Risk Manager

UCSF•San Francisco, CA

81d•$140,000 - $200,000•Onsite

About The Position

This position supports UCSF Health Stanyan and Hyde Hospitals as well as UCSF Health main campus in support of the Mission, Vision and Values of the organization, promoting high-quality patient care, compliance with applicable policies, patient safety, and patient and family services. This position works independently and in collaboration with departmental leadership, other UCSF Health Risk Management Staff, Hospital leaders and stakeholders, developing close, strategic and collaborative relationships across UCSF Health. This position provides risk advice in a variety of areas, including consent, end-of-life issues, unilateral withdrawal of life prolonging treatment, mandatory reporting, documentation, 5150/5250 hold issues, patient/family/visitor behavior, threat management, adverse event management, patient complaints and grievances, privacy and confidentiality, surgical complications, disclosure of adverse events, discharge and discontinuation of care, elopement and AMA, to name a few. This position, along with UCSF Health Risk Management departmental leadership, handles professional liability claims against UCSF Health Stanyan and Hyde hospitals. This position engages in every aspect of claims/litigation handling, from the initial intake and claim submission through resolution and corrective action planning. This position collaborates with Risk Management departmental leadership, the third-party claims administrator and outside counsel, to investigate a claim, research and assist with responding to discovery requests, and may assist with trial preparation as needed. The Risk Manager is responsible for keeping Risk Management departmental leadership updated as well as ensuring that the claims database is updated with claim developments. This position will develop and demonstrate knowledge of professional liability standards of care as well as regulatory standards inclusive of Joint Commission, Medicare Conditions of Participation, Title 22, and other California Laws and Regulations.

Requirements

Works independently and in collaboration with departmental leadership, other UCSF Health Risk Management Staff, Hospital leaders and stakeholders.
Develops close, strategic and collaborative relationships across UCSF Health.
Attention to detail.
Critical thinking.
Strong verbal and written communication skills.
Experience in the legal, risk and/or clinical worlds.
Ability to expand knowledge base and become an expert in Risk Management in a complex healthcare environment.
Ability to take quick action and response to a broad range of issues and situations.

Responsibilities

Provides risk advice in areas such as consent, end-of-life issues, mandatory reporting, documentation, patient/family/visitor behavior, threat management, adverse event management, patient complaints and grievances, privacy and confidentiality, surgical complications, disclosure of adverse events, discharge and discontinuation of care, elopement and AMA.
Handles professional liability claims against UCSF Health Stanyan and Hyde hospitals in collaboration with departmental leadership.
Engages in all aspects of claims/litigation handling, from initial intake and claim submission through resolution and corrective action planning.
Collaborates with Risk Management departmental leadership, third-party claims administrator, and outside counsel to investigate claims, research and assist with responding to discovery requests, and may assist with trial preparation.
Keeps Risk Management departmental leadership updated on claim developments.
Ensures the claims database is updated with claim developments.
Develops and demonstrates knowledge of professional liability standards of care and regulatory standards including Joint Commission, Medicare Conditions of Participation, Title 22, and other California Laws and Regulations.