Risk Program Manager

About the role

Assists leadership in development and implementation of strategies for enterprise-wide risk management and performance improvement. Assists in developing, coordinating and administering systems for risk identification, investigation, and reduction. Collaborate with Quality/Patient Safety and healthcare teams as appropriate to develop, implement, monitor, and evaluate the health systems Event Reporting System.

Responsibilities

• Supports leadership, including development of system reports within the Incident Reporting System.
• Continuously monitors reported events and near misses, follows up with Risk Managers, and escalates events, as necessary to leadership.
• Is responsible for data management, investigation & reporting.
• Supports the education components of the Risk Management Program.
• Promotes the organizations patient safety initiatives.
• Navigates system wide modules for risk identification, investigation, and reduction.
• Conducts case findings by daily review of reported events and other information retrieved from other sources (verbal report, phone report, electronic submissions) and initiates appropriate follow-up.
• Demonstrates strong ability to identify, analyze, and solve problems.
• Captain data display and analysis.
• Aids in coordinating intervention and education related to risk management issues to promote safe work practices and quality care and services.
• Proactively manages assigned risk management program on a day-to-day basis through the analysis of patient safety and medication error processes.
• Affords assistance with investigation and oversight of significant adverse events that occur in the clinical setting and result in patient harm.
• Actively participates in, or facilitates, committees related to clinical risk management, patient safety, and quality improvement.
• Might oversee and manage patient grievance process.

Qualifications

• Minimum Qualifications:
• Bachelor’s degree.
• Seven (7) years of experience in a healthcare setting.
• Three (3) years of experience directly working for or with professional liability insurance carriers or captives.
• Five (5) years of experience in claims and related legal proceedings.
• Prior to the start of employment, candidates must possess a Master’s degree in nursing or medical-related field.
• Prior to the start of employment, candidates must possess the Certified Professional in Health Care Risk Management (CPHRM).
• Prior to the start of employment, candidates must have five (5) years of experience directly working for or with professional liability insurance carriers or captives.

Skills and Abilities

• Skilled in analyzing data to identify risks, gaps, root causes, patterns, or trends.
• Skilled in communication and collaboration.
• Presentations skills.