Scheduled Weekly Hours:
40

Work Shift:
Days (United States of America)

Summary of Primary Function/General Purpose of Position

The Risk Manager independently manages the program/facility loss prevention strategies and initiatives, established in conjunction with the Market Risk Director, and serves as a subject matter resource for assigned facilities and functional areas as directed. The Risk Manager Analyses risk issues and directs and organizes loss prevention strategies and initiatives for assigned program or facility including proactive risk activities such as risk assessments, educational programs, consultations and ensuring compliance with the multiple laws and regulations affecting patients, visitors, employees and the community we serve. The Risk Manager will maintain a high-profile within the assigned facilities/functional area, and is responsible for keeping all Administrative and Clinical Leaders as well as Market Risk apprised of significant events and Risk Management activities within the scope of assignment.

Essential Job Functions

• Manages loss control/loss prevention activities based on the Facility risk profile and at the direction of the Market Risk Director, System Directors
• Reports Risk Management issues and Claim information to the Facility/Functional Area Administrative and/or Clinical Leadership on a regular basis.
• Conducts annual proactive risk assessments as part of the annual risk strategic plan; addresses and reports results, issues and associated action plans to supervising Risk Director and/or Home Office.
• Operationalizes system wide risk initiatives within assigned facility/functional area; initiates additional loss prevention activities based upon Facility/Functional area needs and in collaboration with managing Director.
• Timely identifies, investigates and reports to claims any events that may result in financial loss to the organization; keeps supervising Risk Director and Facility leaders apprised of events and trends.
• Conducts proactive risk management surveys and studies and responsible for developing and implementing effective action plans to address risk exposures as directed by supervising Risk Director.
• Successfully collaborates with Safety and Quality in the investigation of safety events, including participation in witness interviews, research, analysis and RCA meetings and action planning.
• Implements departmental and facility policies and procedures that affect liability exposures as directed by Risk Leadership and as needed by facility.
• Provides direction and oversight of risk activities within the assigned facility, and provides expert consultative services to staff at all levels.
• Collaborates with Market Risk Director, System Risk Directors and Physician Leaders to coach clinicians and leaders in apology and disclosure
• Collaborates with Claims, Quality, Patient Safety and Leadership to ensure timely and appropriate event Disclosure and assists with/supports facilitation of Early Liability Review and Resolution where appropriate.
• May be requested to provide Risk Management support for Market and/or System committees and/or collaboratives within an area of expertise.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications

Required Minimum Education:

Bachelor's Degree

Specialty/Major - Healthcare, Business, Legal, or related field

Preferred Minimum Education:

Masters Degree

Specialty/Major - Healthcare, Business, Legal, Insurance or related field

Licensing/ Certification:

• Certified Professional in Health Care Risk Management (CPHRM) (within 3 years of hire) (Required)
• Healthcare, Law or Insurance Licensure (Preferred)

Minimum Qualifications:

• 5+ years in Healthcare provision or administration, Insurance, Medical Malpractice Claims, Loss Prevention, or related field (Required)
• 5+ years in clinical healthcare provision, healthcare loss prevention, or healthcare quality provision (Strongly Preferred)

Other Knowledge, Skills and Abilities

Required:

• Understanding of Risk Management principles; Outstanding organization skills
• Demonstrably excellent written and verbal communication skills
• Ability to manage multiple projects simultaneously

Preferred:

• Healthcare operations; Understanding of Tort litigation and discovery

Additional Skill Items

• Ability to analyze data and information in order to identify and address risk issues and trends.
• Ability to collaborate well with diverse groups and provide risk management guidance to minimize unintended consequences.
• Strong organizational skills utilized in litigation discovery, loss prevention plan implementation, etc.
• Ability to build highly collaborative relationships with peers and leaders throughout the assigned Facility/Function
• Prepare and present data and information to senior leaders utilizing Microsoft Excel and PowerPoint.
• Maintain positive relationships with applicable senior leaders through regular meetings and updates
• Demonstrated the ability to professionally present risk management education to associates at all levels.
• Ensure timely communication of critical events and risk issues to supervising Director, and provide updated information on key endeavors and issues
• Timely and accurately analyze adverse events and report to BSMH Claims in accordance with policies and procedures via Claim Database system.
• Demonstrate high level of versatility and flexibility with respect to workload, interruptions, coverage requirements, etc.
• Effectively manage safety events, run reports, ensure data protection and be highly proficient in use of incident reporting system.
• Ability to function independently while also ensuring that Managers/Leaders are kept apprised of key events, information, developments
• Utilize EMR effectively in order to review and investigate events and collaborate with witnesses and defense counsel
• Works well in group settings and evaluates associated risks and suggests mitigation or process improvement strategies.
• Collaborate with Claims and Defense counsel in litigation management to timely and accurately obtain and transmit legal information
• Ability to project professionalism at all times and utilize effective conflict resolution strategies when necessary.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:
SS Risk & Insurance