Job Description

Position Details

This is Full-Time Benefit Eligible position working 80 hours per biweekly pay period.

Shift : Monday - Friday

Location : 1324 Lakeland Hills Blvd Lakeland, FL

Annual Salary : Min $73,840.00 Mid $92,310.40

Position Summary

Investigates and resolves incidents and grievances; secures evidence; creates and documents investigative files; resolves disputes/claims with patient and/or family members; resolves facility risk related issues; facilitates corrective action plans; trends and analyzes risk reports; assists with managing risk management incident reporting software, including the safekeeping of Patient Safety Work Product via the Patient Safety Organization. Initiates reports to insurance carrier and regulatory agencies; assesses damages and injury for claims, answers interrogatories and request to produce for claims, prepares staff for depositions and trials, and manages and coordinates claims with defense counsel. Identifies opportunities for the improvement of quality, safety and cost, as well as patient, customer, and employee satisfaction.

Position Responsibilities

People At The Heart Of All That We Do

• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Stewardship

• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.

Standard Work Duties: Healthcare Risk Manager

• Investigates and resolves incidents and grievances (including sexual misconduct allegations, and reports to appropriate regulatory agencies, when required); creates and documents investigative files; resolves disputes/claims with patient and/or family members; resolves facility risk related issues.
• Monitors and manages legal claims with defense counsel, sets reserves, interviews person(s) involved in claims, assists with depositions and trials, answers interrogatories.
• Assists with developing educational programs and learning modules for orientation and ongoing education, as well as upon request by various departments regarding risk topics.
• Takes call evenings, nights, and holidays in rotation with other risk managers.
• Assists with developing and/or reviewing policies and Standard Work.
• Takes call evenings, nights, and holidays in rotation with other risk managers.
• Assists with developing and/or reviewing policies and Standard Work.
• Assists with managing Patient Safety Work Product via Patient Safety Organization
• Conducts Serious Incident meetings and Root Cause Analyses; provides clinical and/or risk expertise to requested committees and process reviews, as needed.
• Assists with managing risk management incident reporting software, including the safekeeping of Patient Safety Work Product via the Patient Safety Organization.
• Stewardship
• Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
• Knows and adheres to organizational and department policies and procedures.
• People At The Heart Of All We Do
• Fosters an inclusive and engaged environment through teamwork and collaboration.
• Ensures patients and families have the best possible experiences across the continuum of care.
• Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
• Guide Projects Using Acceptable Standards And ITIL Framework
• Safety And Performance Improvement
• Behaves in a mindful manner focused on self, patient, visitor, and team safety.
• Demonstrates accountability and commitment to quality work.
• Participates actively in process improvement and adoption of standard work.

Competencies & Skills

Essential:

• Excellent verbal and written communications, analytical ability, and computer literacy.
• Excellent presentation skills and organizational skills.
• Claims handling skills which include dealing with difficult people, and assessing damage.
• Excellent investigative skills.
• Maturity, ethics, and strong negotiating skill
• Conflict resolution skills

Qualifications & Experience

Essential: Bachelor Degree Nonessential: Master Degree

Experience Essential:

- Meets “Qualified Healthcare Risk Manager” competencies in accordance with Fla. Stat. 395.0197(2).

- Staff RN experience (in lieu of Staff RN experience, a candidate with at least 5 years' experience within a Healthcare Risk Management Department coupled with CPHRM certification will be considered).

Licenses Essential: Registered Nurse (in lieu of Registered Nurse license, a candidate with at least 5 years' experience within a Healthcare Risk Management Department coupled with CPHRM certification will be considered)

Experience Preferred: Previous management

Certifications Preferred: Certified Professional in Healthcare Risk Manager (CPHRM)

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