Director, Risk and Claims
About The Position
The Director of Risk Management plans, establishes and administers risk and claims management activities for the MemorialCare Medical Foundation (MCMF) risk and claims management programs designed to enhance the quality of patient care, improve patient safety, and prevent losses to the organization. Performs risk and legal analyses and provides clinical consultative services on risk prevention and mitigation strategies. Responsible for management and daily oversight of professional liability claims, procurement of insurance coverage and risk financing, interfacing with defense counsel to establish defense strategies, as well as communication to key stakeholders on claim status.
Requirements
- Minimum 5 years clinical risk management or medical malpractice legal experience
- Strong leadership skills and ability to build consensus necessary
- Flexibility, organizational awareness and strategic perspective required
- Possess strong oral and written communication skills
- Demonstrate excellent time management, organizational and analytical skills
- Employ diplomatic communication skills to effectively interact with staff, physicians, patients & families, as well as administration; to facilitate resolution of conflict and promote corrective actions
- RN licensure required
- Juris Doctor or similar graduate law degree
Nice To Haves
- Certification in Risk Management desirable
Responsibilities
- Demonstrate Memorial Care’s core values of respect, justice, compassion, stewardship, and excellence to customers, employees, and visitors; and provides quality service in the performance of work assignments and duties.
- Responsible for management and daily oversight of all liability claims, NOIs, summons and complaints, and subpoenas.
- Retains, directs, and approves compensation of defense counsel, interfaces with defense counsel to establish defense strategies, and communicates to key stakeholders on claim status.
- Design and implement policies and procedures related to loss prevention, patient safety, risk mitigation, patient rights and/or physician responsibilities incorporating state and federal regulations, clinical best practice or other professional guidelines as applicable to the appropriate care setting.
- Conduct risk assessments and acts as a resource to administration, physicians, patients and employees relating to risk management services and clinical best practices for patient safety.
- Assist with redesign of clinical care processes in order to ensure patient safety and care processes are consistent with applicable legal, regulatory and licensing requirements.
- Conduct investigations of activities regarding actual or alleged liability (excluding Workers' Compensation) relative to patients, employees, physicians, and visitors.
- Analyzes potentially compensable events against standards of care and makes recommendations for actions
- Provide investigative and other support for event analysis (Root Cause Analysis, Intense Analysis, Failure Mode Effect Analysis) and designs and leads Lean and other process improvement activities.
Benefits
- In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities.
- Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents.
- We offer high quality health insurance plan options, so you can select the best choice for your family.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Ph.D. or professional degree
Number of Employees
11-50 employees
