Risk Program Manager; 1.0FTE; Day Shift

UnityPoint Health - Meriter Hospital•Madison, OH

90d

About The Position

The Risk Management Program Manager supports and advances risk management throughout UnityPoint Health (UPH). The position focuses on creating and executing actions for complex projects that support the Risk Management team, and serves as a resource, liaison, and representative of UPH. It helps clinicians, managers, and administrators meet objectives intended to reduce health-system risk, improve patient-care processes, and protect organizational assets. The role supports the Associate General Counsel, Director of Enterprise Risk Management, and Risk Managers in overseeing projects and initiatives and ensuring timely, high-quality outcomes. As a risk management advisor, the position leads strategic initiatives, supports risk-management and patient-safety processes, advises on mitigation and contracts, analyzes safety and claims data, and consults with leaders and care teams. It also contributes to claims and litigation processes, adverse-outcome disclosures, risk assessments, education, committee work, and continuous improvement.

Requirements

Bachelor's degree in nursing, a health-related field, or risk management.
Five years of progressive risk management experience.
Experience applying modern improvement methodology to lead change.
Experience with continuous-improvement concepts and applications, including the ability to manipulate, trend, and analyze data.
Valid driver's license when driving a vehicle for work-related reasons.
Certification as a Certified Professional in Healthcare Risk Management (CPHRM), Associate in Risk Management (ARM), or Certified Professional in Patient Safety (CPPS).
Fluency in reading, writing, comprehending, and speaking English.
Demonstrated excellence in judgment, temperament, confidentiality, collaboration, education, written and verbal communication, facilitation, crisis-management teaching, and interpersonal skills.
Familiarity with general clinical aspects of patient care.
Flexibility, tolerance, and ability to prioritize multiple tasks with attention to detail.
Ability to interact with a wide diversity of people and situations while maintaining a customer focus.
Ability to adapt to stressful situations quickly and effectively.
Accurate word-processing and computer skills.
Excellent verbal and written communication and analytical skills, and good judgment.
Knowledge and understanding of hospital policies and procedures related to patient care and safety.
Proficiency with software applications including Microsoft Word, PowerPoint, Excel, and Outlook.

Nice To Haves

Prior healthcare risk management experience is strongly preferred.

Responsibilities

Serve as a risk management advisor and expert, supporting decisions with data and knowledge of risk management at UnityPoint Health.
Consult on and lead diverse health-system strategic initiatives, defining scope and work plans, managing execution and deliverables, coordinating resources, and aligning stakeholders.
Assist with developing, implementing, and maintaining structures and processes that support risk management and patient safety.
Provide guidance on risk mitigation strategies, contract formation, and contract management.
Facilitate collection, storage, and analysis of loss-control, improvement, and safety data.
Report KPIs, KRIs, and other loss-control and claims data to UPH leadership regularly.
Investigate claims data and develop risk-reduction and loss-control strategies.
Assist in developing policies, procedures, systems, and workflows that enhance the UPH Health System Risk Management Program.
Plan and develop risk-management and loss-prevention education for departments and care providers.
Provide risk-management consultation and advice to executives, physicians, care providers, and employees, and maintain knowledge of healthcare risk-management trends and issues.
Coordinate or conduct annual risk assessments in high-risk areas or processes and implement action plans based on findings.
Collaborate with UPH Legal, the Third-Party Administrator, commercial insurance carriers, and defense counsel in support of litigation.
Report potential liability issues and claims internally and to UPH, the Third-Party Administrator, and other commercial insurers as indicated, following applicable guidelines.
Collaborate with claimants, legal representatives, senior leadership, and colleagues to evaluate and, when appropriate, negotiate asserted claims to resolution.
Lead and organize disclosure teams for adverse outcomes when appropriate.
Review programs and practices and recommend improvements, expansions, and efficiencies.
Serve on the Critical Events Committee, safety and mortality/morbidity committees, and other committees that would benefit from risk-management representation.
Review medical records, compare current practice with best-practice guidelines, and recommend ways to reduce risk and improve patient-care processes.
Support Patient Relations with complaint and grievance responses involving harm or potential liability.
Investigate potential compensable events as directed by the Director or UPH Legal, including interviewing medical staff, employees, visitors, or patients and assessing potential liability.
Identify potential loss conditions and practices, assess their significance, report findings, and devise remedial action plans.
Perform other duties as required or assigned.