Job Description

At San Jose Behavioral Health, we are committed to delivering compassionate, high-quality mental health care in a safe, supportive, and clinically advanced environment. As a 133-bed inpatient psychiatric hospital serving adolescents and adults across Silicon Valley, our multidisciplinary teams provide individualized treatment designed to promote stabilization, healing, and long-term recovery.

We are seeking a strategic and experienced Director of Risk Management to lead initiatives that ensure patient safety, regulatory compliance, and a culture of continuous quality improvement. This leader will play a critical role in safeguarding our patients, staff, and organization while supporting our mission to provide personalized, evidence-based behavioral health services in an environment grounded in dignity, respect, and clinical excellence.

Salary: $110,000-160,000

PURPOSE STATEMENT:

Plan, organize, direct, and oversee all aspects of risk management activities. Promote a safe environment for the protection of patients, clients, employees, and visitors to the facility in such a manner as to comply with laws, regulations, and regulatory agencies. Identify risks that could potentially result in harm to patients, staff or visitors or lead to litigation or negative media or various forms of loss.

Responsibilities

ESSENTIAL FUNCTIONS:

• Implement a robust risk management program throughout the facility.
• Collaborate and consult with the corporate risk management department.
• Lead Investigations and analyze actual and potential risks in the facility. Collaborate with the Legal team to assess liability and probability of legal action for potential notification. Implement, educate, and encourage incident reporting per policy throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.
• Promote a culture of safety by encouraging incident reporting.
• Collaborate with employees to streamline the incident reporting process making it more effective and efficient.
• Collaborate with facility leadership and all departments to monitor and promote compliance with the organization's policies, procedures, state and federal laws, and regulatory agencies
• Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
• Provide staff development, and training related to identifying, reporting, mitigating, and minimizing risk.
• Collaborate with Patient Advocate to review complaints and grievances to identify potential exposures.
• Coordinate with facility leadership to establish and implement a Safe Catch Program.
• Collaborate with QAPI disciplines to complete a Root Cause Analysis for specified events.
• Establish and lead a Safety Committee that identifies and develops measurable safety initiatives based on facility data that improve the safety culture.
• Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development, and compliance initiatives.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's degree in a clinical healthcare, risk management, business, finance, or a related field required. Master's degree in health information management, nursing, or related field preferred.
• Two or more years’ experience in a risk management position required.
• One or more years of supervisory experience preferred.
• Experience with CARF, DEA, Joint Commission, or CMS surveys, as required by service line(s) supported

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• CPHRM Preferred.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHCORP

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