York Hospital

Department: Patient Quality

Schedule: Full Time

Shift: Day Shift

Hours: M-F 8-4:30

On-Call Requirements: no

Benefit Eligible: Yes

Temporary Position: No

Weekend Requirements: No Weekends

Hours / Pay Period: 72

I.  Position Summary:

The Patient Safety and Risk Specialist is responsible for the planning, implementation and evaluation of risk processes and systems. This position serves as the Quality liaison/member risk, compliance and safety committees and workgroups across the organization.  Maintains oversite of the occurrence reporting system.  Serves as the first line contact for YH malpractice insurers and legal teams.  This position works under the direction of the Director of Quality and Risk Management and the Chief Medical Officer.

II. Principle Responsibilities and Duties:


  • Maintains a database for Physician Quality Profiles and works in conjunction with the Medical Staff Coordinator to ensure inclusion of this information during the reappointment process.
  • Files, tracks and maintains status on incident reports to insurer.
  • Coordinates with the office of the CEO to assist with the grievance process.
  • Assigns the following Medical Staff quality reviews:
  •  Clinical Peer Review – per the Medical Staff identified criteria
  • Assists the team in preparing for surveys by external regulatory agencies.
  • Facilitates RCA’s when needed.
  • Reviews State Reportable Events
  • Assigned to committee meetings as needed
  • Member of the Quality committee and assumes the following duties:
  • Maintains a database for hospital-wide performance measures
  • Maintains a monthly department reporting schedule
  • Assists in developing monthly agenda
  • Other duties as assigned.


  1.   Physical Activities:


  • Sedentary work with repetitive keyboard/computer work tasks/motions.



  1.   Required Knowledge, Skills, and Activities:


  • Accurate computer skills in Microsoft Office, Word, PowerPoint, and Excel.
  • Ability to be self-motivated in performing job duties, able to set priorities, and work with minimal supervision.
  • Ability to complete work within an appropriate time frame.
  • Ability to channel quality concerns to Director, Leaders or others as appropriate.
  • Ability to maintain the confidentiality and security of all hospital-related, medical staff-related, patient-related data and employee information via verbal, written and electronic format.
  • Good verbal and written communication skills with hospital staff and medical staff to ensure optimal quality/performance improvement processes.
  • Ability to abide by all relevant hospital policies and support the patient vision.
  • Attendance at seminars, webinars, and other educational programs related to performance improvement/quality management activities as needed.


  1. Education and Experience:


  • Degree in Nursing preferred, or applicable clinical background
  • Three years of hospital clinical experience.
  • Training in performance improvement, total quality management or continuous quality improvement preferred.



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