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University of Miami · 14 hours ago

Sr. Manager, Risk Management

Miami, FL

Full-time

Onsite

Senior Level

5+ years exp

The University of Miami is an academic medical center providing leading-edge patient care. They are seeking a Sr. Manager, Risk Management to oversee risk management programs, minimize patient risk, and ensure compliance with regulatory standards.

Higher Education

Responsibilities

Investigates and analyzes the frequency and cause of patient injuries

Directs the coordination and maintenance of the event reporting system (ERS), including systematic reviews of all event reports filed at the facility, to identify trends or patterns, and develop recommendations for appropriate corrective actions

Provides and directs basic and complex preventive risk management assessment(s) of processes, procedures, and programs

Oversight and management of the Incident reporting system to include timely review, analysis and investigation of event reports and patient grievances and complaints to identify areas of high risk, patient experience as well as potentially compensable events

Facilitate resolution of complaints/grievances pertaining to quality-of-care issues

Facilitate interventions as necessary with Patient Relations, Physician Leadership and Corporate Patient Advocate of Risk Management Department

Review, analyze and identify AHCA, DOH and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer

Facilitate and/or participate in Root Cause and FMEA analysis as necessary in conjunction with the Quality Team

Analyze complaint/grievance data and collaborate with Leadership on an Ad hoc basis

Develop a consultant relationship with departments and units to build and sustain a patient focused culture

Provide notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel

Conduct additional investigation and assist with discovery requests as directed

Provides interpretation of risk management and patient safety standards and procedures to medical and hospital staff; counsels staff and physicians in sensitive situations involving actual or potential claims

Analyze and trend data as captured through the event reporting system to identify trends of areas of high risk

Develop summary reports of trending analysis and submit to appropriate committees

Review, revise and develop policies and procedures in association with the Associate Medical Risk Officer pertaining to or having a bearing on risk management and patient safety in accordance with regulatory requirements

Develop and present Risk Management Program summary reports as required

Participate on committees, work groups and/or process improvement teams that improve patient/customer satisfaction

Identify educational needs and develop and present Risk Management and Event Reporting education to staff, faculty and community physicians

Attend national and local conferences to keep abreast of national trends in determining institutional priorities

Plan, coordinate and supervise the activities of the Risk Management staff

Perform other related duties incidental to the work described herein

Co-chair the Patient Safety Committee: collaborate with team and finalize agenda for meeting

Collaborate with team, and assesses, monitors, and recommends, and prepares annual patient safety evaluation

Coordinate credentialing and meet on a monthly basis

Plan, Develop and maintain structure for AAAHC, AHCA and CMS survey readiness. a) Survey readiness preparation

Provides oversight of quality activities and performance improvement activities. Establish key performance measures

Provides oversight of regulatory activities

Provides ongoing update on regulatory changes and update policy and procedure

Qualification

Risk ManagementPatient SafetyRegulatory ComplianceCPHRM CertificationCPPS CertificationData AnalysisJudgment SkillsMicrosoft OfficeInterpersonal SkillsCommunication SkillsProblem Solving