Risk Claims Manager in Camden

Energy Jobline ZR; Camden (NJ); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Equal Opportunity Employer

Job summary

Osborn Family Health Center in Camden, NJ is seeking a Risk Manager to oversee the facility's risk and claims management functions. You will implement the Risk Management Program, monitor incidents, and drive corrective actions in partnership with staff and leadership.

Expected to lead risk reduction efforts, conduct quarterly assessments, and report progress to the Board. The role requires coordination across departments to minimize injuries, losses, and reputational risk for the center.

Qualifications

• Associate's degree in health care management, nursing or administration is required.
• Bachelor's degree is preferred for the role.
• 3–5 years of related experience in risk or claims management.

Responsibilities

• Develops, initiates, maintains the Risk Management Program and Plan.
• Oversees risk management investigations, training, and corrective actions.
• Review incident reports, analyze frequency and trends of incidents.
• Coordinate analysis of serious incidents or undesirable patterns.
• Assist with risk reduction strategy development and monitoring.
• Annually report to the Board on risk management activities.
• Oversee claims and insurance management; handle litigation holds.

Skills

Risk management

Claims management

Regulatory compliance

Incident investigation

Education

Associate's degree in health care management

Bachelor's degree

Job description

Job DescriptionJob Description

Job Description

Risk Claims Manager

The Risk Manager oversees Risk Management activities at Osborn Family Health Center ("Osborn"). Risk management activities shall be part of the daily responsibilities of the Risk Manager.

The Risk Manager is responsible for the implementation and coordination of the Risk Management Program. The Risk Manager is empowered by the Board with the authority and responsibility necessary to perform the functions and activities of the Risk Management Program. The Risk Manager is responsible for developing and implementing appropriate measures to minimize the risk of injuries to patients, visitors, and staff, and to minimize loss or damage to property or the reputation of Osborn in collaboration with other staff.

The Risk Manager also serves as Osborn's Claims Manager. The Claims Manager is the claims point of contact. Claims management activities shall be part of the daily responsibilities of the Claims Manager.

Duties and Responsibilities

Risk Management Duties

• Develops, initiates, maintains the Risk Management Program and Risk Management Plan of the Health Center. Oversees Risk Management investigation, training, and corrective action if necessary.

• Review all incident reports; investigate and analyze the frequency, causes, and trends of general categories and specific types of adverse incidents.

• Coordinate analysis of serious incidents or undesirable patterns or trends.

• Assist with development, implementation, and ongoing monitoring of risk reduction strategies.

• Complete risk management assessments at least quarterly and share such assessments with the QA/QI/ RM Committee and Board.

• Assist departments in identifying and correcting unsafe conditions and high risk or problem prone processes.

• Incorporate risk management findings with the RM program and initiatives.

• Implement an annual Risk Management Training Plan that includes analyzing data to identify training that must be completed by all staff and additional risk management training for select staff involved in certain professions/fields, and tracking and monitoring staff compliance with training requirements.

• Annually report to the Board on risk management activities and progress in meeting goals.

• Other responsibilities as requested by management.

Claims Management Duties

• Oversee claims and insurance management

• If Osborn is deemed an employee for purposes of coverage under the Federal Tort Claims Act ("FTCA"), duties include:

(1) assisting the Department of Health and Human Services Office of GeneralCounsel in defending administrative torts filed against Osborn or pursuant to the FTCA

(2) promptly sending any service of process or summons, to both to the Department of Health and Human Services, Office of the General Counsel, General Law Division in accordance with the FTCA Health Center Policy Manual, and to other outside representatives

• Assist to have improperly filed state claims dismissed against Osborn or any of its employees in a timely and responsible manner.
• Ensure that litigation holds are issued immediately upon receipt of any notice of litigation, including but not limited to a state claim or administrative tort claim, to prevent the loss or alteration of any information relevant to the claim, including but not limited to records concerning medical treatment, billing, communications between involved parties, personnel records, and policies and procedures in effect at the time of the incident.
• Work cooperatively with other representatives on Osborn's behalf with respect to claims management.

Education/Experience:

Associate's degree in health care management, nursing or administration in related field required. Bachelors' degree .

At least three to five years of related experience .

Reports to: Clinical Nurse Director/Chief Medical Officer

Osborn Family Health Center is a Federally Qualified Health Center (FQHC), located in Camden, N.J, Equal Opportunity Employer.

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