AdventHealth University

Director, Risk Management-Operations

AdventHealth University • $110K — $205K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in healthcare or related field required
  • 2+ years of experience in a managerial/leadership role
  • 2+ years of experience in Risk Management, Quality, and Patient Safety
  • Knowledge of insurance and hospital-related reporting requirements
  • Registered Nurse (RN) and Certified Professional in Healthcare Risk Management (CPHRM) are preferred qualifications

Responsibilities

  • Oversee daily functions of the Risk Management Operations department
  • Develop the Risk Management Plan and identify high-risk areas
  • Report claims and risk reduction initiatives to leadership
  • Provide annual 5-Year Claims Analysis to leadership and Board
  • Conduct risk analysis on regional strategic initiatives
  • Manage Patient Safety Evaluation System (PSES) as PSO Liaison
  • Ensure Patient Safety Work Product confidentiality and protection
  • Develop short- and long-term objectives for the Risk Management department

Benefits

  • Collaborative work environment with leadership
  • Opportunities for professional development and training
  • Involvement in strategic decision-making processes
  • Influence the development of risk reduction strategies
  • Engagement with a health-focused organizational mission
Full Job Description
Schedule:
Full time

Shift:
Day (United States of America)

Address:
6061 S Willow Dr

City:
Greenwood Village

State:
Colorado

Postal Code:
80111

Job Description:

  • Oversee the Risk Management Operations department daily functions to include local oversight of the Risk Management Information System, loss control initiatives, serious safety event management and assisting with claim management related activities as requested by AdventHealth Corporate Services Risk Management.
  • Development of the Risk Management Plan for the region and identify high risk areas for risk reduction strategies to reduce the costs associated with claims and litigation.
  • Regular reporting of claims, lawsuits and risk reduction initiatives to the Hospital and Medical Group leadership.
  • A 5-Year Claims Analysis shall be provided annually to the leadership and Board of Directors.
  • Provide risk analysis on strategic initiatives in the region in the clinical, operational & strategic, credentialing, human capital, financial, legal & regulatory, technology and reputation domains.
  • Perform the duties of the PSO Liaison for the region, managing the Patient Safety Evaluation System (PSES) and components within.
  • Ensure PSQIA protections are applied where appropriate and prevent unauthorized disclosure of Patient Safety Work Product (PSWP).
  • Development of short- and long-range objectives for the Risk Management department and provide an annual evaluation of the program.
  • Maintain collaborative relationships with hospital and Medical Group leadership, Legal, Compliance to support regional initiatives and reduce organizational risks.
  • Provide required data for the annual actuarial report, excess insurance application and Division of Insurance filings.
  • Performs other duties as assigned.

Knowledge, Skills, and Abilities:
Knowledge of insurance, workers' compensation, HPL, GL claims management, and state/federal hospital-related reporting requirements. [Required]

Education:
Bachelor's [Required]

Field of Study:
Healthcare related field

Work Experience:
2+ years of experience in managerial / leadership role [Required]
2+ years of Risk Management, Quality and Patient Safety experience [Required]

Additional Information:
• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:

- Bachelor's and 2+ years of Risk Management, Quality and Patient Safety experience [Required] OR

- Associate's and 4+ years of Risk Management, Quality and Patient Safety experience [Required] OR

- High School Grad and 6+ years of Risk Management, Quality and Patient Safety experience [Required]

Licenses and Certifications:
• Registered Nurse (RN) [Preferred]
• Certified Professional in Healthcare Risk Management (CPHRM) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$110,260.80 - $205,088.00

About AdventHealth University

AdventHealth University is a private university in Orlando, Florida. It was founded in 1992 and is affiliated with the Seventh-day Adventist Church. The university offers undergraduate and graduate degree programs in various fields including nursing, radiography, and sonography. AdventHealth University is accredited by the Southern Association of Colleges and Schools Commission on Colleges.
Learn more about AdventHealth University
Size
1,000 employees
Industry

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