Director, Risk Management-Operations

adventhealth; La Grange (IL); On-site; USD 110,000 - 205,000; Full time

Job summary

AdventHealth in Greenwood Village, CO seeks a skilled Risk Management leader to oversee daily RM operations, oversee RMIS and loss control, and drive regional risk reduction initiatives. You will report on claims and safety programs, support governance with leadership, and manage PSO-related responsibilities.

The role requires a Bachelor's degree and 2+ years in management plus risk management and patient safety experience. RN and CPHRM preferred, full-time day shift with competitive benefits.

Qualifications

• Bachelor's degree required.
• 2+ years in managerial/leadership role required.
• 2+ years in Risk Management, Quality and Patient Safety required.
• RN license and CPHRM preferred.

Responsibilities

• Oversee Risk Management Operations daily functions including RMIS oversight and loss control.
• Develop regional Risk Management Plan and identify high risk areas for reduction.
• Regularly report claims, lawsuits and risk reduction initiatives to leadership.
• Provide a 5-year Claims Analysis annually to leadership and Board.
• Provide risk analysis on strategic initiatives across multiple domains.
• Perform as PSO Liaison for the region and manage PSES components.
• Ensure PSQIA protections and prevent unauthorized disclosure of PSWP.
• Set short- and long-range objectives for RM department and evaluate program.
• Maintain relationships with Hospital leadership, Legal, Compliance to reduce risk.
• Provide data for actuarial reports, insurance filings, and related tasks.

Skills

Insurance knowledge

Workers' compensation

Risk management

Quality and patient safety

Regulatory reporting

Education

Bachelor's degree

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

6061 S Willow Dr

City:

Greenwood Village

State:

Colorado

Postal Code:

80111

Job Description:

• Oversee the Risk Management Operations department daily functions to include local oversight of the Risk Management Information System, loss control initiatives, serious safety event management and assisting with claim management related activities as requested by AdventHealth Corporate Services Risk Management.
• Development of the Risk Management Plan for the region and identify high risk areas for risk reduction strategies to reduce the costs associated with claims and litigation.
• Regular reporting of claims, lawsuits and risk reduction initiatives to the Hospital and Medical Group leadership.
• A 5-Year Claims Analysis shall be provided annually to the leadership and Board of Directors.
• Provide risk analysis on strategic initiatives in the region in the clinical, operational & strategic, credentialing, human capital, financial, legal & regulatory, technology and reputation domains.
• Perform the duties of the PSO Liaison for the region, managing the Patient Safety Evaluation System (PSES) and components within.
• Ensure PSQIA protections are applied where appropriate and prevent unauthorized disclosure of Patient Safety Work Product (PSWP).
• Development of short- and long-range objectives for the Risk Management department and provide an annual evaluation of the program.
• Maintain collaborative relationships with hospital and Medical Group leadership, Legal, Compliance to support regional initiatives and reduce organizational risks.
• Provide required data for the annual actuarial report, excess insurance application and Division of Insurance filings.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

Knowledge of insurance, workers’ compensation, HPL, GL claims management, and state/federal hospital-related reporting requirements. [Required]

Education:

Bachelor's [Required]

Field of Study:

Healthcare related field

Work Experience:

2+ years of experience in managerial / leadership role [Required]

2+ years of Risk Management, Quality and Patient Safety experience [Required]

Additional Information:

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:
• Bachelor's and 2+ years of Risk Management, Quality and Patient Safety experience [Required] OR
• Associate's and 4+ years of Risk Management, Quality and Patient Safety experience [Required] OR
• High School Grad and 6+ years of Risk Management, Quality and Patient Safety experience [Required]

Licenses and Certifications:

• Registered Nurse (RN) [Preferred]
• Certified Professional in Healthcare Risk Management (CPHRM) [Preferred]

Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$110,260.80 - $205,088.00

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.