Risk Manager

UVA Health Northern Virginia & CulpeperManassas, VA
$43 - $73Hybrid

About The Position

We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of the world-class UVA Health academic health system, we are committed to caring for the whole person by building meaningful connections with our patients in the local setting of UVA Health’s community hospitals, outpatient locations, and provider offices. By combining our team’s talent and expertise, the breadth of capabilities across the entire UVA Health system, and our dedication to community wellness, we are bringing expert care close to home. As a member of the UVA Community Health team, individuals contribute to patient care decisions, support advanced medical technologies, and experience the satisfaction of making a difference in people’s lives every day.

Requirements

  • Demonstrates critical thinking and problem-solving skills.
  • Breaks down problems and issues into sub-components and assesses the benefits and risks of various options and identifies recurring patterns, trends, and/or vulnerabilities.
  • Gathers relevant facts, records, and witness input and develops accurate timelines.
  • Uses appropriate investigative methods.
  • Applies appropriate regulatory, legal, and compliance framework.
  • Demonstrates a high level of independence and accountability to directly manage and lead assigned projects.
  • Demonstrates effective written and oral communication skills.
  • Actively listens, provides constructive feedback, and demonstrates respect for differing views.
  • Tailors communications to diverse audiences and maintains good working rapport with various stakeholders.
  • Translates risk concerns into practical operational recommendations.
  • Handles sensitive and confidential conversations with discretion and professionalism.
  • Builds trusted partnerships with key stakeholders.
  • Works constructively with various stakeholders and within the Risk team, including by seeking input from relevant disciplines and stakeholders.
  • Participates effectively in coordinated team responses to support risk identification and mitigation strategies.
  • Works collaboratively with other stakeholders and influences change.
  • Understands the importance of quality service and meeting the needs of stakeholders.
  • Adjusts and adapts service delivery to diverse customer needs and sensitivities.
  • Demonstrates strong organizational and time management skills.
  • Updates professional skills by participating in educational opportunities annually.
  • 4 Year/Bachelor’s Degree required - BSN or comparable clinical degree.
  • Minimum of 5 years of clinical experience.
  • RN or other clinical certification or licensure in applicable state required.
  • Strong computer skills in Microsoft Office suite, including Outlook, Word, Excel, and Power Point.

Nice To Haves

  • Graduate Degree preferred.
  • Minimum of 3 years of experience in risk management, quality, clinical operations, or healthcare leadership preferred.
  • Experience in acute care hospital setting and related service lines preferred.
  • Epic experience preferred.
  • Certified Professional in Healthcare Risk Management (CPHRM) or willingness to obtain certification preferred.

Responsibilities

  • Provides risk management services to UVA Community Health facilities, team members, and functions as assigned.
  • Identifies risks proactively and conducts risk assessments and analyses, incident investigations, and other root cause analyses, while escalating identified risks appropriately.
  • Uses incident, complaint, and claims-related information to identify trends and support risk mitigation efforts.
  • Develops and provides education on various risk-related topics and trends to various stakeholders across UVA Community Health.
  • Develops risk workflows and process standardization efforts across UVA Community Health.
  • Collaborates and works with representatives from various departments to address identified risks and develop risk mitigation and management strategies.
  • Supports claims reporting to ensure timely reporting of potential or pending claims to insurance carriers.
  • Supports claims defense as assigned, including by interfacing with external and internal legal counsel and insurance claims representatives.
  • Drafts and reviews policies, processes, and procedures that support risk mitigation and strategy.
  • Maintains collaborative and cooperative relationships among UVA Community Health, UVA Health, and related entities.
  • Participates in professional development activities and maintains professional affiliations.
  • Completes other projects and tasks as assigned by the Director of Risk Management and Insurance Operations.

Benefits

  • The base compensation range for this role is $43.16 - $72.89 hourly.
  • Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
  • Please note that the pay range does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions.
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