DIRECTOR RISK MANAGEMENT

Saint Joseph HealthBangor, ME
288d

About The Position

The Director of Risk Management and Compliance is accountable and responsible for the management and direction of the risk management and loss prevention program for St. Joseph Hospital-Bangor, a member of Covenant Health, under the general direction of the System Vice President Risk Management & System Privacy Officer.

Requirements

  • A Bachelor's degree is required (Master's degree preferred) in a health care field.
  • Minimum of five to six years experience in risk management/loss prevention.
  • Three to five years in management/supervisory position(s).
  • Patient care, legal or claims supervisory, computer and quality management experience is preferred.
  • Excellent interpersonal skills, analytical and conceptual thinking ability, team building ability with an emphasis on performance and achievement.
  • Experience with the management of healthcare-related liability claims.
  • Knowledge of insurance and loss control.
  • Associate in Risk Management (ARM) and Professional Healthcare Risk Management (CPHRM) certifications strongly desired.

Nice To Haves

  • Experience in a healthcare setting.
  • Certification expected to be obtained within 18 months of employment.

Responsibilities

  • Direct, administer, and promote the enterprise risk management program at St. Joseph Hospital-Bangor.
  • Advise senior management of St. Joseph Hospital-Bangor of potential risk exposures and strategies to minimize them.
  • Manage day-to-day risk management program operations at St. Joseph Hospital-Bangor.
  • Act as a liaison and coordinate with and serve as a resource for local leadership and clinical staff regarding risk management activities.
  • Collaborate with staff to identify, monitor, and report on risk trends.
  • Oversee claims management for cases at St. Joseph Hospital-Bangor and affiliated physician practice groups.
  • Monitor, investigate, and oversee all claims, potential claims, and licensing board complaints.
  • Discuss issues with System Vice President Risk Management & System Privacy Officer regarding the settlement and litigation of claims.
  • Work closely with defense counsel and staff in all aspects of the captive claims management operations.
  • Ensure timely investigations and claim reports by the TPA.
  • Monitor case activity of defense counsel on professional liability and general liability claims.
  • Assist St. Joseph Hospital-Bangor and affiliated physician practice groups with health care licensure, accreditation, HIPAA, and other regulatory standards.
  • Serve as a resource regarding clinical healthcare risk management issues.
  • Conduct data collection, management, and analysis related to risk management and claims.
  • Prepare and present reports.
  • Conduct RCAs and collaborate with relevant staff members to investigate and reduce risk.
  • Attend relevant cross departmental committees to reduce risk and promote patient safety.
  • Develop relevant educational programs for the staff.
  • Serve on relevant committees and councils at local member facility and as assigned at System level.
  • Collaborate with the Patient Relations Coordinator to address patient complaints and grievances.
  • Collaborate with System Vice President Risk Management & System Privacy Officer in establishing and implementing organizational goals, objectives, policies, and procedures.
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