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Promoting honesty and integrity across our daily actions and
interactions, our compliance, privacy, and regulatory professionals
provide the guidance and resources to uphold the highest ethical
Senior Risk Manager (1 of 2) Location: Rockville, MD Job Number:
899318 Date posted: 08.19.2020 Submit Interest Description: ***THIS
REPRESENTS TWO (2) OPEN POSITIONS**** Collaborates and develops a
proactive risk management program to prevent or minimize losses in
KPMAS Region. Manages, organizes, and assists with the
implementation of the Regional Risk Management Program and related
activities. Provides basic and complex preventive risk management
assessment of processes, procedures, and programs, including
education, consultation, and liaison activities. Initiates,
coordinates, and manages all investigational and evaluation
activities associated with professional and general liability
occurrences. Identifies and manages actual or potential sources of
financial loss arising from injury to the person, property, or
reputation of KPMAS. Actively monitors Medical Device/Equipment
Recalls and develops and coordinates response efforts. Functions as
a key member of the Threat Management team. Acts to provide fair
and equitable solutions to member disputes, suggesting dispute
resolution processes for addressing and managing conflict, and
determines appropriate reimbursements/payments under program
guidelines. Serves to improve patient safety and enhance relations,
build trust, and acts as a trusted information resource,
facilitator, consultant and practitioner. Essential
Responsibilities: Plans and organizes the development of effective
methods for reporting of occurrences and near-misses by provider
and staff through various sources, including medical records,
outside medical settings such as hospitals,medical centers,
security, quality management, etc.
Plans and organizes the development and maintenance of a risk
management database to facilitate trending and preparation of risk
management analyses identifying opportunities for improvement,
improvement actions taken, and follow-up to evaluate compliance and
Provide consultation, advice, resolution for medical/legal
issues in a manner consistent with applicable KPMAS policies, State
and Federal laws, regulations, patient rights and professional
ethics. Provides risk management expertise to support the reduction
of preventable errors in health care delivery.
Conducts thorough and timely PCE investigations. Collaborates
with Director and other leaders to implement Early Resolution with
members and/or their representatives as indicated. Collaborates
with Regional Claims Manager for successful management and
disposition of pre-suit claims. Serves as a departmental resource
for these processes.
Investigates and analyzes actual and potential risks on a
proactive and preventive basis; develops and maintains a mechanism
to receive and disseminate safety alerts; and works with biomedical
engineering to investigate reports of product and equipment
problems to determine appropriate response and coordination of
medical device tracking and reporting efforts.
Coordinates Significant Event reporting. Works with departments
to complete root cause analysis and implement corrective actions
when needed. Collaborates with physicians and departments to
develop strategies when communicating with members after adverse
Assesses the need for risk management related education and
coordinates the development, completion and evaluation of these
programs with the appropriate departments such as new employee
orientation, infection control, etc.
Monitors new practices to identify additional risk and assist
departments in minimizing and avoiding liability.
Develops educational and training programs for providers and
staff regarding risk trends and avoidance. Develops methods to
monitor the impact of this training.
Develops structures to keep the organization in compliance with
accreditation standards, federal and state laws and regulations,
and KP's internal requirements related to risk management.
Communicates findings and risk prevention strategies to regional
providers and staff.
Assists other KP departments in complying with accreditation and
regulatory risk management standards,i.e.policies and procedures,
legal claims manager, etc.
Coordinates the implementation of rapid response mechanisms and
situation management procedures for onsite patient and/or member
Partners with other departments such as Quality Management,
Patient Safety, Operations, Customer Service Call Center, Member
Services, EH&S, and Security in the identification and response
to risk threats.
As part of the Threat Management Team, responsible for
receiving, validating, interpreting, responding to, and managing
threats. Develop intervention plans that protects KP and its
members and addresses and mitigates conflicts that precipitated the
threat. Document the threat assessment process allowing for
confidentiality in accordance with privacy requirements and other
KP policies. Conduct an after-action review/debrief process.
Develops and maintains a mechanism to receive and disseminate
safety alerts, medical device/equipment recalls, and coordinate
appropriate tracking, response, and reporting efforts.
Requires Risk Manager on-call duties
Other Duties as assigned
Basic Qualifications: Experience Minimum five (5) years of
direct experience in the direction, management and analysis of
patient safety/risk management data, quality, and patient safety in
health care/managed care fields required.
Minimum five (5) years of clinical healthcare experience
Minimum three (3) years of experience with federal and state
laws and regulations
Minimum three (3) years of experience with early resolution,
mediation, or dispute resolution
Education Bachelor's degree in nursing or other health related
License, Certification, Registration Current CPHRM designation
or must achieve within six (6) months.
Must be a registered nurse in MD, DC, or Virginia required.
Must obtain RN license in all three (3) jurisdictions within six
(6) months of hire date.
Additional Requirements: Proficient in computer applications
including Microsoft Office Suite required.
Strong interpersonal skills, with good verbal and written
communication skills required.
Skills in problem-solving and collaboration with other
professions/ disciplines required.
Skill and experience in organizational change management
Demonstrated leadership skills required.
Knowledge of legal issues and State and Federal Laws
Knowledge of compliance and accreditation standards
Data management and interpretation, effective communication
Strong assessment and analytical skills necessary.
Preferred Qualifications: Knowledge of Kaiser Permanente
Advanced Proficiency with MIDAS+ reporting system preferred.
Early Resolution, mediation, or Ombudsman experience
Experience with Threat Management or patient/customer
negotiation strategies preferred.
Completed coursework in Early Resolution or Mediation
Master's degree in related field preferred.
Primary Location: Maryland,Rockville,Rockville Regional Offices
2101 E. Jefferson St. Scheduled Weekly Hours: 40 Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM
Working Hours End: 5:00 PM Job Schedule: Full-time Job Type:
Standard Employee Status: Regular Employee Group/Union Affiliation:
Salaried, Non-Union, Exempt Job Level: Individual Contributor Job
Category: Compliance / Privacy / Regulatory Department: Risk
Management Travel: Yes, 25 % of the Time Kaiser Permanente is an
equal opportunity employer committed to a diverse and inclusive
workforce. Applicants will receive consideration for employment
without regard to race, color, religion, sex (including pregnancy),
age, sexual orientation, national origin, marital status, parental
status, ancestry, disability, gender identity, veteran status,
genetic information, other distinguishing characteristics of
diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen.
Qualified applicants with arrest and/or conviction records will be
considered for employment in a manner consistent with federal and
state laws, as well as applicable local ordinances, including but
not limited to the San Francisco and Los Angeles Fair Chance
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