Manager, Risk Management
Company: Hackensack Meridian Health
Location: Holmdel
Posted on: April 19, 2024
Job Description:
Overview
Our team members are the heart of what makes us better. At
Hackensack Meridian Health we help our patients live better,
healthier lives - and we help one another to succeed. With a
culture rooted in connection and collaboration, our employees are
team members. Here, competitive benefits are just the beginning.
It's also about how we support one another and how we show up for
our community. Together, we keep getting better - advancing our
mission to transform healthcare and serve as a leader of positive
change.The Manager, Risk Management provides basic and complex
preventive risk management assessment of processes, procedures, and
programs, including risk mitigation activities, in-service
education, consultation, liaison activities, and on-call emergency
assistance to facility(s) and providers. Formulates and recommends
safety policies, practices and procedures. Initiate, coordinate,
and manage all investigational and evaluation activities associated
with professional and general liability occurrences and claim
pre-litigation files and claim pre-litigation files.
Responsibilities
A day in the life of a Manager, Risk Management at Hackensack
Meridian Health includes:
- Provide prompt notification to the Regional Risk Director and
network office upon receipt of claim or lawsuit. Assist network
Litigation Management leadership and external counsel in defense of
the claims as instructed.
- Develops a safety culture where reporting is encouraged and use
of the Onelink adverse event reporting system is monitored, with
interventions to address issues as needed.
- Provides site leadership with prompt notification of any
significant organizational risk activity working closely with key
stakeholders and local leaders.
- Ensures timely response to urgent matters and works closely
with leaders for entry of event into ONElink adverse event
reporting platform. Completes necessary trend analysis of
occurrence reports. Collects data for risk exposures and provides
feedback to the involved departments.
- Ensure identified risk management strategies are undertaken by
affected areas.
- Create and implement new programs to foster a culture of safety
and safe environment for patients, visitors, Team Members and
customers of the facility.
- Provide statistical analysis for review by appropriate
committees as requested.
- Collaborates with site Quality/Patient Safety Dept to identify,
review and make appropriate recommendations concerning identified
issues, as well as participate in the Root Cause Analysis
process.
- Work with Patient Experience and Quality/Patient Safety
leadership to respond to patient grievances. Uses decision making
ability to analyze and recommend disposition strategies.
- Oversee and direct ONElink occurrence reporting process for
site.
- Work with outside counsel to obtain necessary documentation and
resolution.
- Provide on-call assistance 24/7 for emergent/urgent risk
management issues to all Team Members and Medical/Dental Staff.
Investigates, evaluates and documents occurrences and claims as
appropriate.
- Responds to site Team Members and Medical/Dental staff on risk
related issues and offers risk management guidance to resolve or
manage situations.
- Provides on-site support and/or leads survey activity for State
and Federal agencies as needed.
- Assists in the process of accepting Subpoenas, and Summonses
and Complaints;
- Investigates and analyzes claims/litigation and potential
claims upon receipt including:
- Obtains and sequesters evidence,
- Obtains visit history and pertinent medical records,
- Notifies the liability insurance carrier of actual and
potential claims,
- Obtains insurance information and performs insurance coverage
analysis,
- Processes claims with the appropriate carrier(s) and broker
within policy period,
- Obtains coverage determinations, and partners with the risk
leader to resolve unfavorable determinations,
- Coordinates day-to day discovery (document production,
interrogatories, scheduling interviews and depositions),
- Provide in-service education on risk management topics, both
standard basic education and complex focused topics as needed
and/or requested by team members, hospital leadership; medical and
dental staff; or system leadership. Provide Risk Management reports
to stakeholder groups as necessary such as administration,
leadership, etc.
- Participates in the network Early Event Resolution Committee
(EERC) for any identified claims, as appropriate.
- Provide timely monthly reports to the Regional Risk Director
and/or Sr. VP & Chief Risk Officer of activities at site.
- Leads or co-leads facility committees as requested. Ensure data
flows through committees.
- Participates in RCA/ACA/PI teams and monitors these activities
for mitigation of organization risk with regular review.
- Participate as an active representative on the system Safety
Event Classification group; Patient Safety Committee; Safety
Council and other committees as assigned.
- Represent the Corporate Risk Management Department on various
site facility and entity committees as required.
- Create and implement new programs or process improvements to
foster a culture of safety and safe environment for Team Members
and Visitors by serving as Chair or Co-Chair of site Safety
Committee and serving as Safety Officer as needed.
- Investigate Team Member safety events and creates shared
learning with the Risk team, Team Safety and Team Health.
- Provide data and statistical analysis for review by appropriate
leadership, committees or departments as requested.
- Provides risk management services to HMH affiliated companies
(i.e Physician Practices, Post-Acute Care organizations) as
directed.
- Assist the Insurance team with data gathering and insurance
renewals.
- Circulate all FDA Recall Alerts received to ensure any required
action is completed.
Qualifications
Education, Knowledge, Skills and Abilities Required:
- Bachelor's degree in Nursing, Business Management or related
health field.
- Minimum of 5 years of experience in progressively responsible
experience in the healthcare industry with preference in healthcare
risk management, patient safety quality improvement or
nursing.
- Strong understanding of a. Process Review b. Root Cause
Analysis c. Department of Health and Joint Commission requirements
d. Emergency Management e. Regulatory Compliance. Education,
Knowledge, Skills and Abilities Preferred:
- Master's degree in Business Management or related health field.
Licenses and Certifications Preferred:
- Certified Professional in Healthcare Risk Management.
- Certified Professional in Patient Safety.If you feel that the
above description speaks directly to your strengths and
capabilities, then please apply today!
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza
Vaccination Facility
As a courtesy to assist you in your job search, we would like to
send your resume to other areas of our Hackensack Meridian Health
network who may have current openings that fit your skills and
experience.
Keywords: Hackensack Meridian Health, Perth Amboy , Manager, Risk Management, Executive , Holmdel, New Jersey
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