Regional Risk Management Manager (Registered Nurse)

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us.

Summary of Position

• Responsible for day-to-day risk prevention and mitigation (clinical and non-clinical), safety, and regulatory/ accreditation compliance in assigned AdvantageCare Physicians (ACPNY) medical offices across Manhattan, Bronx and Queens. 
   
• Conduct regulatory and compliance reviews to identify potential risk/s. Develop solutions to mitigate and prevent ACPNY medical office risk.
   
• Recommend increased efficiency and/or effectiveness of the risk management related control systems, including providing value-added analysis on business operations and integrity of internal controls.

Principal Accountabilities

• Investigate, track, trend and report safety and incident events; analyze and draft documents for root cause analysis.
   
• Coordinate and implement corrective action strategies and initiatives.
   
• Investigate patient complaints which involve risk or potential litigation issues; investigate general liability incidents. 
   
• Assist in mitigation of patient complaints and safety issues. 
   
• Provide support and incident response when there are concerns involving the quality of care rendered to a patient or general patient safety concern, including facilitating effective communication between the patient/family and other members of the health care team relative to the disclosure of the event. 
   
• Provide support to a patient or family after an adverse event.
   
• Develop, analyze and enforce risk management program plans and risk reduction initiatives, ensuring compliance with risk management standards established by accrediting and regulatory agencies.
   
• Enact changes in clinical practice, policy and procedure, and employee/medical staff behavior to preserve ACPNY’s assets and quality of care.
   
• Conduct Risk Management Assessment Surveys. Provide recommendations for improvement. 
   
• Analyze, coordinate and implement corrective measures for deficiency findings of regulatory surveys; formulate risk identification, trending, assessment, reduction and remediation strategies; revise and implement policies to ensure compliance with current standards and practice related to risk and safety matters.
   
• Foster an awareness of risk management practices and techniques through education and communication among senior management and the governing body, medical staff members, and employees at all levels.
   
• Provide staff with guidance and education on risk policies and initiatives; participate in privacy and HIPAA investigations and initiatives.
   
• Triage complaints and claims related to professional and general liability.
   
• Investigate employee incidents which result in injury; prepare documents for liability insurance carriers regarding claims and potential claims.
   
• Report all serious events and potential claims to AVP, Risk Management and P3 Claims Management Committee.
   
• Review and provide risk recommendations related to patient care policies, procedures, and forms.
   
• Continually monitor program effectiveness and provide Risk Management operational reports.
   
• Perform other job-related duties as required.