Manager of Risk Management Operations

1106 Portercare Adventist Health System; United States; On-site; USD 83,000 - 155,000; Full time

Benefits offered by this job

Medical

Dental

Vision Insurance

Life Insurance

Disability Insurance

PTO 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

Job summary

AdventHealth currently seeks a Risk Management professional to support lawsuits, claims, and Potential Compensable Events (PCEs), reviewing medical records and coordinating with external attorneys. The role includes securing documents, managing discovery, and supporting risk-reduction initiatives across multiple facilities.

Requirements include a Bachelor’s in a healthcare field and 2+ years in risk management, with CPHRM preferred.

Qualifications

• Bachelor's degree in healthcare-related field or equivalent.
• 2+ years of risk management, quality and patient safety experience.
• Certified Professional in Healthcare Risk Management (CPHRM) preferred)

Responsibilities

• Provides support to AdventHealth Corporate Services Risk Management and outside attorneys for lawsuits, claims and PCEs.
• Performs medical records review, HFACS-RCA2 review and other evidence to support defense.
• Initiates the claim file, secures documents, litigation holds and manages discovery requests, interviews and deposition support.
• Coordinates efforts between the Risk Management Claims Manager and outside attorneys.
• Assists in developing risk reduction strategies for the region and grievance resolution processes.
• Leads annual initiatives to reduce claims costs for hospitals and clinics.
• Oversees RMIS guidelines and access to the system for regional reviewers.
• Coordinates with Corporate Services Risk Management to procure and maintain insurance coverage and issue Certificates of Coverage.
• Assists facilities in crisis intervention on serious risk incidents and provides guidance.
• Provides updates to Quality teams on open claims and lawsuits.
• Provides backup to the Director for PSQIA compliance and education across the region.

Skills

Risk management

Quality

Patient safety

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:

Provides support to AdventHealth Corporate Services Risk Management and outside attorneys for lawsuits, claims and Potential Compensable Events (PCEs) in preparation and ongoing of defense of claims. Performs medical records review, HFACS-RCA2 review and other evidence to support the defense of the organization. Initiates the claim file, secures documents, litigation holds and manages discovery requests, team member interviews, and deposition support. Coordinates efforts between the AdventHealth Corporate Services Risk Management Claims Manager and outside attorneys. Assists in the development of risk reduction strategies for the region including supporting the grievance resolution process to resolve them quickly and effectively. Provides leadership and facilitation to the annual initiatives to reduce claims costs for the hospitals and clinics. Provides local/Regional oversight of the Risk Management Information System (RMIS) establishing guidelines related to standardized scoring of incidents, access to the system and management of departments and reviewers for the region. Provides requested reports and analysis of data. Coordinates with AdventHealth Corporate Services Risk Management to ensure the appropriate procurement and maintenance of insurance coverage for the facilities, clinics and any leases within the region and the issuance of Certificates of Coverage as needed. Assists facilities and clinics in crisis intervention on serious risk incidents providing guidance on immediate, short term and long term interventions to reduce risk. Oversees the monthly claims review meetings, identifying incidents for discussion and identification of PCEs. Provides updates to the Quality teams on open claims and lawsuits for their entity. Provides support to the Director by providing back up to the Patient Safety Evaluation System, ensuring compliance with the PSQIA and protections of Patient Safety Work Product. Provides education on identified topics to team members and leadership across the region to improve awareness of identifies risks. 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.

Education:

Bachelor's [Required]

Field of Study:

Healthcare related field

Work Experience:

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:

Certified Professional in Healthcare Risk Management (CPHRM) [Preferred]

Physical Requirements:

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

Pay Range: $83,366.40 - $155,084.80

Equal Opportunity Statement:

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

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.