Clinical Risk Manager, Inpatient Hospital, Full-time

The CRM is responsible for the day-to-day administration of the Clinical Risk Management Program for Brooks Rehabilitation Hospital (BRH) entities and provides support to the Brooks System Director Risk Management.

The CRM assumes responsibility for incident investigation and identification/management of areas considered to be risk management liabilities.  The CRM acts as a consultant to physicians, leadership, and staff on matters of clinical risk management.

The CRM serves as a member of the risk management team which aims to mitigate risk to Brooks and ensure quality of care in a constantly changing health care environment.

Responsibilities: 


* Serves as Clinical Risk Manager for BRH entities under the direction of the System Director of Risk Management.


* Reviews all hospital incident reports and reports all actual and potential losses to the insurance company as directed by System Director Risk Management.


* Reviews medical records relative to reported incidents.


* Utilizes a high degree of judgement, prioritization, problem solving, and decision-making to complete a comprehensive review of quality-of-care incidents.


* Evaluates potential and/or actual patient harm clinical incidents to ensure a multi-disciplinary, risk-based approach is taken to effectively learn from unanticipated outcomes, patient safety events, sentinel events, and medical errors. 


* Maintains incident file management within scope of Risk Management and Patient Safety processes to ensure accurate and thorough documentation of risk management investigation.


* At the direction of the System Director of Risk Management, conducts the analysis and clinical investigation of incidents involving patient harm that pose potential for and/or actual liability to Brooks.


* Performs pertinent medical record and medical/nursing practice guideline reviews, provider queries, and coordinates specialty reviews, as needed, to facilitate investigation of assigned incidents. 


* Independently reviews non-critical incidents to achieve resolution. 


* Consults on the incident reporting process that enables reporting of trends to leadership team to help support the oversight of quality, safety, and shared learning. 


* Identifies problematic practices and/or adverse clinical risk trends.


* Partners with Operations and Quality to eliminate or decrease risk of patient harm and liability to Brooks. 


* Serves as a member on various System Risk/Peer Review/Patient Safety/Quality committees to offer input and provide consultation on risk identification and reduction strategies. 


* Works with Patient Financial Services (PFS) team regarding billing procedures on pertinent patient incidents to write-off or discount charges deemed necessary to proactively mitigate claim potential. 


* Provides clinical knowledge and assistance to the System Director of Risk Management throughout the litigation process to assist in achievin...