Demo

Director of Risk Management

The Ridge Behavioral Health System
Lexington, KY Full Time
POSTED ON 1/20/2025
AVAILABLE BEFORE 4/20/2025

The Director of Risk Management (RM) also serves as the Facility Compliance Officer and is the back-up to the Director of Performance Improvement when necessary. The Director of Risk Management has broad responsibility to protect the hospital's assets from loss. The Director of Risk Management is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.E.R.M.© Program. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

Position Specific Responsibilities :

Claims Management :

  • Assists Administrator in facilitating the processing of summons and complaints served on the hospital and its employees.
  • Reports receipt of summons and complaints immediately to Corporate Risk Management and Insurance Department.
  • Assists the Corporate Risk Management as needed to intervene, document, and assist in the investigation of all claims.
  • Coordinates investigation of claims within the facility :
  • Directs in house claims investigation.
  • Preserves all pertinent information (medical record, x-rays, equipment, lab / pathology specimens, relevant reports / d policies and procedures)
  • Facilitates early reporting.
  • Establishes early control of situation.
  • Assists in obtaining materials for attorneys.
  • Maintains all legal case files and ensures maximum protection and discoverability.
  • Coordinates with and assists attorneys as they interface with the facility and employees.
  • Advises Business Office of actions consistent with directions from Corporate Office for unpaid accounts involved in litigation.

Loss Control and Prevention :

  • Conducts / facilitates in-services to educate employees and physicians.
  • Participates in developing / reviewing policies and procedures.
  • Operates to maintain and facilitate system securing hospital, employee, and patient property.
  • Employee / Physician Education

  • Facilitates, develops, and provides educational programs to insure all employees and medical staff are aware of the Risk Management concept and its relation to their specific duties / job role in identifying and reducing liability exposures.
  • Plans and presents risk management information to all new employees at hospital orientation.
  • Plans and presents Risk Management information to all employees at annual update.
  • Plans, presents, facilitates, and / or recommends in-services to all departments as necessary to address Risk Management problems.
  • Submits articles to hospital, nursing, medical staff newsletters, as appropriate.
  • Plans and presents in-services / information at Department Managers meetings. Provides Risk Manager presentation specific to management levels at least annually.
  • Shares current literature and articles of relevance with all appropriate departments.
  • Plans, facilitates, presents information, and suggests topics on Risk Management to Committees or hospital departments as necessary and based upon occurrences or claim patterns.
  • Reporting, Report Preparation and Submission

  • Provides aggregate analysis of risk data and trend analysis of incidents to :
  • Administration
  • Corporate Risk Management
  • Patient Safety Council
  • Performance Improvement
  • Environment of Care / Safety Committee (Safety related only)
  • Governing Board
  • Medical Staff Committees / Department as necessary and related to the department.
  • Incidents with Claims Potential
  • Directly reports to Administration those incidents with claims potential.
  • Reports to Corporate Risk Management any serious risk event involving actual or potential injury to patients and visitors; enters Incident Reports.
  • Medical Staff

  • Develops, coordinates, presents / facilitates educational programs specific to medical staff concerns.
  • Advises physicians on issues of interest or concern including Informed Consent process.
  • Documentation and communication; Accountability; Response to patient / family complaints; and internal problem solving.
  • Provides methods to communicate patient events to the Risk Manager that may result in a claim.
  • What We Offer You :

  • Flexible Scheduling
  • Challenging and rewarding work environment with the opportunity to make a difference in the lives of others.
  • Career development opportunities within UHS and its 300 Subsidiaries
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Tuition Reimbursement Program, Sign-on Bonus, Retention Bonus Program, and Referral Bonus Program where applicable.
  • Close to Hamburg & I-75
  • Free parking on premises
  • Free meal with each shift
  • Job Qualifications : Education

  • Bachelor’s Degree from an accredited college or university in nursing or other related health field is required.
  • Master’s Degree is preferred.
  • Experience

  • Five years clinical experience in an in-patient facility with knowledge of high- risk areas.
  • Three years management experience preferred.
  • Certifications / Licensure

  • Crisis intervention training required (Handle with Care / Verbal De-escalation). This training is offered upon hire.
  • Current RN license by Board of Nurse Examiners for the State of Kentucky : or
  • A Master’s Degreed Mental Health Professional.
  • Other Skills

  • Knowledge of hospital operations, risk identification, assessment and reduction and claims management
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