Risk Manager

University of California - San Francisco; San Francisco (CA); On-site; USD 130,000 - 190,000; Full time

Job summary

UCSF Health Risk Management Department seeks a Risk Manager to minimize financial exposure across UCSF Health hospitals and affiliates, defending against claims for medical negligence while delivering risk consultations 24/7.

You will provide risk advisory on consent, patient safety, confidentiality, incident response and complex regulatory standards, collaborating with leadership, outside counsel and a wide clinical team.

Qualifications

• Bachelor's degree or equivalent experience/training.
• Minimum three (3) years of experience in hospital risk management, quality management or claims management.
• Broad knowledge of risk management and claims concepts in an acute care setting.
• Knowledge of healthcare laws and regulations relevant to risk management.
• Proven project management and customer service skills with multi-priority handling.
• Ability to collaborate across departments and locations with strong interpersonal skills.
• Proven analytical abilities and problem-solving skills with sound judgment.
• Excellent verbal and written communication; ability to influence all levels of staff.
• Ability to work independently and with outside counsel in a team environment.
• Demonstrated leadership, crisis management, and composure under pressure.
• Ability to maintain confidentiality of sensitive information.

Responsibilities

• Provide risk advice in consent, end-of-life, reporting, patient behavior, privacy and other risk areas.
• Handle professional liability claims from intake to resolution and action planning.
• Collaborate with risk management leadership, outside counsel, and third-party claims administrator; assist with discovery and trial prep.
• Maintain and update the claims database with new developments.
• Develop knowledge of regulatory standards (Joint Commission, Medicare COP, Title 22, CA laws).

Skills

Project management

Customer service

Interpersonal skills

Analytical thinking

Communication

Confidentiality

Independent & team work

Leadership

Education

Bachelor's degree or equivalent experience/training

Job description

This position supports UCSF Health Stanyan and Hyde Hospitals as well as UCSF Health main campus in support of the Mission, Vision and Values of the organization, promoting high-quality patient care, compliance with applicable policies, patient safety, and patient and family services. This position works independently and in collaboration with departmental leadership, other UCSF Health Risk Management Staff, Hospital leaders and stakeholders, developing close, strategic and collaborative relationships across UCSF Health.

This position provides risk advice in a variety of areas, including consent, end-of-life issues, unilateral withdrawal of life prolonging treatment, mandatory reporting, documentation, 5150/5250 hold issues, patient/family/visitor behavior, threat management, adverse event management, patient complaints and grievances, privacy and confidentiality, surgical complications, disclosure of adverse events, discharge and discontinuation of care, elopement and AMA, to name a few.

This position, along with UCSF Health Risk Management departmental leadership, handles professional liability claims against UCSF Health Stanyan and Hyde hospitals. This position engages in every aspect of claims/litigation handling, from the initial intake and claim submission through resolution and corrective action planning. This position collaborates with Risk Management departmental leadership, the third-party claims administrator and outside counsel, to investigate a claim, research and assist with responding to discovery requests, and may assist with trial preparation as needed. The Risk Manager is responsible for keeping Risk Management departmental leadership updated as well as ensuring that the claims database is updated with claim developments.

This position will develop and demonstrate knowledge of professional liability standards of care as well as regulatory standards inclusive of Joint Commission, Medicare Conditions of Participation, Title 22, and other California Laws and Regulations.

Department Overview

The primary function of UCSF Health Risk Management Department is to minimize financial exposure to the University arising from professional liability matters through the hospitals and clinics of UCSF Health, inclusive of UCSF Stanyan and Hyde hospitals, and its Affiliates. The department serves as a resource to all UCSF Health staff/employees regarding risk management issues. The department is located at 1800 Owens St., Suite 461 in San Francisco.

The UCSF Risk Manager position is a dynamic fast-paced position with tremendous opportunity for learning, developing and expanding Risk Management skills. This key position requires attention to detail and critical thinking and strong verbal and written communication skills. The Risk Manager is part of the team that is responsible for defending UCSF Health and its people against claims for medical negligence. This position affords the opportunity to work with talented and nationally known physicians and other health care providers and to assist them in responding to concerns related to clinical care. The department works as a team to respond to requests for risk consultations from the UCSF Health work force 24 hours a day.

This position is ideal for individuals with experience in the legal, risk and/or clinical worlds who want to expand their knowledge base and become an expert in Risk Management in a complex healthcare environment. Every day is different in the department and there is a broad range of issues and situations that require quick action and response.

REQUIRED QUALIFICATIONS

• Bachelor's degree in a related area and/or equivalent experience/training.
• Minimum three (3) years of experience in hospital risk management, quality management or claims management program, or comparable experience
• Broad knowledge of risk management and claims management concepts. Ability to apply knowledge in an acute care setting to improve risk management operations.
• Comprehensive knowledge of the relevant risk management industry, federal, state and local laws and regulations relevant to healthcare. Ability to apply policy knowledge to suggest improvements to risk management
• Proven project management and customer service skills to effectively manage multiple priorities in a complex, challenging environment. Demonstrates adaptability and flexibility, anticipates and effectively handles change.
• Skills to collaborate within and across departments/locations to coordinate daily risk management activities and resolve problems. Interpersonal skills to maintain professional relationships with peers, patients, multidisciplinary team members, senior management, and assigned staff.
• Proven analytical abilities and problem-solving skills to quickly evaluate complex issues and identify options for resolution. Demonstrates sound judgment.
• Verbal and written communication skills to effectively communicate through all mediums and with all groups. Ability to listen actively, persuade, advise, counsel, and influence all levels of staff.
• Ability to work independently and collaboratively in a team environment, which includes outside counsel.
• Demonstrated leadership, crisis management, quick thinking, calmness under pressure, creativity, integrity, initiative, flexibility and problem-solving skills.
• Proven ability to maintain confidentiality of sensitive information. Discretion, tact and ability to deal with sensitive issues.

PREFERRED QUALIFICATIONS

• Current CA Nursing license and/or CA State Bar license
• Certified Professional in Healthcare Risk Management (CPHRM)
• Established ability to organize division operations in an efficient and effective manner through improving risk management processes, procedures, and systems.
• Familiarity with QA standards/processes and Joint Commission requirements.
• Familiarity with Microsoft word, Excel, for use in the development of reports for leadership.

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

REQUIRED QUALIFICATIONS

• Bachelor's degree in a related area and/or equivalent experience/training.
• Minimum three (3) years of experience in hospital risk management, quality management or claims management program, or comparable experience
• Broad knowledge of risk management and claims management concepts. Ability to apply knowledge in an acute care setting to improve risk management operations.
• Comprehensive knowledge of the relevant risk management industry, federal, state and local laws and regulations relevant to healthcare. Ability to apply policy knowledge to suggest improvements to risk management
• Proven project management and customer service skills to effectively manage multiple priorities in a complex, challenging environment. Demonstrates adaptability and flexibility, anticipates and effectively handles change.
• Skills to collaborate within and across departments/locations to coordinate daily risk management activities and resolve problems. Interpersonal skills to maintain professional relationships with peers, patients, multidisciplinary team members, senior management, and assigned staff.
• Proven analytical abilities and problem-solving skills to quickly evaluate complex issues and identify options for resolution. Demonstrates sound judgment.
• Verbal and written communication skills to effectively communicate through all mediums and with all groups. Ability to listen actively, persuade, advise, counsel, and influence all levels of staff.
• Ability to work independently and collaboratively in a team environment, which includes outside counsel.
• Demonstrated leadership, crisis management, quick thinking, calmness under pressure, creativity, integrity, initiative, flexibility and problem-solving skills.
• Proven ability to maintain confidentiality of sensitive information. Discretion, tact and ability to deal with sensitive issues.

PREFERRED QUALIFICATIONS

• Current CA Nursing license and/or CA State Bar license
• Certified Professional in Healthcare Risk Management (CPHRM)
• Established ability to organize division operations in an efficient and effective manner through improving risk management processes, procedures, and systems.
• Familiarity with QA standards/processes and Joint Commission requirements.
• Familiarity with Microsoft word, Excel, for use in the development of reports for leadership.