Description

Position Summary:

Contributes to the Risk Management (RM) plan by identifying, analyzing, reducing risk for LAMMICO and its insureds. Participates in the development and implementation of the RM program to individual and large group and healthcare facility insureds including hospitals, long term care and other facilities in their assigned states.

Reporting Relationship:

Reports directly to the Manager of Risk Management and Patient Safety

Essential Functions/Responsibilities:

• Works in a cooperative manner with management, coworkers, customers, and vendors; seeks to support  LAMMICO’s mission and vision in daily operations
• Contributes to the development of the department’s strategic and operating planning and meets assigned target dates and objectives; helps ensure that department quality, service and productivity standards are met

•  Conducts review and analysis of medical malpractice claims for insured individuals, groups, hospitals, long term care and other facilities in assigned territory

•  Conducts assessment for assigned individual and group medical practices and healthcare facilities including hospitals, long term care and other facilities in their assigned territory; provides insureds with loss prevention and loss control interventions that are consistent with RM principles

•  Provide RM consultation to assigned physician practices including large physician groups and healthcare facilities

•  Conducts telephone consultation with individual, group medical practices, and healthcare facilities

•  Develops and presents live and online RM education seminars for physician practices including physicians, nurse practitioners, physician assistants, nursing staff, and other medical office staff

•  Conducts loss analysis for assigned territory based on internal and external data/information

•  Evaluates territory loss and make comparisons to the book of business and draw conclusions for developing and implementing loss prevention and loss control interventions

•  Collaborate with the Facility Risk Manager to implement action plans to reducing GL risk for all facility types

•  Collaborates with the Long Term Care Specialist to implement action plans to reduce PL risk in these facilities

•  Reports to the assigned Committees regarding insureds risk profile

•  Serves as RM expert to LAMMICO insureds

Secondary Functions/Responsibilities:

• Other responsibilities and special projects as assigned

•  Attends LAMMICO seminars presented by physician specialists

•  Attends seminars/conferences for LAMMICO’s marketing department, as assigned

Qualifications

Education, Experience and Skills

Required:

• Bachelor’s or Associate’s Degree in nursing
• Current license in nursing
• 3-5 years of experience in the Risk Management, quality improvement, or other healthcare related field
• 4-6 years of experience in nursing
• Formal presentation skills to large audiences
• Experience interacting with physicians and/or other healthcare professionals
• Experience in data analysis
• Strong customer focus and team orientation
• Ability to appropriately handle confidential and sensitive company
• Commitment to continuing industry and individual functional education
• Excellent communications skills with the ability to interact and work effectively with employees at all levels within and outside of the organization
• Ability to manage time, set priorities, and work independently and in cooperation with others when appropriate; ability to organize, analyze, and interpret information
• Proficiency in the use of Microsoft Office programs
• Must have continuous and uninterrupted access to reliable transportation; must maintain driver’s license and insurance as required by state
• Frequent travel up to 50% of the time with some overnight stay required

Desired:

• ARM and/or CPHRM certification
• Insurance industry experience
• Experience in medical malpractice arena
• Master’s Degree in healthcare or insurance related fields

Salary : $95,100 - $107,010