Risk Program Manager

Banner Health • Tucson, AZ

2d • Hybrid

About The Position

The Risk Program Manager supports Banner Medical Center-South and ambulatory entities, including clinics, home health, and imaging. The position partners with healthcare teams and administration to improve patient safety, support staff and physicians, and provide risk management consultation. The role is part of Banner Health’s Clinical Risk Management Department and works across hospital, clinic, and ambulatory settings.

The position administers assigned entities’ risk management activities, including identifying, investigating, and reducing risk; implementing entity-specific risk plans and goals; analyzing claims and other risk data; providing education; supporting compliance with accreditation and regulatory standards; and helping minimize losses and protect facility assets. The manager contributes to policy and organizational changes, subject to higher-level advice and approval, and provides guidance and program direction to staff performing Risk Specialist functions. The position also provides information for budget development and seeks management approval.

The role is scheduled Monday through Friday, 8 a.m. to 5 p.m., with periodic call. It may be hybrid, with onsite attendance as needed for meetings and rounding in Phoenix and Tucson. Hands-on patient care experience is preferred.

Requirements

• Bachelor’s degree in nursing or a related field.
• CPHRM certification required within two years of hire.
• Four to five years of experience in Risk Management or equivalent experience.
• Strong written and oral communication, presentation, teamwork, influence, and negotiation skills.
• Knowledge of federal and state healthcare statutes, medical terminology, and hospital or department policies, procedures, and practices.
• Ability to manage and negotiate emotional and confrontational situations with sensitivity to facility operations and organizational culture.

Nice To Haves

• Hands-on patient care experience.
• RN.
• QA, Patient Safety, CPHQ, and/or ARM credentials.
• Patient safety certification.
• Additional related education and/or experience.

Responsibilities

• Develop, coordinate, and administer systems for risk identification, investigation, and reduction; conduct risk assessments and inspect patient care areas.
• Monitor legislative activities that may affect risk management programs in assigned entities.
• Develop, implement, and monitor entity-specific risk management plans and annual goals.
• Collaborate with quality and patient safety representatives on performance improvement plans, indicators, and goals.
• Participate in planning and decision-making through entity committees and advise leaders, clinicians, and other personnel on patient safety and risk management.
• Work with patient safety, service excellence, and management teams to investigate potential or actual events and concerns; participate in root cause analyses and reporting of adverse drug events and sentinel events.
• Collect, evaluate, analyze, and present claims and risk data, including aggregate summaries, trend analyses, and claims and litigation information.
• Respond to professional and facility liability questions and help resolve treatment issues, including AMA decisions, treatment refusals, and consent matters.
• Participate in medical-error disclosure processes and initiate court orders when appropriate through in-house and outside legal counsel.
• Support departments in meeting risk management-related standards of The Joint Commission and other accrediting agencies; participate in scheduled on-call coverage.
• Develop loss-prevention programs, conduct employee and medical staff education, and recommend policy, procedure, and system changes to reduce future risk.
• Assist the Business Health Claims team and legal counsel with access to facility records and personnel in litigated claims.
• Help manage the release of records and information in response to subpoenas, court orders, attorney requests, agency investigations, and other external inquiries.
• Provide information and data for assigned-entity budget development and obtain management approval.

Benefits

• The Clinical Risk Management Department provides study materials and an ongoing study group for Risk Managers who have not yet obtained certification.
• The department covers the cost of passing the certification exam and recertification every three years.
• Ongoing education opportunities through ASHRM and the Arizona Society of Healthcare Risk Management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level