Franciscan Missionaries of Our Lady Health System

Risk Management Manager 3

Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of experience in risk management within healthcare, claims, or legal case review.
  • Bachelor's degree in business or a degree in nursing (RN graduate).
  • Proficient in data evaluation with strong analytical skills.
  • Excellent interpersonal skills for effective communication with staff and managers.
  • If an RN, must hold an active nursing license.

Responsibilities

  • Develop programs focused on recognizing, investigating, and reducing risks.
  • Manage the incident reporting system, ensuring timely investigations.
  • Document and report incidents promptly and accurately.
  • Prepare statistical reports for management review and decision-making.
  • Consult on product recalls and various safety protocols in accordance with hospital policy.
  • Conduct educational programs for hospital staff to minimize organizational liability.
  • Manage claims, including setting reserves and reporting to insurance carriers.

Benefits

  • Professional development opportunities through educational programs.
  • Engagement in a vital program that directly impacts patient safety and quality care.
  • Collaborative work environment with interdisciplinary teams.
  • Dynamic role contributing to overall organizational risk management strategy.
Full Job Description
Job Description

Responsible for the coordination of the clinical risk management program in hospital affiliate entities. Collects and analyzes variance data, assesses potentially dangerous and unsafe events, promotes quality assurance activities and educates staff and managers on good risk management principles and their value in reducing overall liability for the organization.

Responsibilities

1. Risk Reduction
  • Develops programs for risk recognition, investigation, and reduction.
  • Manages incident reporting system and ensures timely follow up and investigation.

2. Documentation
  • Timely documentation and reporting.
  • Prepares accurate and comprehensive reports.
  • Prepares statistical reports of events for presentation to managers and sr. management teams.

3. Consultation and Partnerships
  • Manage on or more any of the following in accordance with hospital policy: Product Recall, Auto, Property, Security, Emergency Preparedness.
  • Manages on or more any of the following in accordance with hospital policy: Product Recall, Auto, Property, Security, Emergency Preparedness.
  • Presents educational programs for hospital personnel in an effort to reduce liability in the organization.

4. Claims Management
  • Manages claims in accordance with system policies. Sets accurate reserves.
  • Reports all potentials and lawsuits to appropriate insurance carriers in timely manner.
  • Works with attorneys to prepare documents for litigation. Works with employees to prepare them for litigation.
  • Reviews patient complaints that may have potential for litigation and negotiates fair settlements if prudent..


Qualifications

  • 3 years risk mgmt in health care, claims, or legal case review
  • RN graduate or BS in business
  • Ability to evaluate data. Excellent interpersonal skills
  • if RN must maintain current License

About Franciscan Missionaries of Our Lady Health System

Franciscan Missionaries of Our Lady Health System is a Catholic, not-for-profit health care system based in Baton Rouge, Louisiana. The system was established in 1984 and is sponsored by the Franciscan Missionaries of Our Lady, a religious congregation of the Roman Catholic Church. The system operates six hospitals, including Our Lady of the Lake Regional Medical Center, the largest hospital in Louisiana. The system also operates a number of clinics and other health care facilities throughout Louisiana. The system is committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay.
Learn more about Franciscan Missionaries of Our Lady Health System
Size
12,000 employees
Industry

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