Health Care Risk Manager
The risk manager is responsible for administering and managing the facility’s risk management program.
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 safety and risk management
- 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 respective responsibilities in carrying out the risk management program
- Leads, facilitates, and advises departments in designing risk management programs within their own departments
- Collects, evaluates, and maintains data concerning patient injuries, claims, worker’s compensation, and other risk-related data
- Investigates and analyzes root causes, patterns, or trends that could result in compensatory or sentinel events
- Helps to identify and implement corrective action where appropriate
- Provides a quarterly summary to the board on incidents, claims, and claim payments
- Serves as the organization’s liaison to the organization’s insurance carrier
- Assists in processing summonses and claims against the facility by working with legal counsel to coordinate the investigation, processing, and defense of claims against the organization
- Actively participates in or facilitates committees related to risk management, safety, and quality improvement
Qualifications
- A bachelor’s degree in business administration, public health policy, or a related clinical or allied health field
- A minimum of three years experience in one or more of the following fields: risk management, quality improvement, health information management, health care administration, business administration, legal support or insurance claims investigation, and settlement or patient care
- Knowledge of statistics, data collection, analysis, and data presentation
- Excellent interpersonal communication and problem-solving skills
- Knowledge of federal and state laws and regulations and accreditation standards.
