Director, Risk Management, HIM & Performance Improvement

Full Time
Panama City, FL 32405
Posted
Job description
Responsibilities:
Director, Risk Management, HIM & Performance Improvement Opportunity


Emerald Coast Behavioral Hospital
provides inpatient treatment services to children, adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at our three outpatient centers located throughout the Florida Panhandle. Additionally, we offer specialized treatment for active duty military members through our Military Resiliency Program, specialized chemical dependency treatment and TMS therapy for chronic depression.


Visit us online at: https://emeraldcoastbehavioral.com/


The Director is responsible for clinical identification, risk evaluation and coordination of corrective action related to risk issues and creating methods to avoid, eliminate and/or reduce risk situations associated with the provision of patient care and services. Leads improvement of clinical outcomes through program evaluation and performance improvement functions including monitoring programs for compliance with quality standards, implementing tools used for programs and service evaluation, and organizing data collection and information analysis. Directs the activities of the HIM Department and Patient Advocate.


Job Duties/Responsibilities:

  • Administer the Risk Management (RM) Program using TERM (Technical Elements of Risk Management). This includes but not limited to Risk Identification, RM Education, Risk Prevention Techniques, Claims and Litigation Management, Contract Review, and Measuring the Effectiveness of the RM Program. These areas include but are not limited to:
    • Manage incident reporting function. Investigate incidents, take or recommend corrective action and identify trends.
    • Prepare and facilitate the monthly Patient Safety Council meeting to assure all safety related concerns are addressed.
    • Prepare Probable Claim Reports for all Level III and IV Incidents, and near misses.
    • Lead internal investigations and Peer Reviews on serious and tragic incidents as well as near-misses as required. Conduct Root Cause Analysis or Intensive Analysis’ as appropriate.
    • Prepare risk identification reports in summary format utilizing appropriate templates. Analyze trends. Prepare and present risk identification reports for CEO, medical staff, Medical Executive Committee, and Governing Board.
    • Conduct Failure Modes Effect Analysis (FMEA) as required.
  • Plan, develop, coordinate, direct and carry out activities related to the facility-wide performance and quality improvement program and processes to include:
    • Ensure that the facility is in compliance with The Joint Commission, CMS, AHCA, OSHA and other regulatory agencies standards. Facilitates regulatory surveys to include facility readiness, training and resolutions of findings.
    • Respond quickly and proactively to performance indicators and data, resulting in higher quality staff and superior patient care.
    • Lead B-Tag Audit team and other initiatives to insure compliance with regulatory standards, contracts, licensing standards and guidelines.
    • Prepare for and conduct the monthly Quality Council meeting and Policy and Forms Committee. Assure the continuity of all business conducted is captured and concluded from month to month. Assist leadership in developing their role in performance improvement and participation on this committee.
    • Collect and submit all externally submitted performance measures.
  • Respond to Risk Management/Quality of Care concerns from outside agencies as appropriate.
  • Interact with patients and families to increase patient/family satisfaction and/or to diffuse potential litigious occurrences /perceptions.
  • Serve on facility committees as requested such as Utilization Review, Peer Review, Patient Safety Council, Pharmacy & Therapeutics, EOC/Safety, Infection Control, MEC and Governing Board. Prepares and reports date and trends for areas of responsibilities as required.
  • Plans, develops and manages the orientation and on-going training for leadership and staff.
  • Conduct Leadership Q15 audits on a rotation basis and report findings. Act as Administrator on Call on a rotation basis.

Benefit Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications:

Requirements:

  • Associates Degree in Nursing from an accredited program or Bachelors in a mental health related field required. BSN preferred for RN candidates.
  • Active Florida RN Licensure required for RN candidates.
  • Five (5) years’ experience in inpatient healthcare setting required preferably in a psychiatric inpatient facility. Three (3) years management/supervisory experience preferred.
  • Has knowledge of hospital operations, risk identification, assessment and reduction and claims management.
  • Proficient in Microsoft Office to include Word, Excel and PowerPoint.
  • Excellent communication skills, both written and oral.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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