DIR - RISK / QUALITY

UHS$90K — $120K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in nursing or related health field; Master's preferred
  • Minimum of 4 years experience in quality and risk management
  • Strong knowledge of Joint Commission, CMS, and Texas standards
  • Experience in an acute medical or psychiatric treatment setting
  • Excellent analytical and communication skills

Responsibilities

  • Ensure compliance with Joint Commission, CMS, and state standards
  • Identify and evaluate potential risks and causative factors
  • Implement system changes to reduce or eliminate risks
  • Assist in processing legal claims and coordinating investigations
  • Conduct employee education on risk management and compliance
  • Participate in performance improvement and patient safety committees
  • Prepare and submit reports on risk data and incidents

Benefits

  • Challenging and rewarding work environment
  • Competitive compensation and generous paid time off
  • Comprehensive medical, dental, and vision plans
  • 401(K) with company match and stock purchase plan
  • SoFi Student Loan Refinancing Program
  • Tuition discounts for continued nursing education
  • Career development opportunities across 300+ subsidiaries
  • Pet insurance option
Full Job Description
Responsibilities

Director of Risk Management and Performance Improvement (DRM/PI) has broad responsibility to ensure the hospital's compliance at all times with all Joint Commission, CMS, and state regulatory agencies standards and requirements. The DRM/PI is responsible for staff training and education on the hospital's performance initiatives and measures including outcomes measurement and reporting. The DRM/PI has broad responsibility to protect the hospital's assets from loss. The DRM/PI is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed so as to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.E.R.M.Program. The Director of Risk Management and Performance Improvement (DRM/PI) has broad responsibility to ensure the hospital's compliance at all times with the UHS Code of Conduct and Compliance Program policies.

Job Duties and Resposibilites:

  • Risk Identification and Evaluation
    • Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Review Reporting system (Occurrence notification system); enters incidents into the MIDAS Database.
    • Analyzes and trends data
    • Identifies actual and potential risk situations and facilitates the determination of causative factors
  • Risk Reduction
    • Networks with department directors to implement system changes aimed at optimally reducing or eliminating causative factors.
    • Interfaces with the Patient Advocate specific to patient complaints and assesses/recommends action, on those, which may be a source of potential litigation.
    • Refers policies that present particular risk in relation to previously identified problems to Corporate Risk Management
  • Performance Improvement
    • Ensure the hospital meets Joint Commission, CMS, and state regulatory requirements
    • Consult with senior staff and directors in the development of department specific programs and quality measures which are within the standards of Joint Commission, CMS, TDSHS, OSHA regulations and all other applicable federal, state or local law/regulations governing health-care entities.
  • Claims Management
    • Assists CEO in facilitating the processing of summons and complaints served on the hospital and its employees.
    • Assists the Corporate Risk Management as needed to intervene, document and assist in the investigation of all claims.
    • Coordinates investigation of claims within the facility
  • Compliance Program
    • Conducts/facilitates in-services to educate employees and physicians
    • Participates in developing/reviewing policies and procedure
    • Operates to maintain and facilitate system ensuring hospital and employee adherence to UHS Compliance Program.
  • Committee Participation
    • Performance Improvement
    • Patient Safety Council
    • Peer Review
    • Other Committees/Meetings as necessary
  • Employee/Physician Education
    • Facilitates, develops, and provides educational programs to insure all employees and medical staff are aware of the Risk Management/PI/Compliance concepts and its relation to their specific duties/job role in identifying and reducing liability exposures.
    • Plans and presents risk management/performance improvement and compliance information to all new employees at hospital orientation.
    • Plans, facilitates, presents information and suggests topics on risk management/performance improvement and compliance to Committees or hospital departments as necessary and based upon occurrences or claim patterns
  • Reporting, Report Preparation and Submission
    • Provides aggregate analysis of risk and performance improvement data and trend analysis to Committees and departments as necessary
    • Directly reports to Administration those incidents with claims potential.
  • Medical Staff
    • Advises the Medical Director and Medical Executive Committee as needed
    • Advises physicians on issues of interest or concern including Informed Consent process; Documentation

      and communication; Accountability; Response to patient/family complaints; and internal problem

      solving
Note: The essential job functions of this position are not limited to the duties listed above

Benefit & Rewards Highlights

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Tuition savings to continue your nursing education with Chamberlain University
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

Qualifications

REQUIREMENTS:

Education: Bachelor's Degree from an accredited college or university required. Bachelor's Degree from accredited college or university in nursing, or related health field is preferred. Master's Degree preferred. C ombination of education and experience considered.

Experience: Four (4) years of experience in quality and risk management/improving organizational performance within an acute medical or psychiatric treatment setting.

Additional Requirements: A strong knowledge of JOINT COMMISSION, state of Texas standards, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities.

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

Explore Job Opportunities

UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

Internship Programs

UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

Professional Growth and Development

UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

Benefits and Culture

Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

Networking and Innovation

UHS encourages a culture of innovation where team members are motivated to bring forward ideas that drive improvement and efficiency. Networking within the company is supported through various events and internal platforms, helping team members to connect, share insights, and collaborate on projects.

Applying for a Position

To apply for a position at UHS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at UHS is thorough, aiming to assess not only the professional qualifications but also the alignment with the company’s values and culture. Interested candidates can visit the UHS Careers page to submit an application and learn more about the hiring process.

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Discover the rewarding career opportunities at UHS. Search for open positions that match individual skills and interests. UHS looks for passionate, curious, and solution-driven team players ready to make a significant impact in the healthcare sector.

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