Manager, Risk Management

About the role

The Manager, Risk Management at Hackensack Meridian Health is responsible for providing prompt notification to the Regional Risk Director and network office upon receipt of claim or lawsuit. They assist network Litigation Management leadership and external counsel in defense of the claims as instructed. They develop a safety culture where reporting is encouraged and use of the Onelink adverse event reporting system is monitored, with interventions to address issues as needed.

Responsibilities

• Provide prompt notification to the Regional Risk Director and network office upon receipt of claim or lawsuit.
• Aid network Litigation Management leadership and external counsel in defense of the claims as instructed.
• Develops a safety culture where reporting is encouraged and use of the Onelink adverse event reporting system is monitored, with interventions to address issues as needed.
• Ensures timely response to urgent matters and works closely with leaders for entry of event into ONElink adverse event reporting platform.
• Completes necessary trend analysis of occurrence reports.
• Collects data for risk exposures and provides feedback to the involved departments.
• Ensure identified risk management strategies are undertaken by affected areas.
• Create and implement new programs to foster a culture of safety and safe environment for patients, visitors, Team Members and customers of the facility.
• Provide statistical analysis for review by appropriate committees as requested.
• Collaborate with site Quality/Patient Safety Dept to identify, review and make appropriate recommendations concerning identified issues, as well as participate in the Root Cause Analysis process.
• Responds to site Team Members and Medical/Dental staff on risk related issues and offers risk management guidance to resolve or manage situations.
• Provides on-site support and/or leads survey activity for State and Federal agencies as needed.
• Investigates, evaluates and documents occurrences and claims as appropriate.
• Works with outside counsel to obtain necessary documentation and resolution.
• Oversees and directs ONElink occurrence reporting process for site.
• Collaborates with Patient Experience and Quality/Patient Safety leadership to respond to patient grievances.
• Uses decision making ability to analyze and recommend disposition strategies.
• Oversees and directs ONElink occurrence reporting process for site.
• Work with Patient Experience and Quality/Patient Safety leadership to respond to patient grievances.
• Provides in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested by team members, hospital leadership; medical and dental staff; or system leadership.
• Provide Risk Management reports to stakeholder groups as necessary such as administration, leadership, etc.
• Participates in the network Early Event Resolution Committee (EERC) for any identified claims, as appropriate.
• Provide timely monthly reports to the Regional Risk Director and/or Sr. VP & Chief Risk Officer of activities at site.
• Leads or co-leads facility committees as requested.
• Ensure data flows through committees.
• Participates in RCA/ACA/PI teams and monitors these activities for mitigation of organization risk with regular review.
• Participate as an active representative on the system Safety Event Classification group; Patient Safety Committee; Safety Council and other committees as assigned.
• Represent the Corporate Risk Management Department on various site facility and entity committees as required.
• Create and implement new programs or process improvements to foster a culture of safety and safe environment for Team Members and Visitors by serving as Chair or Co-Chair of site Safety Committee and serving as Safety Officer as needed.
• Investigate Team Member safety events and creates shared learning with the Risk team, Team Safety and Team Health.
• Provide data and statistical analysis for review by appropriate leadership, committees or departments as requested.
• Provides risk management services to HMH affiliated companies (i.e Physician Practices, Post-Acute Care organizations) as directed.
• Assist the Insurance team with data gathering and insurance renewals.
• Circulate all FDA Recall Alerts received to ensure any required action is completed.

  Qualifications

  • Bachelor's degree in Nursing, Business Management or related health field.
  • Minimum of 5 years of experience in progressively responsible experience in the healthcare industry with preference in healthcare risk management, patient safety quality improvement or nursing.
  • Strong understanding of Process Review, Root Cause Analysis, Department of Health and Joint Commission requirements, Emergency Management, Regulatory Compliance.
  • Preferred Master's degree in Business Management or related health field.
  • Preferred Certified Professional in Healthcare Risk Management.
  • Preferred Certified Professional in Patient Safety.