Sr. Risk Management Specialist

Cooperative of American Physicians, Inc.; Los Angeles (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Cooperative of American Physicians, Inc. is seeking an experienced risk management professional to provide consultation and support to physician members and insureds.

You will handle complex risk reduction issues, respond to hotline requests, and conduct risk assessments to promote patient safety and minimize malpractice risk. The role requires five years in healthcare risk management, strong communication, and the ability to travel within California.

Qualifications

• Bachelor’s degree in a healthcare related field is required; master’s degree preferred.
• Five years’ experience in healthcare risk management or equivalent in healthcare environment.
• Professional liability experience highly desirable.
• Physician office management or ambulatory care experience preferred.
• Experience and participation in patient safety/risk management and quality improvement activities or committees.
• Knowledge of root cause analysis, adverse event management, grievances responses, and release of protected health information.
• Experience identifying educational and learning needs of healthcare professionals and developing education to address the needs.
• Experience writing healthcare educational material and professional business correspondence.
• Experience in public speaking and presenting to medical personnel or teaching classes.

Responsibilities

• Act as resource to physicians and their staff regarding risk management and practice liability; manage complex risk reduction issues.
• Provide risk management advice to Hotline and email requests; participate in rotating after-hours Hotline coverage.
• Organize and conduct risk assessments to promote patient safety and minimize malpractice risk.
• Function as RMPS resource to CAP department staff.
• Analyze claims data to identify trends and develop risk reduction strategies.
• Develop risk management guides, templates, and educational materials.
• Research and write RMPS articles.
• Create and present educational programs on risk management topics to physicians and healthcare groups.
• Participate in departmental and organizational meetings and risk assessment peer review.
• Staff CAPCares Unit, providing guidance during adverse events and to CAP members.
• Evaluate subpoenas and deposition requests and route appropriately.

Skills

Communication skills

Independent and collaborative work

Organizational skills

California driver license

Willingness to travel (CA)

Education

Bachelor’s degree in a healthcare related field

RN, RN/JD, or clinical license preferred

Master’s degree preferred

Job description

OVERVIEW

Provide risk management consultation and support to physician members and insureds.

Essential Duties and Responsibilities

• Act as resource to physicians and their staff regarding risk management and other current issues regarding physician/medical practice liability. Manage complex and sensitive issues as they relate to risk reduction strategies for physician practices.
• Provide risk management advice to Hotline and e-mail requests from physicians and their staff. Participate in rotating after-hours (evenings, weekends, & holidays) Hotline coverage.
• Organize, plan, and conduct virtual, or on-site, physician practice risk assessments to promote patient safety practices and to minimize malpractice risk.
• Function as an RMPS resource to other CAP department staff
• Analyze claims data and other data sources. Identify trends and develop risk reduction strategies utilizing current best practices.
• Develop risk management practice guides, templates, educational materials, and other resources for physicians and their staff focusing on patient safety and risk management.
• Research and write professional RMPS articles.
• Create and present educational programs on risk management topics and strategies to physicians and other healthcare related groups.
• Participate in RMPS Departmental and organizational meetings, goals, projects, committees
• Participate in Risk Assessment Peer Review meetings, including review of materials, drafting case summaries and minutes
• Staff CAPCares Unit as assigned, including:
• Counsel, guide and coach members/member entities referred to CAPCares hotline in real time or post-adverse patient event with clinically tailored advice specific to the nature of the case.
• Identify and manage Adverse Patient Outcome cases subject to intervention with Patient Assistant Services (PAS).
• Evaluate subpoenas and requests for deposition, appearances, etc., route requests to appropriate CAP departments or provide guidance to Members as needed.

REQUIREMENTS

Education and Experience

• Bachelor’s degree in a healthcare related field required; master’s degree preferred
• RN, RN/JD, or clinical license preferred
• Five years’ experience in healthcare risk management or equivalent experience in a healthcare related environment
• Professional liability experience highly desirable
• Physician office management or ambulatory care experience preferred
• Experience and participation in patient safety/risk management and quality improvement (QI/QA) activities or committees
• Knowledge of root cause analysis (RCA), adverse event management, responding to grievances and complaints, advance directives and release of protected health information
• Experience identifying educational and learning needs/gaps of healthcare professionals or physician office practices and developing education and providing training to address the needs
• Experience writing articles, healthcare educational material, and professional business correspondence
• Experience in public speaking, e.g., creating and providing presentations to medical personnel or teaching classes

Other Skills and Abilities

• Excellent verbal and written communication skills
• Ability to work independently and collaboratively
• Strong organizational skills
• Maintain a valid California driver license to travel to physician offices or other venues
• Ability to travel to practice locations within California, with occasional overnight stays, when requested

Location

• Open to all branches (Los Angeles, Orange County, San Diego, Walnut Creek)

Preferred Knowledge of the Following

California and federal laws and regulations pertaining to the practice of medicine and healthcare, including MICRA; medical risk management techniques; professional liability coverage; hospital and medical office policies and procedures; social behavioral and educational research techniques and evaluation; and medical, legal, insurance databases.