Department: Risk Management
FTE Status: 1
Position Type: BUDGETED
Shift: Days
Salary Range: Market competitive, based on experience

Internal applicants - please refer to the job description on the Compensation Department intranet site for wage rate information.

Position Summary:
Direct, plan, implement and monitor complex risk management investigations. Examine institution wide issues and prepare root cause analyses (RCA). Develop action plans, monitor milestone completion; audit compliance and analyze trends associated with clinical operations risks identified at the Health System. Prepare and present a variety of risk management reports and develop and conduct training sessions. Ensure adherence to Hospitals,departmental policies and procedures, and accreditation requirements. No patient care assignment.
  • RISK MANAGEMENT - Manage complex risk management investigations, including the institution wide root cause analysis (RCA) process analyses and prepare root cause analyses (RCAs) to meet organizational needs; integrate with Health Sciences Center risk management

  • RISK IDENTIFICATION - Conduct chart reviews and develop case summaries and timelines; review variance reports and investigate cases as appropriate; identify cases that meet TJC sentinel event criteria

  • REPORTS - Draft RCAs, including action plans and distribute drafts for comments; track and trend RCA data and prepare and present reports of findings

  • RESEARCH- Research standards of practice and best practices and recommend system redesign projects to reflect these standards and practices, in addition to accreditation requirements

  • COMPLIANCE - Audit medical records and conduct interviews to assess the effectiveness of the action plan implementation and and to ensure sustainability of system redesign

  • TRAINING - Develop training materials and conduct training in-services

  • POLICIES & PROCEDURES - Draft and review policies, procedures and guidelines

  • COMMITTEES - Participate in committees, which may include: Nursing Quality Council, Nursing Peer Review Council and Medication Safety Committee

  • OTHER - Provide coverage in the absence of the Exec Dir Risk Management

  • Education Requirements:
  • Bachelor's Degree in related discipline

  • Experience Requirements:
  • 2 years directly related experience

  • Physical Demands Requirements:
  • Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

  • Licensure/Certification Requirements - Preferred:
  • Licensed Registered Nurse (RN) in State of New Mexico or as allowed by reciprocal agreement by State of New Mexico

  • Professional licensure as appropriate to the clinical objectives of the unit:
  • Licensed Registered Nurse (RN) in State of New Mexico or as allowed by reciprocal agreement by State of New Mexico

  • Working Conditions Requirements:
  • No or min hazard, physical risk, office environment

  • May be exposed to infectious agents and blood-borne pathogens

  • May be required to perform subordinate tasks in high census/vol