Risk Manager

REQUIREMENTS: Educates and assists other Managers in assessing their areas of responsibility for exposures to loss and unsafe processes and conditions. Investigates all serious events. Assists with communication and documentation of errors or serious events by legal requirements and/or accreditation standards. Acts as liaison to outside agencies such as local, state, federal, or voluntary accrediting agencies. Works with General Counsel to coordinate the investigation, processing, settlement, and defense of claims and suits against the organization. Notifies insurance carriers of potential and actual claims. C Coordinates the release of information in response to subpoenas, court orders, Attorney requests, etc. Reviews patient complaints which may result in legal action. Works with patient advocates to offer solutions to patient grievances. Works with billing and compliance officer in deciding on the appropriateness of billing waivers/write-offs. Supports the process of root cause analysis in the event of a sentinel or near-miss event. Coordinates review of medical information, debriefs all individuals as identified, performs cause and effect analysis, and coordinates expert panel review, root solution, and follow-up for all incidents identified. Coordination, oversight, and administration of the Patient Safety, and Grievance Program For a full listing of duties, please see the complete job description. EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER: BS required, MS or JD, preferred. RN or clinical background is required. Certified Professional in Healthcare Risk Management (CPHRM), is preferred. Two (2) to five (5) years experience is required, in a healthcare, preferably a hospital setting. Experience and understanding of Patient Safety, Risk Management, Root Cause Analysis, and FMEA Analysis.