The Risk Manager administers the hospital-wide Risk Management Program involving the Occurrence Reporting, Product recall surveillance, trending of data, investigation and processing claims for general liability and professional liability purposes. In addition, the Risk Manager acts as the liaison with hospital legal counsel for processing and assisting with lawsuits. The Risk Manager works with the Director of Clinical Performance Improvement. The Risk Manager is responsible for the development and maintenance of a Hospital-Wide Education of Risk Management principles and techniques. Implementation of Risk Control strategies and policies as needs are identified. II. Position Relationships: A. Responsible to: Vice President Chief Legal Counsel B. Workers Supervised: None C. Interrelationships: Works closely with the VP of Legal Services & Contracting, Director of Quality, Director of Service Excellence, Chief Medical Officer, Safety Officer, Department Heads, Key Hospital personnel and other contact with Patients, visitors and medical staff. III. Responsibilities and Authorities: A. Performs other duties as assigned by the department's management staff. B. As patient care and/or Hospital need dictates, both the assigned shift and work station may be changed by the department. C. Participates in and promotes the “I CARE” service philosophy of Integrity, Customer Centered, Accountability, Respect and Excellence. D. Performs essential job functions with or without reasonable accommodations. E. Provides effective coordination of ORTS data and visitor occurrence data to create a proactive environment for the safe and caring treatment of patient, visitors and staff. F. Processes general liability claims by performing chart review, investigation of the concerns, interviewing employees corresponding by phone and/or mail with employees and hospital legal counsel as needed. G. Processes legal cases by performing chart review, corresponding by phone and mail with legal counsel, investigating details of case, arranging meetings/interviews with employees and attorneys, assisting employees with their review of the case, attending meetings, interviews, depositions, and trials. H. Assures timely response to correspondence associated with claims. I. Maintains security and confidentiality of all information and documentation. J. Reviews ORTS reported medication errors/occurrences with Pharmacy and Nursing. K. Coordinates the referral of Product Recalls, Advisories and Alerts from ECRI, Medwatch, FDA and manufacturers. L. Reviews and investigates patient concerns referred due for general liability or billing adjustment recommendations. M. Reviews and investigates visitor occurrences, i.e.; slips & falls. Provides follow up as needed to assist with any required treatments. Processes bills related to occurrence, when appropriate. N. Participates as an active member of the Safety Committee. O. Coordinates and/or participates in the Sentinel Event and Root Cause Analysis of clinical processes. P. Attends other designated meetings of the medical staff and hospital departments/committees as assigned or requested. Q. Participates in Performance Improvement activities in the Department and in interdisciplinary hospital-wide activities that relate to duties. IV. Performance Factors Used to Evaluate Employee: A. Effectively coordinates ORTS data, patient complaint, visitor occurrences, product recall, and performance improvement data. B. Efficiently processes general liability and legal claims. C. Maintains security and confidentiality of all information. D. Develops and maintains excellent rapport with all staff, legal counsel and insurance representatives. E. Organizes work to assure timely completion of tasks. F. Uses independent decision making skills. G. Implements change in a planned, systematic manner. H. Demonstrates flexibility to perform various roles with minimum of supervision. I. Participates in Performance Improvement activities.
V. Qualifications: A. Education: Currently licensed as a Registered Nurse in the State of Texas. CPHRM preferred. B. Training and Experience: At least five years experience in clinical nursing. 2 to 3 years of Risk Management experience preferred. Basic computer skills required. Advance computer skills preferred. C. Job Knowledge: Familiar with Hospital organization and policies and procedures. Knowledgeable regarding medical, legal, insurance, risk, patient satisfaction and performance improvement terminology, concepts and methodologies. Familiar with regulatory and accrediting agency standards and regulations. Able to communicate effectively and professionally, both verbally and in writing.
Internal Number: 1366-9110
About Medical Center Health system
Medical Center Health System is proud to be the most comprehensive healthcare provider in the Permian Basin. Founded over 70 years ago, we’ve grown from one facility into a family of healthcare providers delivering a broad range of advanced medical services to the people of Odessa and the surrounding 17 counties.
2019 marks the 70th year that Medical Center Hospital (MCH) has proudly served Ector County and the surrounding 17 counties of the Permian Basin. We’ve come a long way since we opened our doors in 1949, growing from a small county hospital into a prosperous 402-bed regional medical center serving over 100,000 patients annually. While we’ve seen many changes over the years, some things have remained unchanged. We are still the only full-service hospital in the region, and we still strive to deliver the best care possible for the people of the Permian Basin.