RISK MANAGEMENT SPECIALIST jobs in United States
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JFK Johnson Rehabilitation Institute · 7 hours ago

RISK MANAGEMENT SPECIALIST

Hackensack Meridian Health is dedicated to helping patients live better, healthier lives while fostering a supportive environment for its employees. The Risk Management Specialist coordinates various roles in the Medical Center's enterprise risk management functions, utilizing strategies to reduce liability exposures and manage claims.

Hospital & Health Care

Responsibilities

Coordinates on-site assessment of actual and potential risks within the Medical Center, assessing liability and probability of legal action, and recommends appropriate actions to minimize institutional risks
Maintains ONElink event reporting system in accordance with hospital accreditation requirements, and prepares and presents a variety of statistical reports as required
Reviews and investigates ONElink event reports and related clinical documentation, and recommends corrective actions as appropriate
Serves as a resource for all levels of team members for any enterprise risk management issues during regular shifts and on an On Call basis
Manages enrollment and terminations, claims history requests for professional liability insurance for clinical providers and any General Liability claims
Collaborates with the Medical Center's Quality/Patient Safety Dept to identify, review and make appropriate recommendations concerning quality and patient safety issues, as well as participate in the Root Cause Analysis process
Meets with the Patient Experience representative to evaluate potential claims for professional and general liability, and recommends follow-up and settlement of claims as appropriate
Participates in the network Early Event Resolution Committee for any identified claims, as appropriate
Acts as the liaison between insurance broker, third party administrator (TPA) representatives. and Legal team to communicate Notice of Claims and Potentially Compensable Events
Assists in the development of preventive risk management programs to minimize potential and actual claims and liabilities and future risk
Develops and conducts regular Enterprise Risk Management training programs stressing proper documentation and encouraging event reporting to reduce the Medical Center's liability exposure
Participates in Administrative Rounding to encourage patient and team member safety as part of the Medical Center's Safety program
Prepares reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions
Maintains final supporting documents of the FDA Recall notices
Attends various committees supporting HMH Enterprise Risk Management initiatives
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior

Qualification

Healthcare risk managementIncident investigationClaims managementLegal knowledgeStatistical reportingMicrosoft OfficeTraining developmentPatient safety focusRoot Cause AnalysisEvent reportingRisk assessmentPreventive programsCommunicationTeam collaboration

Required

Bachelor's degree with 5 years healthcare enterprise risk management experience
Legal support or insurance/claims investigation and settlement may be accepted with other additional applicable healthcare management experience
Knowledge of legal and regulatory requirements related to health care enterprise risk management
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms
RN or related clinical experience
CPHRM certification within one year of employment

Preferred

Registered Nurse Preferred

Benefits

Health
Dental
Vision
Paid leave
Tuition reimbursement
Retirement benefits

Company

JFK Johnson Rehabilitation Institute

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Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.

Funding

Current Stage
Late Stage
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