Job Description

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal

Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily

since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in

2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in

2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s

Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees

and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42

outpatient facilities and ambulatory care access points, an insurance offering, a physician network and

various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United

Kingdom.

POSITION SUMMARY:

Oversees the risk management and performance improvement programs. Coordinates action plans and corrective action by the department directors, in regards to licensing and accreditation surveys.

QUALIFICATIONS:

Education/Training:

· Bachelor’s degree in a healthcare-related field.

· RN or Master’s degree in a healthcare-related field preferred.

· Training in healthcare compliance activities, healthcare safety/risk management, hospital performance improvement activities, and hospital administration preferred.

Experience:

· Minimum of ten years administrative or program-related experience in a hospital setting, with at least five years in a supervisory capacity.

· Experience must include Joint Commission.

Licensure/Certification:

· Current North Carolina State Registered Nurse License

· Current North Carolina Driver’s License

· Current CPR Certification

· CPI Certification

Knowledge and Skills:

· Displays written and verbal communication skills, and is able to follow written and oral instructions.

· Able to work collaboratively, diplomatically, and with integrity in problem identification, projects management, and problem solving activities.

· Is knowledgeable of, can interpret, and put into practice pertinent federal, state, local regulations as well as JCAHO and related standards.

· Displays knowledge of ethical principles and compliance issues in a healthcare setting.

· Is familiar with various types of documentation maintained in a healthcare setting.

· Demonstrates basic understanding of medical terminology.

· Can work independently and productively with little supervision.

· Can develop action plans, coordinate resources, and see tasks through to completion.

· Displays good organizational skills.

· Is knowledgeable about healthcare risk management and performance improvement activities.

· Able to type 40 words per minute and use computer software programs preferred.

STANDARDS OF PERFORMANCE

Responsibility I: Risk Identification and Evaluation

____1. Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Review

Reporting system (Occurrence notification system); enters incidents into the MIDAS Database.

____2. Collects and screens all reports.

____3. Analyzes and trends data

____4. Identifies actual and potential risk situations and facilitates the determination of causative factors

____5. Refers occurrences for follow-up to appropriate department or medical committee; ensures that all Level III/IV are referred to the CRM and PCR entered into STARS within ten days

____6. Receives immediate and concurrent reporting of adverse patient outcomes identified by the PI process

____7. Performs risk surveys and inspects patient care areas in concert with hospital's safety (EOC) program committee objectives

____8. Reviews reports on facility and equipment to assess loss potential

____9. Receives and investigates reports of product problem to determine appropriate response and establish record keeping responsibilities. In the event of patient injury, establishes direction from Corporate Risk Management in the appropriate action for defense strategy

___10. Receives information (verbally or formally on the HPR) from facility staff regarding patient events which may lead to a claim.

Responsibility II: Risk Reduction

___11. Networks with department directors to implement system changes aimed at optimally reducing or eliminating causative factors.

___12. Networks with medical staff to ensure active involvement and participation in:

____ A. Risk identification

____ B. Risk analysis

____ C. Risk reduction/loss prevention problem solving and program development designed to benefit

the clinical aspects of patient care and safety

___13. Networks with medical staff to ensure the credentialing and privilege delineating process requires information regarding professional liability experience, results of peer review activities, changes in medical staff memberships, clinical privileges, licensure, etc.

___14. Interfaces with the Patient Advocate specific to patient complaints and assesses/recommends action, on those, which may be a source of potential litigation.

___15. In conjunction with hospital administration recommends actions when possible to resolve with patient and/or family any grievances against hospital perceived as potential liability claims.

___16. Refers policies that present particular risk in relation to previously identified problems to Corporate Risk

Management

___17. Identifies particular practices having legal connotations to target planning of preventive and corrective

measures

___18. Assesses liability and probability of legal action

___19. Is available to resolve treatment issues, including patient refusal of treatment, consent issues, HIPAA violations, AMA's, etc. under direct supervision of CEO, Corporate Legal Council, and Corporate Risk Management

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Job Tags

Similar Jobs