Clinical Risk Manager

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world.

About the role

Under general direction, tracks clinical outcomes and incidents at the Alaska Native Medical Center (ANMC) and provides pro-active risk management consulting services to the hospital to prevent professional medical errors and omissions and other liability incidents and to improve patient safety.

Responsibilities

• Determines whether incidents are potentially compensable events (PCEs) and directs loss prevention and loss control efforts.
• Conducts risk assessments to help ANTHC and hospital leadership prioritize initiatives, strategies, and action plans.
• Serves as the clinical consultant on any federal tort claims, lawsuits, or insurance claims filed against ANTHC.
• Works closely with hospital management to develop risk management plans that support the mission and strategic goals of the organization, improve patient safety, and minimize financial loss and impact to the reputation of ANTHC.
• Provides clinical risk consultation to other divisions within ANTHC, when required.
• Exercises independent judgment within broad policy guidelines.
• Works closely with hospital administration and department managers to achieve a pro-active clinical risk management program that prevents and minimizes losses to patients, visitors, employees, and property and sustains an environment of safety and quality.
• Reviews confidential reports of incidents daily and prioritizes them for investigation and corrective action.
• Investigates and conducts root cause analysis (RCA) and failure mode effects analysis (FMEA) processes on incidents and adverse events, identifying patterns or trends that require corrective action or mitigation measures.
• Works with hospital quality improvement personnel to continuously improve the electronic incident reporting and tracking systems for the identification, collection, and analysis of incidents, adverse incidents, and other risk-related information.
• Contributes to risk management program metrics and prepares dashboard reports for the ANTHC Board of Directors, the ANMC Joint Operating Board, and executive leadership and department managers to measure the efficacy of the hospital risk management program and determine strategies for continuous risk improvement.
• Promotes leadership and workforce awareness of best practices in clinical risk management through education and training, development of risk management policies, open communication, and collaborative working relationships with colleagues performing related functions.
• Actively participates in committees relating to hospital operations and management, risk management, patient safety, and quality improvement.
• Works with ANTHC risk management and finance personnel to collaboratively develop solutions to minimize risk exposure, prevent losses, and decrease federal tort claims payments and insurance premiums.
• Provides clinical advice and assistance to the ANTHC Risk Manager, ANTHC Claims Administrator, ANTHC General Counsel, and federal U.S. Attorney General’s staff in resolving administrative tort claims, lawsuits, and insurance claims.
• Provides leadership, direction, and guidance to assigned staff; develops goals and priorities in conjunction with employees and assigns tasks and projects.
• Develops staff skills and training plans; counsels, trains, and coaches subordinate staff; implements corrective actions and conducts performance evaluations.
• Performs other duties as assigned.

Requirements

• Knowledge of hospital operations and best practices in clinical care in a hospital environment.
• Knowledge of business and clinical risk management principles and best practices.
• Knowledge of applicable health care laws, regulations, accreditation standards, and professional licensing, certification, and credentialing standards.
• Knowledge of effective loss prevention, loss control, and quality improvement practices.
• Knowledge of incident investigative practices including root cause analysis (RCA) and failure mode effects analysis (FMEA).
• Knowledge of federal ISDEAA/FTCA tort claims protections and of commercial health care professional liability insurance coverage and claims administration.
• Knowledge of best practices in infection control and occupational health/safety programs.
• Knowledge of federal reimbursement and grant program conditions and standards.
• Knowledge of the Alaska Tribal Health System.
• Skill in investigating and assessing health care risk exposures, interpreting and applying applicable health care laws and regulations, and developing best practice standards for clinical risk management programs.
• Skill in identifying and analyzing risk exposures and developing action plans to manage risk.
• Skill in assessing complex situations, prioritizing multiple tasks, projects, and demands, and in effective project management.
• Skill in analyzing complex sets of data and in preparing dashboard reports to management.
• Skill in leading and managing people.
• Skill in educating and training individuals with a wide range of cultural, educational, and professional backgrounds.
• Skill in written and oral communication and interpersonal relationships.
• Skill in using critical thinking, analytical, and research skills to define and solve problems.
• Skill in communicating empathetically with patients and family members following an adverse event.
• Skill in maintaining objectivity and professionalism in difficult situations.

Benefits

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
• Cost-Share Dental and Vision Insurances.
• Discounted Pet Insurance.
• Retirement Contributions with Pre-Tax or Roth options into a 403(b).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven Paid Holidays.
• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment.
• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
• Flexible Spending Accounts for Healthcare and Dependent Care.
• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
• On-Site Training Courses and Professional Development Opportunities.
• License and certification reimbursements and occupational insurance for medical staff.
• Emergency Travel Assistance.
• Education Assistance or Education leave eligibility.
• Discount program for travel, gym memberships, amusement parks, and more.