About this opportunity
Holland Hospital lists this Risk Management Director (Quality), Full Time opportunity in quality, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Working under the supervision of the Senior Vice President for Nursing Services, Risk Management, and Quality, provide strategic development, oversight, and management of the organisation's Enterprise Risk Management Program and risk portfolio.
Maintain extensive knowledge of healthcare risk management, compliance, legal, and regulatory/accreditation principles and trends; risk assessment methodologies; excellent leadership skills; and the ability to develop, implement, and measure effective risk management strategies.
Minimum Required
BA or BS in risk management, healthcare administration, or a related field
Preferred
Masters degree or Juris doctorate degree
EXPERIENCE Minimum Required
Proven experience (10 years) in a senior health care risk management role
In-depth knowledge of Enterprise Risk Management (ERM) domains and risk management principles, methodologies, and best practices
Strong analytics skills and the ability to assess complex risk scenarios and make data-driven, risk-stratified decisions
Demonstrated experience in developing and implementing risk management frameworks, policies and procedures, and Internal Audit programs
Strong knowledge of health care-related regulatory, accreditation, and legal standards (CMS, DNV/ISO, OSHA, OCR, OIG, etc.)
Proficiency in risk management software systems and tools
Extensive experience with insurance program management & professional liability claims management
Excellent leadership, communication, and interpersonal skills, with the ability to effectively collaborate and influence stakeholders at all levels within the organization as well as external stakeholders
Proven change management skills
Ability to thrive in a fast-paced environment and effectively manage multiple priorities and deadlines
Strong problem-solving skills and the ability to think strategically while also managing fine detail
A. ERM Program Management
Lead the organization in identifying and conducting risk assessments & Root Cause Analyses and identifying potential risks and vulnerabilities
Collaborate with organizational leadership and senior management to develop risk mitigation strategies, corrective action plans, and monitoring strategies
Establish key ERM risk indicators and develop systems to monitor and report on risk exposure, industry trends, and internal & external stakeholder requirements
Stay abreast of industry trends, regulatory developments, and emerging risks to ensure the system remains compliant and proactive in managing risks
Provide consultation, guidance, and support to leadership, medical staff, and organizational staff in implementing risk management best practices and ensuring adherence to policies and procedures
Act as a liaison with external stakeholders, including regulatory agencies, auditors, insurers, and other third parties, to ensure compliance and effective risk management
Lead the adverse event and crisis management efforts, including coordinating responses to adverse events and managing communication with stakeholders
Continuously evaluate and enhance the system’s risk management framework and processes to adapt to changing healthcare, business, and patient safety needs as well as risk landscapes
B. Claims Management
Establishment of risk reserves & oversight of risk retention/transfer recommendations
Coordination and defense/settlement of insurance claims, to include professional liability & general liability claims
Coordinate activities of system-wide Claims Committee
C. Insurance Program Management
Provide strategic direction to system with regard to insurance portfolio (policy acquisition, claims management)
D. System-wide Education, Training, and Policy Development
Develop and implement ERM-based policies, procedures, and protocols to identify, assess, mitigate, and monitor risks across the system
Develop and deliver ERM-based training programs to enhance risk awareness and competency across the system
Strategic Development, Oversight, and Management of the System-Wide Patient Relations (Grievance) and Recipient Rights Functions
Oversee compliance with accreditation, regulatory, and legal requirements relative to system-wide grievance process and Michigan Mental Health Code-driven Recipient Rights programs
Oversight and Management of the System-wide Regulatory Affairs/Accreditation and Environment of Care (environmental) Safety Functions
Ensure compliance with regulatory and legal expectations, including CMS, DNV, ISO, FDA, OSHA, Safe Medical Device Act, etc.
Oversee accreditation and continuous readiness activities in support of accreditation/regulatory compliance
Oversee Environment of Care (EOC) functions (including educational programming & initiatives)
Holland Hospital is an Equal Opportunity Employer, please see our EEO policy
Why Holland Hospital? In a word-caring. Here, we not only strive to provide the best possible care to our patients, but also nurture the continued health and wellness of our most valuable asset: our employees. We believe superior service is only possible with a superior workforce. Our collaborative, can-do culture makes all things possible. And, our family-like feel makes Holland Hospital not only a great place to work, but a career that feels like home.
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.