Risk Manager - Hhs

Definition

**IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION**

Definition: Under general supervision from the Quality and Compliance Administrator, assists with management of quality and compliance activities for the Health & Human Services (HHS) Department for the Salt River Pima-Maricopa Indian Community. Serves as a member of the management team and is the primary Risk Management Liaison to the Quality and Compliance department. Responsible for quality of care, performance measurements and analytics, reporting and integration of quality improvement processes and compliance oversight. This job class is treated as FLSA Exempt.

Essential Functions: Essential functions may vary among positions and may include the following tasks, knowledge, skills, abilities and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

Examples of Tasks

Manages quality of care and risk events (including sentinel events, facility incidents and complaints) through root cause analysis including but not limited to, peer review, process improvement, tracking and reporting of processes and standard operating procedure modification if necessary. Works with organization to eliminate sources of error: identify causes of variation, develops and implements systems and processes to facilitate effective clinical practice and error reduction.

Facilitates Risk Review Committee and any follows up on any/all patient safety and risk related issues.

Provides direct supervision/oversight to Patient Advocate staff to support patient satisfaction initiatives.

Creates annual HHS Risk Management Plan and Policy to executive leadership review and approval.

Administrator for the HHS event/incident reporting and complaint portal.

Effectively manages day-to-day event/incident reporting and complaints by creating appropriate and timely work flow from acknowledgement of an event or complaint through the final action steps being completed.

Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees. Collaborate with clinical staff, facilities staff, Safety Officer, Infection Preventionist and management for prevention of both clinical and non-clinical risks and to maintain effective infection control throughout the facility.

Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives.

Serves as Risk Management Department liaison to Quality and Compliance Department to provide risk perspectives, strategies, and recommendations.

Assists with any/all tasks in preparation for initial Accreditation survey and ongoing maintenance of Accreditation once achieved.

Ensures compliance with all Tribal and Federal privacy requirements regarding the handling of protected health information (i.e.-HIPAA, HITECH, etc.)

• Serves as the Department's HIPAA Privacy Officer
• Creates new hire training/onboarding and ongoing training for HIPAA
• Investigates, tracks and reports any potential HIPAA/PHI privacy violations.

Participates in Quality Assurance Committee and supports quality department by providing quarterly data as well as assistance with KPI creation, data tracking and reporting.

Participates in the development, implementation and monitoring of policies and standard operating procedures as part of Policy Review Committee as needed.

Performs other job related duties as assigned by the HHS Leadership.

Knowledge, Skills, Abilities and Other Characteristics:

• Knowledge of the culture, customs, traditions, history, government, and the needs of the families of the Salt River Pima-Maricopa Indian Community.
• Knowledge of the quality management cycle and quality improvement procedures.
• Knowledge of compliance management strategies.
• Knowledge of performance measurement.
• Knowledge of statistical analysis.
• Knowledge of root cause analysis.
• Knowledge of project management.
• Knowledge of data management software including spreadsheet development and use.
• Knowledge of federal, state, and tribal laws regarding privacy and confidentiality in regards to client records and information.
• Knowledge of policy, procedure and technical writing.
• Knowledge (basic) and understanding of health conditions including physical and mental health.
• Knowledge of program evaluation, data collection and assessment.

• Skill facilitating small and large groups in order to address program issues, needs and problem resolution.
• Skill establishing and maintaining effective working relationships with a variety of groups, resource agencies and demographics at all levels of the Community and outside SRPMIC.
• Skill using the personal computer and related software, including MS Office, in order to fulfill job requirements.
• Skill writing detailed narrative and statistical reports.

• Ability to balance and manage multiple projects.
• Ability to lead and facilitate interdisciplinary teams within a committee structure.
• Ability to communicate effectively, both verbally and in writing.
• Ability to establish and maintain accurate record keeping systems and procedures including computerized record keeping.
• Ability to work with a variety of staff members in a team approach to service delivery.
• Ability to operate a variety of standard office equipment including, but not limited to, photocopiers, FAX machines and personal computers.

Minimum Qualifications

Education & Experience: ABachelor's degree from an accredited college or university in a healthcare related field or Registered Nurse (RN) licensure, AND three (3) years' experience with risk management required.

• A Master's degree from an accredited college or university in a healthcare related field is preferred.
• Arizona state licensure in a health services discipline is preferred.

Equivalency: Any equivalent combination of experience that will allow the applicant to satisfactorily perform the duties of the job may be considered when filling the position.

Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill

Special Requirements

May be required to work beyond normal work hours including nights, weekends and holidays.

Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check.

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified : Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.

In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).

Documents may be submitted by one of the following methods:

1) attach to application

2) fax (480) 362-5860

3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date.

The IHS/BIA Form-4432 is not accepted .

Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.