Risk Management Coordinator

Memorial Health • Springfield, IL

5d • Onsite

About The Position

Provide support and expertise both interdepartmental and system wide in areas of Risk Management, Professional and General Liability Claims Administration, and Data Management Support.

Requirements

• Bachelor’s degree with 3 or more years of clinical healthcare experience or Master’s degree required
• Registered Nurse in the State of Illinois required.
• Experience of working in a similar size and complexity of Memorial Health System
• Highly developed negotiation and interpersonal skills.
• Ability to work under limited supervision making decisions on non-routine issues and ability to provide solutions

Responsibilities

• Assess episodes of care to evaluate compliance with the Medical Practice Standard of Care.
• Engages in communication with healthcare providers and their patients to evaluate compliance with established processes, policies, and procedures.
• Recommend levels of appropriate compensation to claimants.
• Establish appropriate financial reserves to pay claimants for medical care, legal fees, and related costs.
• Works directly with MHS inside and outside legal counsel and insurance carriers to resolve all levels of claims.
• Acts as liaison between MHS and vendors when events occur.
• Provides details of events to be reported to the vendors and the Food and Drug Administration.
• Consults directly with the Quality Assurance and Medical Staff Office personnel to bring matters to their attention to improve processes and assist physicians in providing higher levels of care.
• Acts as daily consultant to all MHS staff and physicians in reference to risk control actions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level