JFK Johnson Rehabilitation Institute · 2 days ago
MANAGER, RISK MANAGEMENT
Edison, NJ
Part-time
Onsite
Mid, Senior Level
5+ years expHackensack Meridian Health is committed to transforming healthcare and serving as a leader of positive change. The Manager of Risk Management is responsible for providing preventive risk management assessments, formulating safety policies, and managing investigational activities related to liability occurrences.
Hospital & Health Care
Responsibilities
Provide prompt notification to the Regional Risk Director and network office upon receipt of claim or lawsuit. Assist network Litigation Management leadership and external counsel in defense of the claims as instructed
Develops a safety culture where reporting is encouraged and use of the Onelink adverse event reporting system is monitored, with interventions to address issues as needed
Provides site leadership with prompt notification of any significant organizational risk activity working closely with key stakeholders and local leaders
Ensures timely response to urgent matters and works closely with leaders for entry of event into ONElink adverse event reporting platform. Completes necessary trend analysis of occurrence reports. Collects data for risk exposures and provides feedback to the involved departments
Ensure identified risk management strategies are undertaken by affected areas
Create and implement new programs to foster a culture of safety and safe environment for patients, visitors, Team Members and customers of the facility
Provide statistical analysis for review by appropriate committees as requested
Collaborates with site Quality/Patient Safety Dept to identify, review and make appropriate recommendations concerning identified issues, as well as participate in the Root Cause Analysis process
Work with Patient Experience and Quality/Patient Safety leadership to respond to patient grievances. Uses decision making ability to analyze and recommend disposition strategies
Oversee and direct ONElink occurrence reporting process for site
Work with outside counsel to obtain necessary documentation and resolution
Provide on-call assistance 24/7 for emergent/urgent risk management issues to all Team Members and Medical/Dental Staff. Investigates, evaluates and documents occurrences and claims as appropriate
Responds to site Team Members and Medical/Dental staff on risk related issues and offers risk management guidance to resolve or manage situations
Provides on-site support and/or leads survey activity for State and Federal agencies as needed
Assists in the process of accepting Subpoenas, and Summonses and Complaints
Investigates and analyzes claims/litigation and potential claims upon receipt including:
Obtains and sequesters evidence
Obtains visit history and pertinent medical records
Notifies the liability insurance carrier of actual and potential claims
Obtains insurance information and performs insurance coverage analysis
Processes claims with the appropriate carrier(s) and broker within policy period
Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations
Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions)
Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested by team members, hospital leadership; medical and dental staff; or system leadership. Provide Risk Management reports to stakeholder groups as necessary such as administration, leadership, etc
Participates in the network Early Event Resolution Committee (EERC) for any identified claims, as appropriate
Provide timely monthly reports to the Regional Risk Director and/or Sr. VP & Chief Risk Officer of activities at site
Leads or co-leads facility committees as requested. Ensure data flows through committees
Participates in RCA/ACA/PI teams and monitors these activities for mitigation of organization risk with regular review
Participate as an active representative on the system Safety Event Classification group; Patient Safety Committee; Safety Council and other committees as assigned
Represent the Corporate Risk Management Department on various site facility and entity committees as required
Create and implement new programs or process improvements to foster a culture of safety and safe environment for Team Members and Visitors by serving as Chair or Co-Chair of site Safety Committee and serving as Safety Officer as needed
Investigate Team Member safety events and creates shared learning with the Risk team, Team Safety and Team Health
Provide data and statistical analysis for review by appropriate leadership, committees or departments as requested
Provides risk management services to HMH affiliated companies (i.e Physician Practices, Post-Acute Care organizations) as directed
Assist the Insurance team with data gathering and insurance renewals
Circulate all FDA Recall Alerts received to ensure any required action is completed
Qualification
Required
Bachelor's degree in Nursing, Business Management or related health field
Minimum of 5 years of experience in progressively responsible experience in the healthcare industry with preference in healthcare risk management, patient safety quality improvement or nursing
Strong understanding of Process Review
Strong understanding of Root Cause Analysis
Strong understanding of Department of Health and Joint Commission requirements
Strong understanding of Emergency Management
Strong understanding of Regulatory Compliance
Preferred
Master's degree in Business Management or related health field
Certified Professional in Healthcare Risk Management
Certified Professional in Patient Safety
Benefits
Health, dental, vision, paid leave, tuition reimbursement, and retirement benefits
Company
JFK Johnson Rehabilitation Institute
Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.
10001+ employees
Funding
Current Stage
Late StageCompany data provided by crunchbase