Risk Manager

Reporting to the Compliance and Privacy Officer the Risk Manager serves as the risk management resource for La Clnica and supports the enterprise risk management framework by facilitating risk governance and risk culture across the organization The Risk Manager analyzes health center requirements determines ways of ensuring protocols are followed throughout the organization maintains a system to audit protocols for compliance and institutes performance improvement plans when standards are not met SITEHOURS 40 hours per week Monday Friday Office at Administrative location in Oakland CA Travel to nearby clinics in Alameda Contra Costa and Solano sites is required Risk Management and Safety Facilitate quarterly Risk Management and Safety Committee meetingsLead agencywide enterprise risk management efforts in following areas a Applicable standards of health care risk management; b Applicable federal state and local health and safety laws and rules including competency validation credentialing and privileging requirements; c General risk management administration including claims and insurance management confidentiality and release of information and event investigation root cause analysis and follow up; d Patient care including reporting and management of adverse and near misses and trend analysis of events near misses and claims; e Medicaldental care including implementing performance improvement strategies to mitigate risk ; f Accident prevention and event investigation root cause analysis; h All functional areas in organization as outlined in the Risk Management PlanCoordinate with Leadership and managers to collaboratively conduct an annual risk assessmentConduct quarterly risk assessmentsMaintain system to detect prevent report manage and mitigate areas of risk and vulnerabilitiesDevelop executive summaries of risk management activities for Board reviewIdentify and prepare case studies for quarterly Root Cause AnalysisManage risk management and safety policies and proceduresFacilitate risk awareness organization of risk awareness sessions preparation of packages for new employees assessmenttesting of employees knowledge etcSupport the tracking and reporting of risk incidents corrective action plans root cause analysis etcResearch and maintain trending data on Risk Management issues and medical and dental standards of care identified through incident report and patient grievancesLead efforts to ensure compliance with medical practice standards to manage and minimize riskRecommend and implement changes in potential and known risk exposures to address procedures and practices that are not compliant with industry regulationsDevelop and maintain rapport and positive relationships with providersAssists with the maintenance and revisions to the incident reporting systemDevelop and provide Risk Management orientation and other educational services for personnel regarding risk issues as required by state statuteOther duties as assignedQualifications Education Bachelors degree or equivalent experience required Masters degree in healthcare administration nursing public health or a related field strongly preferred Knowledge Skills and Abilities Intermediate level overall computer skills and advanced knowledge in Microsoft Office applications particularly ExcelProven ability to maintain a high degree of discretion integrity and sensitivity to confidentiality and privacyAdvanced trainingknowledge in QIQA processes and healthcare complianceDemonstrated understanding of data collection data validation and data reporting processesProven ability to manage a high work volume with changing priorities and frequent interruptionsHigh level of attention to detail Proven ability to work independently and maintain self motivationStrong organizational problem solving and analytical skills Ability to work as part of an interdisciplinary team and to deal effectively with diverse individuals at all levels of the organization and with external partnersAbility to work across cultures and demonstrate support of diversity equity and inclusionExcellent written and verbal communication skills Proven skill preparing and maintaining records writing reports and responding to correspondenceExperience Experience working in a health care setting including experience working with electronic health record system strongly preferred 1 3 years of increasingly responsible health care operations experience preferredDemonstrated commitment to high quality health care for low income ethnically diverse populations Proven project management skillsRisk Management experience preferredAbility to communicate effectively both verbally and in writingAble to maintain confidentiality of sensitive informationExperience as a Quality Utilization Management reviewer beneficialKnowledge of clinical negligence andor insurance risk management principles preferredKnowledge of California Statutes pertaining to Risk Management and Patient Safety medical malpractice medical standards of care HIPAA etcAble to relate cooperatively and constructively with internal and external customersAbility to identify potential riskquality issues and to analyze and prepare reportsAbility to interpret adapt and react calmly under stressful situations