Risk Manager

Job Details

Job Description

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Works collaboratively with the OnPoint Safety and Quality team in identifying safety issues and developing strategies to mitigate risks.
• Assists with communication and documentation of errors or serious events in accordance with legal requirements and/or accreditation standards.
• Reviews patient complaints which may result in legal action. Works with patient relations manager to offer solutions to patient grievances. Works with billing and compliance officer in deciding on appropriateness of billing waivers/write offs.
• Assists in managing the policy process and supports staff with policy clarification and decision making.
• Serve as a liaison to the Enterprise claims department for the purpose of reporting potential claims, including but not limited to, professional liability, general liability, property, and auto damage.
• Develops and maintains positive working relationships with providers, management, and staff to promote open communication and accurate flow of information.
• Reviews and ensures event are reported to the appropriate regulatory agencies as required by local, state, and federal regulations.
• Assists clinical chairs and department heads in designing risk management programs within their departments.
• Develops and conducts educational sessions on risk management for medical staff and employee.
• Participates in risk management call coverage.
• Performs other duties as assigned.

Competencies (Knowledge, Skills, and Abilities Required):

• Knowledge of healthcare regulations with an Ability to function independently in the adoption and execution of standards.
• Treats all information and data within the scope of the position with complete confidentiality and security.
• Ability to interact with physicians, administrators, staff, patients/families, and personnel from outside organizations.
• Excels at building relationships across the organization that are high, wide and deep.
• Excellent analytical skills with an ability to identify trends and develop actions for remediation.

Minimum Education and Experience Requirements:

Education:

• Bachelor's degree in a healthcare related field

AND

Experience:

• Three years experience with progressively responsible experience in hospital risk management or similar area of responsibility

Additional Information

Preferred Qualifications:

• CPHRM Master's degree

Work Shift

Worker Sub Type

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.