Job Duties:
: Coordinates the establishment and maintenance of an internal risk management program including developing a network of information sources, compiling and maintaining records and statistics, and disseminating relevant data to staff, as appropriate, while maintaining strict confidentiality requirements. Oversees all risk management and designated quality assurance activities, including, but not limited to: Developing methods to identify, investigate, and reduce risk of injury and loss to individual patients and to the organization; reviewing all incident reports; investigating and analyzing the frequency and causes of incidents, and reporting specific types of incidents as required by law; responding to all grievances from patients and their representatives; reviewing and assessing all patient care practices and quality indicators; reviewing and assessing documentation practices and content, as needed; reviewing and assessing patient satisfaction; assisting with employee satisfaction issues that are related to quality of care and services; assessing security and safety hazards in the physical plant; reviewing processes for the development and maintenance of competencies, and for credentialing medical staff. Provides risk management, risk prevention and quality assurance/improvement education and training to all staff annually and to newly hired employees. Participates in the survey and accreditation process, and provides assistance in litigation issues, as needed, on-call responsibility as needed.