The Risk Management Program Manager provides oversight and coordination of the Medical Center’s Risk Management Program.The Risk Management Program Manager is responsible for the primary risk identification processes throughout the health system as directed by the Risk Management Plan. With the information gathered, the Risk Management Program Manager analyzes loss and other data sources, and develops risk mitigation activities, metrics for monitoring these activities, and supports the claim reporting function when risk issues are identified that could lead to a liability claim against the organization.
Responsibilities:
Serves as member of Critical Events Committee (CEC), safety, mortality/morbidity, and other committees that would benefit from risk management representation
Establishes and maintains a data gathering and profile analysis for hospital-wide risk management activities: Reviews Event Reports to screen for potential liability and appropriate follow-up. Provides documentation on Event Reports which require follow-up/action for Risk Management. Works with departments to ensure timely follow-up of Event Reports. Assists senior leaders, Executive Directors/Directors, Managers and other staff in using the Event Reporting computer system
Reviews Unexpected Outcomes (U/O’s) daily and works with management in investigating and handling same, ensuring follow up as appropriate
Provides education on risk management issues and unusual occurrence reporting/database
Provides reports of Event Reports and tracking/trending same to Managers, Directors and Senior Leaders
Prepares drafts of committee and board reports concerning risk management on a regular basis as requested
Investigates matters as designated by CEC and/or Risk Management based on severity of event and potential for compensation and/or litigation
Serves as resource in Patient Rights area
May complete and report potential liability issues and claims internally as well as to UPH, the Third-Party Administrator, and any other commercial insurers as indicated using claim reporting guidelines established by UPH legal and any commercial insurer as directed.
Collaborates with claimants, senior leadership and other colleagues to evaluate and when indicated, negotiate asserted claims to resolution
Provides training in RL Datix specific to event reporting data entry and reporting/investigation to leaders and staff
Education: Bachelor's degree in nursing, other health-related field, or risk management.
Experience: Three years previous risk management experience.
License(s)/Certification(s): Valid driver’s license when driving any vehicle for work-related reasons. Certified Professional in Healthcare Risk Management (CPHRM) must be achieved within one year of eligibility of certification.
Why UnityPoint Health?
At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:
Expect paid time off, parental leave, 401K matching and an employee recognition program.
Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.