PRIMARY DUTIES AND RESPONSIBILITIES
– Reviews incident reports, assesses need for further investigation, and determines subsequent action.
– Investigates incidents involving potential risk. Reviews relevant medical and hospital documents, conducts interviews with involved persons, and assesses present liability and future risk.
– Determines appropriate action for current risk situations. May open active claim, adjust hospital bill, or negotiate settlement within given parameters.
– Recommends planned interventions to prevent future risks, working with appropriate departments, such as recommending policy and procedure changes or providing educational in-services, as needed.
– Works with hospital’s defense attorneys and hospital’s claims service to arrange interviews, obtain information, write reports, and provide other assistance as required.
– Review incident reports via the on-line system. Monitors and evaluates success of planned interventions by comparing frequency, severity, and trend data.
– Assumes supervisory responsibility for the hospital’s risk management function. Assists in development of department goals and Quality Improvement Plan.
– Serves on various hospital committees, such as Resuscitation/Code Blue Committee, Mortality and Morbidity Committee, P & T Committee, Infection Prevention Committee. Acts as liaison develops and presents reports and makes recommendations.
– Assists in supervising the secretary including hiring recommendations, orienting, training, counseling, evaluating and discharging.
– Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury-accident to Manager.
– Responsible for Incident Reporting system for assigned location including working with IT on updating users such as Gatekeepers and level 2 reviewers, adding or removing departments, and adding or removing categories, as approved.
– Available after hours as a Risk Management resource to staff and physicians, as needed.
