Full-Time

Manager Healthcare Risk Management

University of Miami

University of Miami

Research university in Coral Gables, FL

No salary listed

Company Does Not Provide H1B Sponsorship

Miami, FL, USA

In Person

Bachelor's

Category
Risk & Compliance
Required Skills
Risk Management
HIPAA
Data Analysis

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Requirements
  • A bachelor's degree in a relevant field is required.
  • At least 3 years of relevant experience is required.
  • Knowledge of relevant event and incident reporting requirements and systems is required.
  • The ability to work effectively with executive, senior, and management-level risk managers; quality and safety leadership and personnel; patient experience advocates; and patient access staff is required.
  • Knowledge of operational management, organizational development, financial oversight, team leadership, technical proficiency, and verbal and written communication is required.
Responsibilities
  • Investigate and analyze the frequency and causes of events causing injury to patients.
  • Assist with and direct coordination and maintenance of the event reporting system, including systematic reviews of event reports to identify trends or patterns and develop recommendations for corrective actions, prevention, education, and monitoring.
  • Provide and direct preventive risk management assessments of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.
  • Maintain current knowledge of The Joint Commission and federal and state regulations.
  • Create and modify policies to comply with safety legislation, The Joint Commission requirements, the Health Insurance Portability and Accountability Act, and industry practices.
  • Coordinate and develop hospital-wide programs for quality patient care and risk-free services.
  • Act as liaison to attorneys, insurance companies, and individuals, and investigate incidents resulting in asset loss.
  • Work with senior leadership, corporate and defense counsel, department directors, corporate associates, and medical and allied health staff on risk management issues or concerns.
  • Represent Risk Management at departmental meetings.
  • Provide a comprehensive risk management education and orientation program.
  • Conduct root cause analyses in response to unexpected occurrences.
  • Track and analyze data for trending and develop action plans and risk modification strategies.
  • Analyze hospital-acquired conditions, validate compliance with bundles, and determine corrective action plans.
  • Establish and continuously assess the effectiveness of internal controls within the unit and compliance with University policies and procedures.
  • Ensure employees are trained on controls within the function and on University policies and procedures.
Desired Qualifications
  • Clinical knowledge and experience in hospital and other healthcare settings, including medical record review and analysis, with experience in surgical care, emergency care, general inpatient care, specialty care, intensive care, or outpatient care.
  • The ability to understand and undertake risk prevention and patient protection responsibilities in general acute care and specialty care settings within a multi-campus academic health system.
  • Experience in academic health systems with working knowledge of research-based and generally accepted best practices in patient safety, quality, performance improvement, and risk prevention.
  • The ability to develop, implement, and present continuing education in medical risk prevention methods.
  • Working knowledge or experience with applicable state and federal healthcare regulatory requirements, facility and professional licensure and regulation, hospital and laboratory accreditation, professional peer review, human subject research protection, Conditions of Participation, or drug or medical product regulation.
  • A medical or legal background.
  • Certified Professional in Health Care Risk Management certification.
  • Certified Professional in Patient Safety certification.
  • Registered Nurse training and licensure.

The University of Miami is a private research university focused on education, discovery, and service, with undergraduate, graduate, and professional programs.

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