Incident Management Coordinator

About the role

The Incident Management Coordinator (IMC) supports the hospital’s Incident Management process. The IMC helps ensure that unusual incidents, allegations of abuse, neglect, and exploitation (ANE), crisis situations, and health and safety concerns are addressed promptly, thoroughly, and in alignment with state hospital requirements. The IMC plays a central role in protecting patient rights and maintaining a safe hospital environment by reviewing investigations, monitoring remedial action decisions, and providing data analysis that informs performance improvement.

Responsibilities

• Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift, and/or overtime in accordance with agency leave policy, and performs other duties as assigned.
• Provides technical assistance regarding entering data into the assigned data management system to those submitting initial and follow-up incident reports regarding required content, level of detail, individuals involved; gathers incident information, investigates and tracks incidents until they are fully reported and resolved. Ensures that protective actions are carried out and reevaluated as new information is obtained, keeps facility leadership and central office informed of new developments, and documents every stage of the incident management process from start to conclusion.
• Documents the preliminary review of reportable incidents in assigned data management systems, including abuse, neglect and exploitation (ANE) cases, and records team recommendations in required databases and in various formats, and contributes to the development of plans of correction for internal and external reviews, surveys, and investigations that may be conducted by external stakeholders such as Joint Commission (JC), Centers for Medicaid and Medicare(CMS), law enforcement, guardians, and any other external stakeholders.
• Participates with the development and revisions of the hospital’s incident management policies to ensure they meet hospital needs and remain in compliance with both state hospital and external requirements to ensure alignment with JC, CMS, and state and federal laws and regulations. Policies are updated as needed to respond to performance concerns, emerging trends, and regulatory changes.
• Reviews and analyzes data related to incidents to ensure accuracy and integrity. The IMC identifies trends and patterns that may contribute to unusual incidents and tracks remedial/corrective action plans to reduce the risk of recurrence. Generates the root cause analyses of incident contributing factors, sentinel event reviews (death of an individual in care), and management-initiated investigational reviews as assigned.

Requirements

Must possess a valid Texas driver's license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Must be able to drive state vehicles and golf carts.

Preferred but not required: Licensed to practice as a licensed vocational nurse (LVN) or registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire. OR Licensed Master Social Worker or Licensed Clinical Social Worker.

Initial Screening Criteria: Bachelor's degree from an accredited college or university, with a major in Social Work, Sociology, Psychology, or Nursing. OR Four (4) years in one or more of the following fields: Social Work, Sociology, Psychology, or Nursing. Three (3) years’ experience working in a psychiatric healthcare setting is preferred.