The Risk Manager is directly responsible to the Risk Manager Supervisor who is responsible to the Chief of QSV who reports directly to the Director. The incumbent is responsible for managing the Medical Center's Risk Management Program in accordance with regulatory, external review, VHA, VISN, and Medical Center requirements.

Duties

The Risk Manager fulfills the responsibilities of the position by utilizing sound organizational skills. The incumbent will develop creative approaches to the management of the Risk Management Program. The incumbent is to identify risk vulnerabilities through the analysis of data and implementation of performance improvement strategies. The Risk Manager is to be familiar with the accreditation process and be actively involved in the ongoing compliance assessment of the standards that are identified as Risk. The Risk Manager is to identify risk areas that include or availability of data/information. All resource issues are to be evaluated, noting all options available and then proceeding with the appropriate course of action which will result in the most favorable organizational outcome. The incumbent is to provide leadership in the application of Risk Management principles, compliance with external accreditation standards, and VHA Handbooks and Directives. Providing this leadership will promote patient care and organizational processes/systems resulting in improved patient outcomes. Theincumbent is to analyze ethical issues utilizing appropriate theoretical principles, ensure the application of institutional policy, and serve as a resource and advocate for the protection of patients and family rights. The incumbent coaches colleagues in team building when applicable and makes sustained contributions to health care by sharing expertise within and/or outside the medical facility. The incumbent is expected to actively participate on Medical Center committees where they have the opportunity to share clinical/professional expertise with others within the facility. Additionally, they are to function as a consultant in Risk Management and provide consultation on issues related to risk. The incumbent is to collaborate with a variety of individuals within the VISN and VHA. The Risk Manager is to initiate interdisciplinary projects to improve organizational performance. They provide active leadership on inter-disciplinary committees, task forces, or other groups that have the objective of improving organizational performance. The Risk Manager, in conjunction with the Peer Review Nurse, prepares a quarterly summary review of 20 peer review cases are prepared for the Central Office. A peer review spreadsheet is prepared for the VISN that includes a summary of all completed peer reviews. The Institutional Disclosure is also reported quarterly to the VISN. The incumbent is responsible for overseeing the education of all new employees on the elements of the Risk Management Program. Additional training is presented to Nursing Orientation each month. The Risk Manager is responsible for displaying peer review and risk management data using an appropriate data tool. The incumbent must have a solid ability to manage charts and graphs (histograms, control charts, scatter grams, and data mining). Mandatory knowledge of multiple data display products and having the ability to analyze this information and present it to practitioners is a key element of this position. The Risk Manager is responsible for providing information to the Office of Inspector General and The Joint Commission upon request. This includes written and other information that is needed during on-site reviews. The Manager is to be familiar with the compliance of the Joint Commission standards that are assigned as Risk and is to conduct tracer rounds as warranted by the Continuous Readiness program. The Risk Manager will initiate a process to proactively identify risk trends facility wide. Meet with individual services and departments to review current Risk Assessments. He/she will capture and quantify the data providing Executive Leadership a clear understanding of current risks and risk exposure. The Risk Manager works with the Peer Review cases ensuring they are identified from multiple avenues including, Occurrence Screens, tort claims, and administrative and clinical concerns. Each completed peer review is copied or scanned to the appropriate attorney if a tort claim is involved. The committee's peer review results are uploaded into the database. Quarterly reports of peer reviews are created for the VISN with a complete quarterly report completed for presentation to the Peer Review Committee and MEC. Preferred Experience: Master's degree and/or a Bachelor's degree from a field related in nursing from an accredited program. 5 years in a clinical nursing practice. Team player. and capable of working well with others and independently. Sound organizational skills. Detail Oriented Work Schedule: 7:30am -3:30pm. Days will be determined by the needs of the facility. Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12463041. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Heavy lifting (45 lbs. and over); Moderate Carrying (15-44 pounds); Straight Pulling; Pushing; Reaching above Shoulder; Walking; Standing; Repeated bending; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Hearing aid (permitted); Ability to distinguish basic colors; Ability to distinguish shades of colors; Depth perception; Both eyes required; Both legs required; Use of fingers and both hands required.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Jerry L Pettis Memorial Veterans Hospital 11201 Benton Street Loma Linda, CA 92357 US
• Name: Michele Howard
• Phone: 909-871-7413
• Email: [email protected]