Senior Director Risk Management

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Senior Director Risk Management
The candidate will leads the organization’s clinical risk management activities, which includes administering the daily functions of the risk management program; managing claims against the facility, its employees and staff; managing and analyzing risk management data; conducting risk management educational programs; providing risk management perspective on institutional initiatives and situations; and complying with risk management standards of the Joint Commission and other state and regulatory agencies, all with the objective of promoting patient safety, enhancing quality of care, and controlling and minimizing loss to protect the assets of the institution. Work collaboratively with the Office of Patient Safety and Quality on the review and investigation of patient incidents, and provide assistance as necessary to patient safety initiatives including RCAs and ACAs. Conduct system-wide loss prevention and control activities including orientation programs and ongoing educational programs. Participate in due diligence and consider potential liability for new clinical services, delivery models, and collaborative clinical agreements. Provide thoughtful and strategic Risk Management perspective on institutional clinical issues such as new programs and policies. Assure RM staffing on multidisciplinary committees including the Patient Safety, Health Information Management, Infection Prevention and Control, Therapeutic Standards, Medical Devices, Environmental Health & Safety, and Credentials committees as well as ad-hoc clinical committees. Act under the direction, supervision and control of the Office of General Counsel, investigate serious clinical events, keep senior management and others apprised of such events, preserve evidence, comply with reporting requirements to state and federal agencies including the NPDB, MMSEA and Mcare, ensure proper reporting to insurance carriers, assist defense counsel in all aspects of litigation defense, and support defendants throughout the litigation process. Maintain up-to-date knowledge of status of all claims, provide Hospital operational expertise to defense strategies and discovery requests, identify the need for adjustments to loss reserves, and provide administrative support for the Claims Review Committee function and other administrative aspects of the Joint Insurance Program. Cultivate relationships with clinical staff at all levels to enhance reporting of clinical events by providing daily advice on all matters of a medical legal nature including challenging patient/family issues, staff discord issues, and other urgent patient issues. Provide advice to the Family Relations Department during resolution of patient complaints and billing disputes, and make referrals to in-house counsel when appropriate. Lead and develop clinical risk management staff. Prepare budgets. Keep abreast of all relevant regulatory and statutory changes that affect the system’s clinical risk management program. Develop local and national risk management peer contacts. Communicate with Board level, as needed. Master’s degree (M.B.A., M.H.A.,J.D.) preferred. 5+ years of risk management experience (or comparable experience), preferably in an academic institution required. High competency in Microsoft Word and Excel / Medium competency in PowerPoint required. Strong verbal, written and interpersonal skills required. Clinical background an advantage. Certified Professional in Healthcare Risk Management (CPHRM) preferred.

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