Job Purpose:Capital Digestive Care, LLC (CDC) seeks an experienced and strategic Risk Manager to lead CDC's risk management program. This is a leadership role. The Risk Management Manager (RMM) will oversee, and adjust as necessary, a comprehensive risk management program, collaborate with multiple departments to assess and mitigate risks, and promote a culture of safety throughout the organization. The RMM will lead investigations independently or under the direction of counsel, manage compliance with risk-related regulations and policies, and develop proactive strategies to assess and prevent/mitigate losses liabilities and promote opportunities.
The RMM will plan, organize, direct, and oversee all aspects of risk management activities. The RMM will identify, assess, and develop strategies to address clinical, strategic, and operational risks.
Duties/Responsibilities:- Implement a robust risk management program throughout the organization.
- Collaborate and consult with the corporate leadership related to the organization's risk management services.
- Lead Investigations and analyze actual and potential risks in the organization. Collaborate with the Legal team to assess liability and probability of legal action for potential notification. Implement, educate, and encourage incident reporting per policy throughout the organization.
- Develop and implement infrastructures and systems that support patient safety.
- Promote a culture of safety by encouraging incident reporting.
- Collaborate with employees to streamline the incident reporting process making it more effective and efficient.
- Collaborate with organization leadership and all departments to monitor and promote compliance with the organization's policies, procedures, state and federal laws, and regulatory agencies
- Identify and stratify risk areas that could cause harm to persons receiving services, visitors, and employees.
- Provide staff development, and training related to identifying, reporting, mitigating, and minimizing risk.
- Collaborate with Compliance and practice leadership to review complaints and grievances to identify potential exposures.
- Collaborate with Quality Assurance and Performance Improvement (QAPI) disciplines to complete a Root Cause Analysis for specified events.
- Establish and lead a Safety Committee that identifies and develops measurable safety initiatives based on organization data that improve the safety culture.
- Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development, and compliance initiatives.
Qualifications:- A successful applicant must be legally authorized to work in the United States without sponsorship.
- Bachelor's degree in a clinical healthcare, risk management, business, finance, or a related field required.
- Certified Professional in Healthcare Risk Management (CPHRM) certification
- 7+ years experience in a risk management position required.
- 2+ years of supervisory experience preferred.
- Experience with AAAHC, Joint Commission, CAP, COLA, CLIA, DEA, and CMS surveys, as required by service line(s) supported
- Medicare guidelines for screening vs. diagnostic colonoscopy, and gastroenterology procedures
- Medical necessity and documentation requirements for outpatient procedures
- Strong analytical, organizational, and problem-solving skills
- Excellent communication and provider engagement abilities
- Experience in ambulatory surgery centers (ASC) and physician practices preferred
- Familiarity with GI-specific risks Experience with analytics tools preferred
Diversity & Inclusion 
