Under the direction of the Director of Patient Safety & Risk Management, the Risk Manager is a member of the Patient Safety & Risk Management team of the Dana-Farber Cancer Institute's (DFCI) Quality and Patient Safety (QPS) Department is responsible for identification, evaluation, and mitigation of risk at DFCI, including outpatient clinics at DFCI-Longwood, all DFCI Network locations, and the DFCI inpatient hospital. Provides leadership in risk management by promoting the highest level of quality care to the patients, ensuring regulatory compliance and mitigating malpractice risk through loss prevention. Plays an integral role in regulatory and accreditation readiness by assisting with the implementation of the Patient Care Assessment Plan and the Quality Improvement Plan consistent with Board of Trustee approved goals and regulatory and standard setting agencies. Develops external and internal relationships to ensure compliance with applicable regulations. Performs as an internal compliance consultant by maintaining current knowledge of hospital regulations, including: the Department of Public Health (DPH), BRM, The Joint Commission, Centers for Medicare and Medicaid Services (CMS), and Food and Drug Administration (FDA).
Primary Duties and Responsibilities- Risk Assessment and Analysis: Conducts comprehensive risk assessments to identify potential risks to patients, staff, and the organization. Analyzes incident reports, claims, and other data to identify trends and areas for improvement.
- Policy Development and Implementation: Develops and updates risk management policies and procedures in compliance with regulatory requirements and industry best practices. Ensures effective implementation of risk management strategies across the organization.
- Incident Management: Reviews submitted patient-safety event reports, investigates when necessary, and escalate serious safety events and near misses to leadership as defined by policy and protocol. Leads investigations into adverse events, near misses, and other incidents. Collaborates with clinical and administrative staff to develop corrective action plans and prevent recurrence.
- Education and Training: Designs and delivers training programs to educate staff on risk management practices and promote a culture of safety. Stays informed about industry trends and regulatory changes to ensure ongoing compliance and risk mitigation.
- Regulatory compliance: Prepares and submits potentially compensable events (PCEs) to DFCI medical malpractice insurer to ensure compliance with healthcare regulations and standards, the organization must adhere to guidelines set by The Joint Commission, OSHA, the Massachusetts Department of Public Health, the New Hampshire Department of Health and Human Services, and other relevant regulatory bodies. Collaborates with the QPS Quality & Regulatory Compliance team to maintain continuous survey readiness and participates in regulatory surveys as needed. Additionally, prepares and submits required reports to regulatory agencies and reporting PCEs to the DFCI medical malpractice insurer, such as CRICO.
- Collaboration and Communication: Communicates risk management activities and participates in various institute committees and outcomes to senior leadership and other stakeholders. Collaborates with attorneys from the Office of General Counsel on legal matters when requested and works closely with clinical, legal and administrative teams related to risk/safety issues. Collaborates with other members of the Patient Safety team, QPS staff and leadership, to support and advance the goals of the department and Institute, providing consultation and education.
- Continuous Improvement: Fosters a proactive approach to risk management by encouraging reporting and open communication. Participates in, or facilitates, improvement projects related to patient safety and risk mitigation, including monitoring of effectiveness of programs and initiatives.
Knowledge, Skills and Abilities- Ability to engage, build trust, and collaborate effectively with diverse teams and stakeholders comprised of multiple levels of hospital staff and administration. Outstanding leadership and team-building skills, with the ability to influence both with and without authority.
- Ability to manage multiple priorities and responsibilities simultaneously, operate effectively in situations of ambiguity, confront uncertainty, resolve conflict, and adapt to change.
- Organizational skills to facilitate small task forces for problem investigation and solving.
- Knowledge of hospital administrative and medication policies.
- Knowledge of The Joint Commission standards and regulations from Occupational Safety and Health Administration (OSHA), Centers for Disease Control and Prevention (CDC), Department of Public Health (DPH), BORIM (Board of Registration in Medicine) and CLIA (Clinical Laboratory Improvement Amendments).
- Clinical judgment and critical thinking to work with confidential patient information and evaluate findings in medical record review. Ability to identify resources to obtain needed information.
- Excellent verbal, written, and interpersonal communication skills and public speaking abilities.
- Knowledge of PC computer programs (e.g., Microsoft Word, Excel, PowerPoint, and Outlook), and ability to learn and use DFCI safety reporting system.
Minimum Job Qualifications- Bachelor's Degree in Healthcare Administration, Nursing, Risk Management, Public Health, Business Administration or related field. Master's Degree preferred.
- 5 years of experience in patient safety, quality, compliance, or related clinical practice experience.
- Previous risk management experience.
- Clinical experience in one of the following roles is required: RN, NP, Physician Assistant, or Pharmacist.
- Certification in risk management (CPHRM) preferred.
- Certification in Patient Safety/Quality (CPPS, CPHQ) preferred.
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).
$120,100.00 - $138,200.00