Risk Program Manager

WVU Medicine
Hybrid

About The Position

Assists leadership in development and implementation of strategies for enterprise-wide risk management and performance improvement. Assists in developing, coordinating and administering systems for risk identification, investigation, and reduction. Collaborate with Quality/Patient Safety and healthcare teams as appropriate to develop, implement, monitor, and evaluate the health systems Event Reporting System.

Requirements

  • Bachelor’s degree.
  • Seven (7) years of experience in a healthcare setting.
  • Three (3) years of experience directly working for or with professional liability insurance carriers or captives.
  • Five (5) years of experience in claims and related legal proceedings.
  • Skilled in analyzing data to identify risks, gaps, root causes, patterns, or trends.
  • Skilled in communication and collaboration.
  • Presentation skills.

Nice To Haves

  • Master’s degree in nursing or medical-related field.
  • Certified Professional in Health Care Risk Management (CPHRM).
  • Five (5) years of experience directly working for or with professional liability insurance carriers or captives.

Responsibilities

  • Provides support to leadership, including development of system reports within the Incident Reporting System. Continuously monitors reported events and near misses, follows up with Risk Managers, and escalates events, as necessary to leadership.
  • Is responsible for data management, investigation & reporting. Supports the education components of the Risk Management Program. Promotes the organizations patient safety initiatives
  • Navigates system wide modules for risk identification, investigation, and reduction
  • Conducts case findings by daily review of reported events and other information retrieved from other sources (verbal report, phone report, electronic submissions) and initiates appropriate follow-up
  • Demonstrates strong ability to identify, analyze, and solve problems
  • Competent in data display and analysis
  • Assists in coordinating intervention and education related to risk management issues to promote safe work practices and quality care and services.
  • Proactively manages assigned risk management program on a day -to day basis through the analysis of patient safety and medication error processes.
  • Assists in the investigation and analysis of root causes, patterns, or trends that could result in compensatory or sentinel events. Trends RCA Themes, patterns; identifies/articulates opportunities for improvement to proactively manage Risk Management Program across the health system or at local entity.
  • Assesses risks and individual adverse occurrences and near misses. Provides assistance with investigation and oversight of significant adverse events that occur in the clinical setting and result in patient harm.
  • Actively participate in, or facilities, committees related to clinical risk management, patient safety, and quality improvement. May oversee and manage patient grievance process.
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