Stony Brook Clinical Practice Management Plan, Inc.
SUMMARY: The Clinical Risk Manager will support the Risk Management Program and functions within the Faculty Practice Plan. Under the direction of the Director of Administrative Services, the Clinical Risk Manager will:
Risk Management Program:
Support a proactive Risk Management Program to aid in loss control and the prevention of patient harm.
Facilitate a robust risk identification process including event/incident reporting, iatrogenic injuries, reporting of complications, and unexpected outcomes.
Conduct systems analyses to uncover and identify patterns that could result in compensate events and design proactive methods to reduce likelihood and severity.
Assist clinical chiefs, and department heads in the design of risk management programs specific to their department and unique risk.
Interface with Department Chairs to review department specific Risk Management issues working collaboratively to implement action plans.
Research, write and implement departmental and facility policies and procedures that affect liability exposures and assist in regulatory compliance.
Develop summary reports of incidents, claims, reserves, claims payments, sentinel events and near misses highlighting lessons learned and risk control initiatives implemented. Include resource needs or other prevention/mitigation methods.
In conjunction with the Risk Management/Claims Committee, the Clinical Risk Manager will develop and maintain risk management profiles on individual physicians and ensure the integration of that information into the credentialing process in compliance with state and federal agencies, NCQA, The Joint Commission, and institutional requirements.
Ensure compliance with various codes, laws, rules and regulations concerning patient care, including those mandated by state and federal agencies, incident reporting and investigation activities.
Ensure that risks are minimized by following-up and acting on all regulatory/insurance survey reports, RCA corrective action, recommendations/deficiencies.
Lead critical event/serious safety event investigations, disclosure, and root cause analysis.
Provide consultation/assistance to medical and administrative staff on risk management issues.
Facilitate and/or provide risk management education, including orientation for new providers and employees.
Develop an annual education plan and track compliance as part of the risk management program.
As assigned, participate in captive functions related to risk management.
Assist the management of the claims program, which includes reporting procedures, early resolution and disclosure, and detailed claims investigations.
Other duties as assigned
Knowledge and Abilities Required:
Knowledge of regulatory codes, legal requirements and healthcare law.
Effective presentation skills, articulate, persuasive, and eloquent communicator both verbally and in writing.
Familiarity with legal (e.g., state and federal laws), regulatory (e.g., CMS), accreditation (e.g., The Joint Commission) and industry-specific resources (e.g., ISMP, NPSF) related to healthcare risk management.
Self-motivated with the ability to work independently. Requires little supervision.
Ability to manage/handle stress while under pressure from many involved parties
Ability to interface with a variety of professionals including members of the Board of Directors, medical staff and senior leadership, attorneys, accountants, actuaries, brokers, and the like.
Preferred knowledge of alternate risk financing/insurance programs.
Demonstrated skills in strategic planning, implementing and evaluating programs.
Knowledge of clinical and non-clinical loss control measures.
Demonstrated ability to offer creative, innovative solutions to prevent/reduce difficult risk issues.
Ability to manage information in a confidential manner.
Reputation and ethical conduct must be of the highest standard and beyond reproach.
CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.
Qualifications and Skills:
Bachelor’s degree required.
Master’s degree preferred.
At least 10 years of experience in a clinical risk management role.
Associate in Risk Management (ARM) or Certified Professional in Healthcare Risk Management (CPHRM) desired.
JD and/or CPCU desired.
Internal Number: 18-00752
About Stony Brook Clinical Practice Management Plan, Inc.
SB Clinical Practice Management Plan, Inc. (SBCPMP) offers a variety of employment opportunities in a variety of clinical and business areas for the Physician Faculty Practices of Stony Brook Medicine. The Physician Faculty Practices span across eighteen different practice specialties and more than forty five locations across Suffolk County. SBCPMP provides billing and clinical support personnel for the Physician Faculty Practices. Learn more about the extraordinary career opportunities available and start your new career at SB Clinical Practice Management Plan, Inc.