Regional Patient Safety Risk Manager

International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. 

This Position is Contingent Upon Contract Award.

The Regional Patient Safety Risk Manager (RPSRM) provides management, expertise and oversight of a comprehensive quality, health, safety, and risk management program for the medical services contract at assigned regional medical units of the U.S. Customs and Border Protection (CBP), U.S. Border Patrol Station Medical Units, and Office of Field Operations Ports of Entry Medical Units. The RPSRM is responsible for ensuring successful completion of administrative and program management tasks in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody. This position will provide strategic level management to the effort, ensuring that all the program goals and objectives are achieved in an accurate, efficient, and effective manner.  

Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females. 

MISSION  

CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners) and support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. 

Duties and Responsibilities

• Under the direction of the National Patient Safety Risk Manager (PSRMP), the RPSRM designs and implements the overall risk management process for assigned medical units.  
• Serves as the on-site risk management lead, performing duties at an assigned medical unit for an assigned region/sector/area.  
• Performs annual risk assessments, analyzing current risks and identifying potential risks that affect the assigned medical units.  
• Oversee and performs all risk reporting activities for assigned medical units, managing a local risk management database to track and monitor all occurrences, incidents, reports, and medical sentinel events. Creates a monthly risk report to submit to the NPSQMD in support of/as a part of the national medical quality management (MQM) program.  
• Oversees the health and safety program for assigned medical units:  
  • Assures completion of required medical clearance for FIT testing  
  • Performs annual FIT testing of all employees at assigned units  
  • Educates assigned medical units and staff on hire and annually on all OSHA compliance topics, to include, but not limited to:  
    • Biohazardous waste and disposal  
    • Blood borne pathogens  
    • Respiratory protection and personal protective equipment  
    • Hazardous communication  
    • Fire safety and evacuation plan  
• Performs daily medical unit rounds during shift hours, documenting any safety or hazardous conditions and reporting as needed. Follows up on completion of any needed safety/hazardous condition corrections.  
• Develops monthly education trainings specific to risk reduction in medical units and maintains documentation of staff completion of these trainings.  
• Provides initial and annual education to all staff on policy, protocols, procedures, and standing orders. Maintains all the policy and procedures manuals, updating them monthly with any changes or revisions. Assures staff are fully versed in the latest policies and procedures.  
• Provides ad hoc education and training to all staff as directed by the NPSQMD, and as needed based upon risk assessment and monitoring activities.  
• Monitors support staff patient care documentation for accuracy and completion, performing 50 monthly support staff chart reviews for compliance with policy, procedure, and documentation compliance. Reports findings to NPSQMD through a quarterly summary report and plans for any needed education or training for support staff. Serves as key member of the local MQM team and committee, documents minutes for all MQM committee meetings with attendance, and sends quarterly summary to NPSQMD. 
• Reports medical sentinel events, as needed. Manages the medical sentinel event review and root cause analyses at local level for assigned medical units under the guidance and direction of the NPSQMD and Physician Supervisor, Pediatric Advisor, and local physician, as applicable. 
• Initiates monthly quality improvement/performance improvement initiatives, performing semi-annual process improvement/outcome improvement study through collaboration with the local MQM committee, and under the guidance of the NPSQMD. Repeats any study that do not meet set thresholds for compliance.  
• Provides and monitors annual training for all medical unit assigned staff, to include CLIA training, completing Ishihara testing for staff if needed for CLIA compliance.  
• Assures mandatory reporting is completed for any state or local reportable disease or illness, working closely with the health department as needed.  
• Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply.  
• Works within licensure/certification, Scope of Practice, or applicable Collaborative Agreement • Maintains compliance with standard operating procedures and protocols • Maintains patient confidentiality and privacy of medical records  
• Performs record keeping functions in accordance with program policies and the system of records management  
• Ability to use the electronic medical record and must maintain an “active status” for use and complete all required trainings. 
• Utilizes the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable  
• Maintains non-involvement in the security aspect of patient care and custody  
• Oversees general staff meetings, recording minutes, taking attendance, and providing a quarterly summary to the NPSQMD.  
• Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis.  
• May provides direct patient care during times of surge or need.  
• Serves as direct supervisor for the Electronic Health Records Specialist, providing administrative oversight, mid-term review, and annual performance evaluation, under the guidance and oversight of the NPSQMD.  
• Monitors completion of orientation and training for all support staff, initially and annually.  
• Assures all temperature logs, medication counts, emergency bag/supply checks are completed, and that supply stock levels are maintained. May delegate these duties and maintain oversight.  
• Completes all annual training as directed or required.  
• Travels to and provides on-site training and oversight monthly at each medical unit in assigned region/sector/area.  
• May be required to travel outside of assigned area.  
• May be required to serve at various medical units within sector/region. 

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above. 

BASIC REQUIREMENTS  

Education/Training 

• Graduate of an accredited Registered Nurse Program located in any United States jurisdiction.  
• The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education. 

Licensure/Certification  

• Candidates must have a current, active, valid, and unencumbered license, registration, or certification to practice as a Registered Nurse issued by any United States jurisdiction. Licensure must be maintained current, and any required education, trainings, continued learning to maintain licensure must be completed within the required timeline for completion by the licensing authority. A temporary license will not be accepted.  
• Candidate must not have had any professional licensure or certification withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a professional license or certification to have expired or lapsed because of an investigation or disciplinary action.  
• Candidate must not have been convicted of, pled guilty to, pled nolo contender to, or received probation before judgement for any crime other than a minor traffic violation, the record of which has not been expunged.  
• Basic Life Support (BLS) Certification must be from one of the following approved organizations:  
  • American Heart Association (AHA) BLS for health care providers  
  • American Heart Association Advanced Cardiac Life Support (ACLS), if applicable  
  • American Red Cross CPR/BLS for the professional rescuer  
  • American Safety and Health Institute (ASHI) CPR and AED for healthcare providers and professional responders  
    • Course components must include Adult, Pediatric, and Infant CPR, Foreign Body Airway Obstruction, and Automatic Defibrillator (AED) proficiency  
    • Applicant/ Employee must be certified upon hire and may also be a certified instructor  
    • BLS must be renewed prior to expiration date and always kept in an active status. 

Experience  

• Must have a minimum of two years of clinical experience in direct patient care as a registered nurse and at least three years of experience in risk management, patient safety, and quality management.  
• Experience in detention or correctional healthcare, residential healthcare, a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided direct care.  
• Supervisory experience preferred but not required.  
• Bilingual in English and Spanish encouraged but not required. 

Supervisory Controls 

• Works under the administrative direction of the National Patient Safety Risk Manager and in his/her absence the National Deputy Program Director.  
• Works under the clinical supervision and/or direction of the Patient Safety Quality Management Director and in his/her absence the Medical Director.  
• In this position, the employee will serve as a contractor to the federal government and does not have any federal authority or rights. 

Physical Demands  

• Able to walk, stand, bend, or sit for extended periods.  
• Able to reach to retrieve documents or supplies.  
• Able to carry materials and/or file boxes up to 30 pounds on an infrequent basis or assist patients into/out of a wheelchair.  
• Must be capable of standing on hard surfaces (cement floors) for long periods of time.  
• Must perform the duties in a stressful and often austere environment without physical limitation.  
• Must be able to respond to a medical emergency and perform BLS/CPR as needed. 

Other Special Qualifications

• US Citizen or Permanent Resident Card is required.    
• Ability to obtain and maintain the U.S. Government security clearance. Applicants with current clearances are preferred.  
• Must be able to read, write and speak English to effectively communicate. 
• Proficiency in both English and Spanish is preferred. 

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. 

Compensation|   Min: 75K     Max: 179K

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS complies with all federal, state, and local minimum wage laws. 

International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws. 

International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.