Risk Management Specialist (Lodi)

Adventist Health•Lodi, CA

18h•$77,402 - $116,104•Onsite

About The Position

Performs key responsibilities that support the department in achieving risk management program goals for the organization. Key duties include initiation and review of new claims in the Event Reporting System; grievances, complaints and concerns triage, review, and resolution, and general administrative support to the Risk Management Director. Works collaboratively with stakeholders including but not limited to: Risk Management, Claims, Legal, Patient Safety, Quality, Accreditation, Regulatory, and Licensing teams. Serves as a risk management generalist to facilitate and perform the duties of the risk management department on a variety of hospital and clinic related topics including collaboration and communication with various stakeholders, patients, and medical staff.

Requirements

Associate's Degree in healthcare related field: Required

Nice To Haves

Bachelor's Degree in Nursing (BSN): Preferred
Two years' clinical or risk management experience in healthcare setting: Preferred

Responsibilities

Assists with identifying and managing actual and potential risks to the organization.
Reviews and manages event reporting system related to grievances, complaints, workplace violence, security, property, facilities, and claims, and other events as assigned.
Participates in patient safety event review meetings and completes necessary follow up.
Initiates review of events with high harm and potentially compensable events (PCEs).
Acts as a liaison and resource to assess risk exposures in specific clinical and other situations (e.g. Facilities, Safety, Nursing, Pharmacy, Security, and Patient Relations).
Works with Safety, Procurement, and Clinical Engineering and Clinical Operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the Food and Drug Administration (FDA).
Participates as member of various organizational councils/committees to provide risk management perspective and input for purposes of managing organizational risk and promoting safety activities.
Ensures timely and accurate response to inquiries for claims history and coverage information.
Monitors evidence preservation (e.g. surveillance video, equipment, etc, and/or litigation holds).
Collaborates with Risk Management Director or Manager, Claims team, or internal or external legal counsels to coordinate reviews processes and procedures.
Obtains, maintains records and documents and provides them to internal or external legal counsels for preparation of testimony in pending litigation.
Safeguards documents obtained or developed for cause analysis to ensure documents/proceedings are protected from discovery.
Participates in claims process which includes but is not limited to: coordination of depositions; response to interrogatories; requests for production of evidence; ensuring documentation and data management.
Supports Risk Management Director and various department leaders in analyzing data (e.g. complaints, grievances, claims, lawsuits) to identify priority topics and audiences for targeted training and education.
Assists department staff to coordinate inservices and education related to risk prevention, reduction, and mitigation strategies.
Performs other job-related duties as assigned.