What are the responsibilities and job description for the Risk Management Specialist position at Cooperative of American Physicians, Inc.?
CAP is seeking a Senior Risk Management & Patient Safety Specialist that provides risk management consultation and support to physician members and insureds. Our dedicated employees are the essential element to CAP’s success. CAP’s team of well-trained professionals with a commitment to excellence has helped deliver to our member physicians an unparalleled quality of products and services. Our corporate culture and collegial collaboration of minds and efforts is unmatched.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
- Act as resource to physicians and their staff regarding risk management and other current issues regarding physician / medical practice liability. Manage complex and sensitive issues as they relate to risk reduction strategies for physician practices.
- Provide risk management advice to Hotline and e-mail requests from physicians and their staff. Participate in rotating after-hours (evenings, weekends, & holidays) Hotline coverage.
- Organize, plan, and conduct virtual, or on-site, physician practice risk assessments to promote patient safety practices and to minimize malpractice risk.
- Analyze claims data and other data sources. Identify trends and develop risk reduction strategies utilizing current best practices.
- Develop risk management practice guides, templates, educational materials, and other resources for physicians and their staff focusing on patient safety and risk management.
- Create and present educational programs on risk management topics and strategies to physicians and other healthcare related groups.
- Participate in Risk Assessment Peer Review meetings, including review of materials, drafting case summaries and minutes
- Staff CAPCares Unit as assigned, including :
- Counsel, guide and coach members / member entities referred to CAPCares hotline in real time or post-adverse patient event with clinically tailored advice specific to the nature of the case.
- Identify and manage Adverse Patient Outcome cases subject to intervention with Patient Assistant Services (PAS).
- Evaluate subpoenas and requests for deposition, appearances, etc., route requests to appropriate CAP departments or provide guidance to Members as needed.
EDUCATION AND EXPERIENCE :
OTHER SKILLS AND ABILITIES :
PREFERRED KNOWLEDGE OF THE FOLLOWING :
California and federal laws and regulations pertaining to the practice of medicine and healthcare, including MICRA; medical risk management techniques; professional liability coverage; hospital and medical office policies and procedures; social behavioral and educational research techniques and evaluation; and medical, legal, insurance databases.
