Risk Manager

Mosaic Life Care•St. Joseph, MO

9d•$81,390 - $122,075

About The Position

The Risk Manager is responsible for overseeing the organization's risk management program and implementing strategies to protect corporate assets from loss. This role develops and executes risk mitigation solutions, analyzes potential sources of loss, and advises leadership on measures to reduce or eliminate risk. Key responsibilities include managing all professional and general liability claims, directing the Patient Relations and Grievance process, and administering the Risk Management Program on a day-to-day basis. The Risk Manager conducts risk management education, ensures compliance with applicable standards, and promotes patient safety and quality care. Additional duties involve performing risk assessments and studies, education, analyzing statistical trends, and identifying patterns to enforce a continuous risk mitigation strategy across the organization. This position reports directly to the Deputy General Counsel. This position reports to the Process Leader for Legal Department and is employed by Mosaic Health System.

Requirements

Bachelors degree in Healthcare, health administration; or Healthcare experience such as APRN/RN with experience in Risk, Patient Safety, Claims Management required.
Juris Doctor (J.D.) Juris Doctorate with a minimum of 2 years legal-litigation practice experience (Litigation, Health Law, In-house experience preferred) is required.
5 Years Healthcare, health administration; or Healthcare experience such as APRN/RN with experience in Risk, Patient Safety, Claims Management. (ONLY required if candidate does not have a J.D.) required.
Minimum of 2 years legal-litigation practice experience (Litigation, Health Law, In-house experience preferred). (ONLY required with completed education of J.D.) required.
CPHRM - Certified Professional in Healthcare Risk Management Must obtain with the first year of employment within 1 year is required.

Nice To Haves

Master's Degree Masters in Nursing, health administration, or related healthcare field preferred.
Certified in Healthcare Compliance (CHC); or Certified in Healthcare Quality & Management (CHCQM) upon hire is preferred.

Responsibilities

Develop and implement a comprehensive insurance program, including risk identification, assessment of insurability, utilization of deductibles, reinsurance strategies, and adherence to corporate policies regarding risk.
Maintain knowledge of risk management principles and practices, insurance processes, and professional liability claims management within a health care organization.
Investigate and follow up on potentially compensable events; compile and analyze data to identify trends and support organization-wide initiatives to minimize risk.
Represent the organization in all insurance related matters and participate in contract reviews to ensure appropriate risk considerations.
Investigate and follow up on potentially compensable events; compile and analyze data to identify trends and support risk reduction techniques.
Report claims to insurance carriers and manage all professional, general, and product liability claims in coordination with carriers, including legal defense activities.
Monitor and assist with legal demands, preservation notices, legal holds, and collection of e-discovery, medical, and billing records as required.
Draft and review litigation related documents, including discovery responses, motions, and filings; collaborate with internal and external counsel on discovery.
Facilitate collaboration between leadership and clinicians to identify exposures and develop effective mitigation strategies; evaluate outcomes for continuous improvement.
Serve as liaison between the organization, claimants, attorneys, insurance companies, and insured parties.