Kettering Health Network

  • Manager Patient Relations & Risk

    Posted Date 3 months ago(1/29/2019 10:29 AM)
    Job ID
    2018-15211
    Job Location
    US-OH-Hamilton
    Job Category
    Other
    Job Type
    Full-Time
    Shift
    First Shift
    # of Openings
    1
  • Overview

    Provides oversight and management for Patient Relations service, which acts as the liaison between patients and the institution and between the institution and the public.  Manages Patient Representatives who facilitate the grievance process for patients and families, in accordance with CMS (Center for Medicare and Medicaid Services) guidelines.  Provides oversight of the Risk and Patient Relations activities including coordination with corporate Risk Management, negotiation of settlements, review and revision of policies and coordination of follow up related to risk exposure and liabilities.  Patient Relations and Risk Manager is responsible for review and coordination of follow-up of Midas Patient Relations events. Works closely with and provides back up for the Patient Safety Manager.  Assists with management of Root Cause Analysis.

    Responsibilities & Requirements

    Accurately completes Grievance Reports and Safe Medical Device Reports through medical record review and communications with patients and their families and staff.  Confers with management on issues of risk exposure and liability and coordinates follow up to resolve issues. Identifies trends documented on Midas event reports or other intradepartmental communications. Researches procedural problems affecting multiple departments resulting from specific patient complaints and works with departments involved to affect improvements.  Accurately investigates, researches, documents, and preserves evidence for Corporate Risk Manager. Works with Patient Relations Representatives to obtain thorough and accurate claims file documentation. Negotiates approved settlements with patient and family within authority. Assists in compilation of statistics and reports for Patient Relations, Administration and other departments. Develops and implements educational programs to resolve identified trends in occurrence reports. Manages policies related to patient relations and risk management.  

    Preferred Qualifications

    Education:
    Bachelor’s Degree in Nursing 
    Master’s Degree in Nursing preferred
    Certification in healthcare risk management or quality (CPHRM or CPHQ) required or obtained within three years of hire.
     
    Experience:
    - Two years of progressive supervisory experience with demonstrated leadership and management skills
    - Maintains competencies & skills of Infection Prevention and Control
    - Ability to communicate effectively, written and oral
    - Ability to evaluate statistical data for use in planning and monitoring outcomes.
    - Ability to work under stressful situations
    - Proven skills in developing high performance teams
    - Proven skills in facilitating performance improvement teams to achieve best in class results
     
    Licensure, Certifications, Registrations:
    Certification in healthcare risk management or quality (CPHRM or CPHQ) required or obtained within three years of hire.
     

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