We are currently looking for a Director of Safety and Risk
Management for our HSS Pophealth Management Department at Heritage
Healthcare in Anaheim, CA.
Leads and directs risk management and safety under that larger
Quality Management Department of PSJH Physician Enterprise in
California including the coordination of all relevant activities as
requirements of OSHA, Joint Commission and DMHC. Incorporates goals
and performance of quality management, safety, clinical quality and
regulatory compliance into the comprehensive risk management
programs. Actively moves Physician Enterprise to a prospective,
proactive loss prevention, harm-reducing patient safety and risk
management program. Interfaces extensively with caregivers,
physicians, and administrative leadership in CA physician services
to foster an internal culture of shared accountability for
surfacing existing and potential risks, holding leaders accountable
for developing systems, training on workflows and interacting with
caregivers in a just way. Works with department leaders to identify
and train staff on behaviors and workflows that mitigate and manage
risk. Works with internal and external auditors to assess, identify
and manage risk. Serves as a representative of PSJH with ASHRM.
Creates and maintains a culture of safety in physician services.
Develops, trains and coaches Safety Officers and Safety
Representatives at the medical groups and all ambulatory locations.
Serves as the key resource to receive and resolve caregiver
inquiries on safety issues that may arise during the day. Serves as
the lead in developing ongoing communication programs for
caregivers on safety topics.
Essential Values-Based, Leadership and Management Competencies:
Demonstrates values-based competencies in line with the core values
that are the foundation of all activities performed by employees in
order to achieve the Mission of the St. Joseph Health System
Dignity:Demonstrates competence in communication and
Excellence:Demonstrates competence in continuous improvement,
continuous learning, accountability, and teamwork.
Service:Demonstrates competence in customer/patient focus and
Justice:Demonstrates competence in community orientation and
Has full responsibility for all operations of the Risk
Management (RM) program. Designs, implements and maintains a
facility-wide incident reporting system.
Investigates and analyzes actual/potential risks in the group
practice. Reports to executive management any serious event
involving actual/potential injury to patients, visitors or
Assesses liability and probability of legal action for potential
notification of insurance carriers. Involves compliance officers,
privacy officers and internal legal counsel when necessary.
Organizes and manages the CA Provider Services Risk Management
Committee. Includes training of department leaders and caregivers
to identify and report risk in their work.
Conducts regular audits to identify and manage risk as soon as
possible. Work with internal and external auditors in risk
evaluation and follow up. Performs risk surveys and inspects
patient care areas. Reviews facility and equipment to assess loss
potential. Takes steps to ascertain that risks are minimized
through follow-up and actions on all regulatory/insurance survey
Works with Director of Audits and Resolution Management to
identify potential risk associated with patient dismissals, member
and provider notices, denial letters, occurrence reporting, appeals
and grievances and resolution management. Work collaboratively to
resolve issues and escalate when needed.
SAFETY Design and/or administer a state-wide provider
services safety program. Author policies and promote workflows that
prevent/minimize loss and abide by OSHA and CMS regulations.
Coordinate safety efforts with leaders in operations and
Analyzes the risk of loss vs. cost of reducing risk.
Identify a calendar of drills and work with leadership to hold
our leaders in shared services departments and provider office
Develops/implements educational programs to reduce/eliminate
potential hazards throughout the facility.
Required Qualifications: Bachelor's Degree in Healthcare
Administration, Nursing or related field.
10+ years of related experience.
Experience with health plans and risk management
Experience in developing educational programs and
8+ years of leadership experience.
Knowledge of Title XXII, AAAHC accreditation standards, CDC and
infection control standards, building codes, fire life safety
codes, OSHA requirements (Title VIII) as well as litigation
Preferred Qualifications: Master's Degree in Nursing or Law.
Experience within SJHH.
Current RN Licence
St. Joseph Heritage Healthcare (SJHH) is one of California's
most respected medical groups. With over 3,000 employees and 75
locations throughout California, including, Northern California,
Orange County, High Desert and Los Angeles County, SJHH has been
continually recognized as a leader in quality, customer service and
information technology. This kind of success is the result of team
work, a commitment to excellence and a strong adherence to the
organization's mission, vision and values.
St. Joseph Heritage Healthcare (SJHH) provides equal employment
opportunities (EEO) to all employees and applicants for employment
without regard to race, color, religion, sex, national origin, age,
disability or genetics. In addition to federal law requirements,
St. Joseph Heritage Healthcare (SJHH) complies with applicable
state and local laws governing nondiscrimination in employment in
every location in which the company has facilities. This policy
applies to all terms and conditions of employment, including
recruiting, hiring, placement, promotion, termination, layoff,
recall, transfer, leaves of absence, compensation and training. My
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