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Description -External

Risk Management Manager

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
• Nursing Clinical Ladder Program*

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Mon - Fri 8am-5pm

Shift: Days

Location: 501 Redmond Road, Rome, GA 30165

The community you’ll be caring for: AdventHealth Redmond

• Rome’s historical markers help document the city’s history and gives insight into the culturally rich heritage.
• Population- 36,332 (2019 census)
• Developed a regional center for the fields of medical care and education
• In addition to its public-school system, it has several private schools. Higher-level educational institutions include private Berry College and Shorter University, and the public Georgia Northwestern Technical College and Georgia Highlands College.
• Largest city near the center of the triangular area defined by the Interstate highways between Atlanta, GA, Birmingham, AL, and Chattanooga, TN.

 

The role you’ll contribute:

GENERAL SUMMARY:

 

The Manager of Risk Management is responsible for planning, developing and facilitating the facility's Risk Management Program. Risk Management duties include reviewing and resolving incident reports, timely processing and resolving of patient complaints and grievances, corresponding with attorneys, educating hospital and medical staff and serving as a liaison between patients and staff. Participates in the planning and facilitating of risk management services and performs risk management activities in compliance with corporate standards as well as state and federal regulations. The Manager of Risk Management is the organization's designated Patient Safety Organization Liaison overseeing the organization's Patient Safety Evaluation System.

 

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

 

•Develops and implements the organization's risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and accreditation standards related to risk management and safety.

•Develops and implements systems, policies and procedures for the identification, collection and analysis of risk related information.

•Educates and trains the leadership. Staff and business associates as to the risk management program, and their individual responsibilities in carrying out the risk management program.

•Leads, facilitates and advises departments in designing risk management plans within their own departments.

•Collects, evaluates and maintains data concerning patient injuries, claims, workers' compensation and other risk related data

•Investigates events reviewing for patterns or trends that could result in sentinel or compensatory events. Helps to identify and implement corrective action where appropriate.

•In collaboration with quality, utilizes root cause analysis in reviewing sentinel events assuring that actions are taken in the specified time frames.

•Provides a quarterly summary to the Board of Directors on incidents, claims and claim payments

•Assists in processing summonses and claims against the organization by working with legal counsel to coordinate the

 

investigation, processing and defense of claims.

•Actively participates in or facilitates committees related to risk management, safety and quality improvement

•Serves as the organization's liaison to the corporate selected Patient Safety Organization overseeing the organizational Patient Safety Evaluation System Plan with is associated policies and procedures, as well as maintaining the documents and files related to the Patient Safety Organization and Patient Safety Evaluation System.

•Recommends decisions in settlements and /or defense strategies of claims in conjunction with legal counsel.

•Maintains files of occurrences and potential claims as well as documents appropriate to risk management.

•Consults with legal representatives, Corporate Director and Claims Administrator regarding risk evaluation and management.

•Assists in the selection, training, evaluation, discipline, scheduling, etc. of department personnel.

•Assists in compliance of departmental budget by taking responsibility for appropriate use of departmental equipment and supplies.

•Responsible to help ensure that the safety and physical well-being of patients, family members, visitors and co-workers are maintained.

•Responsible for resolving complaints/grievances within specified time frames.

•Discusses special cases with the CEO, Medical Staff and Hospital Board as needed.

•Serves as the organization's liaison to the organization's insurance carrier.

•Serves as a hospital representative in legal cases.

•Performs other duties as assigned.

Qualifications - External

The expertise and experiences you’ll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

 

 

EDUCATION AND EXPERIENCE:

REQUIRED:

•Bachelor's Degree in Nursing, Business or related field must be obtained within 2 years of being employed in position

•Excellent written/verbal communication skills

•Considerable experience in negotiations

•Ability to collect, analyze and trend data

 

PREFERRED:

•Master's Degree in Nursing, Business or related Field

 

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

 

 

LICENSURE, CERTIFICATION OR REGISTRATION:

REQUIRED:

•Certified Professional in Healthcare Risk Management must be obtained within 2 years of being employed in position

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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