Risk Management Coordinator - Medical Center Risk Management (RISK MGT HC PROFL 4)
UCSF Medical Center
February 21, 2018
San Francisco, California
Full Time - Experienced
4 Year Degree
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team. Ranked by U.S. News & World Report as the number one hospital in California - and among the top five in the country - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
The Risk Management Coordinator is responsible for the activities of UCSF Medical Center which support the Mission, Vision and Values of the organization and promotes high-quality patient care, compliance with UCSF Medical Center policies, patient safety, and patient and family services and care. The Risk Management Coordinator works independently and in collaboration with the Risk Management Staff, other medical center staff and physician leaders. A crucial part of the Coordinator's job is the development of close, strategic and collaborative relationships across the institution. The Coordinator provides risk advice in a variety of areas, including consent, mandatory reporting, patient/family/visitor behavior, threat management, medication management, adverse event management, patient complaints and grievances, Medical and Nursing Board complaints, privacy and confidentiality, surgical complications, disclosure of adverse events, discharge and discontinuation of care, elopement and AMA, media requests, policies and procedure, to name a few. The incumbent will guide physicians to reduce the risk of harm to patients by assisting them in the development of retrospective reviews following an adverse event or claim, project managing or problem solving. The Coordinator performs detailed technical and risk data analysis, chart review and summary, data collection and data entry into and extraction of data and reports from the UC System Wide Claims Management data base, iVOS, Risk Management Office databases and UC System Wide Claim Analysis data base, CRICO. The Coordinator identifies potential problems with the care related to adverse events and liability claims. The Coordinator tracks and develops reports related to the Risk Management Consultations (which have increased by 400% in the last 5 years). The Coordinator independently works with outside counsel on professional liability claims to research and respond to discovery requests, deposition management, trial preparation and strategy. The Coordinator manages subpoenas received by Risk Management related to depositions of UCSF physicians and staff. The incumbent will advocate for the physician related to the deposition, provide deposition preparation counseling of physicians and manage the conduct of outside counsel who wish to contact our physicians or employees or subpoena them for deposition or trial. The Risk Management Coordinator is responsible for assisting the Manager and Executive Director with oversight of the professional liability program for UCSF Medical Center and UCSF Medical Center at Mount Zion, including all ambulatory practices, Langley Porter Psychiatric Institute and the School of Dentistry. The Coordinator's assignment includes departments and projects with significant clinical complexity and/or organizational scope. The Coordinator demonstrates knowledge of professional liability standards of care for all practitioners (nursing, physician, social, etc.) and other laws and regulations, including but not limited to, Joint Commission Standards, The Medicare Conditions of Participation, Title 22 and other California laws and regulations. The incumbent will demonstrate basic knowledge and the ability to research global issues and provide risk advice accordingly in cooperation with other Risk Management Staff.
Bachelor's degree in related area and / or equivalent experience / training
Advanced technical skills to analyze and identify potential significant risks. Ability to consistently produce high quality, thorough work despite pressing deadlines by accurately completing activities the first time
Project management skills to lead a team, prioritize personal and team tasks and see projects through from inception to completion on schedule. Demonstrates adaptability and flexibility to effectively handle change. Evidence of leadership, crisis management, quick thinking, calmness under pressure, creativity, integrity, initiative, flexibility and problem solving skills
Interpersonal skills to work independently and collaboratively, and to coordinate and integrate with others throughout the organization and with outside counsel, claims people and UCOP Skills that include diplomacy, discretion, and tolerance and the ability to respond in stressful or time sensitive situations
Advanced analytical abilities and problem solving skills to quickly evaluate complex issues, identify options for resolution, and apply sound judgement. In-depth knowledge of data analysis, research and reporting, particularly in the clinical risk management industry
Verbal and written communication skills to effectively communicate through all mediums and with all groups. Ability to listen actively, understand varying viewpoints and receive feedback
Ability to perform all commonly applicable functions in word processing and spreadsheet software. Advanced knowledge of organization's risk management application programs to troubleshoot issues and recommend improvements in convenience and efficiency. Strong computer skills, including Microsoft word, Excel, Access databases for use in the development of reports to UCSF governing bodies
Advanced teaching skills. Ability to develop curriculums that convey complex concepts in an understandable way
Proven ability to maintain confidentiality of sensitive information. Discretion, tact and ability to deal with sensitive issues
The flexibility to orient and work at all UCSF Medical Center locations
Minimum five years experience in large hospital risk management, quality management or claims management program, or comparable experience
Current CA Nursing license and/or CA law degree
Familiarity with QA standards/processes and Joint Commission requirements
Advanced knowledge in healthcare risk management theory and industry best practices. Ability to apply knowledge and skills to recommend improvements to risk management processes and procedures and claims administration
Knowledge of risk management, medical center, and UC policies and processes. In depth knowledge of relevant risk management industry federal, state and local laws and regulations to proactively identify and mitigate compliance risks. Authority and responsibility in or for a similar size organization, with similar scope and complexity of UCSF Medical Center
Living Pride Standards
Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center's values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.
Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards.
Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets.
Keeps working areas neat, orderly and clutter-free, including the hallways. Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
Picks up and disposes of any litter found throughout entire facility.
Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments.
Protects the physical environment and equipment from damage and theft.
The flexibility to orient and work at all UCSF Medical Center locations is required.
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Further information about the University of California, San Francisco, is available at diversity.ucsf.edu. UCSF seeks candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence, and the communities we serve. *LI-VL1