The department of Risk Management has an exciting opportunity for a full-time Sr. Manager, Risk Management to work on the UHealth campus. The Sr. Manager, Risk Management implements and supervises the activities of risk management programs. Additionally, this employee monitors and coordinates risk control, reduction, and prevention programs. Moreover, the incumbent strives to minimize the risk of injuries and adverse events to patients.
Department Specific Functions
Oversight and management of the Incident reporting system to include timely review, analysis and investigation of event reports and patient grievances and complaints to identify areas of high risk, patient experience as well as potentially compensable events.
Facilitate resolution of complaints/grievances pertaining to quality-of-care issues.
Facilitate interventions as necessary with Patient Relations, Physician Leadership and Corporate Patient Advocate of Risk Management Department.
Review, analyze and identify AHCA, DOH and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer.
Facilitate and/or participate in Root Cause and FMEA analysis as necessary in conjunction with the Quality Team.
Analyze complaint/grievance data and collaborate with Leadership on an Ad hoc basis.
Develop a consultant relationship with departments and units to build and sustain a patient focused culture.
Provide notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel.
Conduct additional investigation and assist with discovery requests as directed.
Provides interpretation of risk management and patient safety standards and procedures to medical and hospital staff; counsels staff and physicians in sensitive situations involving actual or potential claims.
Analyze and trend data as captured through the event reporting system to identify trends of areas of high risk.
Develop summary reports of trending analysis and submit to appropriate committees.
Review, revise and develop policies and procedures in association with the Associate Medical Risk Officer pertaining to or having a bearing on risk management and patient safety in accordance with regulatory requirements.
Develop and present Risk Management Program summary reports as required.
Participate on committees, work groups and/or process improvement teams that improve patient/customer satisfaction.
Identify educational needs and develop and present Risk Management and Event Reporting education to staff, faculty and community physicians.
Attend national and local conferences to keep abreast of national trends in determining institutional priorities.
Plan, coordinate and supervise the activities of the Risk Management staff.
Perform other related duties incidental to the work described herein.
Co-chair the Patient Safety Committee: collaborate with team and finalize agenda for meeting.
Collaborate with team, and assesses, monitors, and recommends, and prepares annual patient safety evaluation.
Coordinate credentialing and meet on a monthly basis.
Plan, Develop and maintain structure for AAAHC, AHCA and CMS survey readiness. a) Survey readiness preparation
Provides oversight of quality activities and performance improvement activities. Establish key performance measures.
Provides oversight of regulatory activities.
Provides ongoing update on regulatory changes and update policy and procedure.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Bachelor’s Degree in relevant field required
Minimum 5 years of relevant experience required
Medical/Legal background is a plus
RN Training and licensure is a plus
Certified Professional in Health Care Risk Management (CPHRM), Certified Professional in Patient Safety (CPPS) is highly desired.
Knowledge, Skills and Attitudes:
Ability to maintain effective interpersonal relationships
Ability to communicate effectively in both oral and written form
Ability to recognize, analyze, and solve a variety of problems
Ability to exercise sound judgment in making critical decisions
Proficiency in computer software (i.e. Microsoft Office)
Any appropriate combination of relevant education, experience and/or certifications may be considered.
The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recen...tly in 2022.Transforming livesWith more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.