Manager Risk Management & Patient Safety - Texas Health Mansfield- operated as joint venture between Texas Health Resources and AdventHealth
Location: 2300 Lone Star Road; Mansfield, TX
Top Reasons to Work at Texas Health Mansfield; Mansfield, TX
Join a family of caregivers focused on whole-person health and committed to making communities healthier.
Provide wholistic care for patients that extends to the spiritual level by praying with patients and families. Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support.
Help develop a brand new $150 million community hospital and medical office building that will provide services such as Medical/Surgical, ICU, Women’s Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology.
Grow in your career with AdventHealth, named in 2018 by Becker’s Hospital Review as one of the “150 Top Places to Work in Healthcare”. AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortune’s 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth.
Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for “Best Places to Live”. Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023. Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%. Mansfield has top-rated schools, over 900 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community.
Full Time/ Days
You Will Be Responsible For:
Leads Clinical Risk Management efforts
Participates in the review of all high-risk clinical occurrences received within the organization through collaboration with the respective Director/Manager
Investigate reports of any serious event involving actual or potential injury to patients or visitors to assess liability and probability of legal action
Provide proactive and reactive safety initiatives including facilitating root cause analysis, apparent cause analysis, failure mode and effect analysis and Sentinel Event Alerts. The information will be used to develop a process and plan for change that can be constantly monitored and evaluated for effectiveness
Facilitates/conducts Root Cause Analysis (RCA) Teams. Organizes and provides leadership to the RCA teams and follows up on outcomes of RCA team results and recommendations
Facilitates/conducts risk assessments to assess safety and liability exposure across the organization. Utilizes proactive risk assessment tools, include Failure Modes and Effects Analysis (FMEA)
Manages Patient Safety and Regulatory Compliance efforts
Maintains knowledge of national, state and local regulatory and accreditation requirements, as it pertains to the Texas State Statutes, CMS Conditions of Participation (CoP), Joint Commission (TJC) standards, and Healthcare Facility Accreditation Program standards, as it relates to the operations of Texas Health Hospital Mansfield
Responsible for facilitating improvement efforts to ensure compliance with TJC and HFAP Accreditation and CMS Conditions of Participation by ensuring continuing survey readiness
Conducts mock surveys and tracer activities across the organization on a regular basis
Collaborates as directed to collect data (chart audits) to assess for compliance with National Patient Safety Goals
General Duties & Responsibilities
Responsible for follow through and oversight for completion and actions plans relating to identified issues, including follow up measures of effectiveness.
Is readily available for questions and handles requests in a courteous and respectful manner
Utilizes the Performance Improvement Model
Collects, aggregates, analyzes, summarizes and reports quality data for hospital organizational performance and physician performance data as indicated.
Develops data reports for projects, committees, hospital departments, and medical staff departments as delegated
What You Will Need:
Bachelor of Science in Nursing
Current unrestricted state of Texas RN license
Minimum: 5 years of clinical nursing experience
3 years of healthcare accreditation or risk management experience preferred
The Manager of Risk Management & Patient Safety reports to the Director of Quality and Accreditation. The Manager of Risk Management & Patient Safety takes a leadership role in investigating reports of any serious event involving actual or potential injury to patients or visitors to assess liability and probability of legal action. This professional conducts proactive and reactive safety analyses, including root cause analysis and failure mode and effect analysis to develop a process and plan for change that can be constantly monitored and evaluated for effectiveness.
The Manager of Risk Management & Patient Safety works collaboratively with all department leaders to ensure continuous readiness and compliance with all accrediting bodies and regulatory agencies, across the organization. This includes Joint Commission standards, Healthcare Facility Accreditation Program standards, and CMS Conditions of Participation.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.