Baylor Scott & White Health · 12 hours ago
Manager PCE System
Temple, TX
Full-time
Onsite
Senior Level
5+ years expBaylor Scott & White Health is seeking a Manager for the Potentially Compensable Events (PCE) Team. This role involves providing operational oversight, managing staff, and ensuring effective processes for PCE review and reporting to mitigate risks to the organization.
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Responsibilities
Manages staff in the daily operations for Potentially Compensable Events (PCE’s) across the BSWH system
Provides direct supervision for staff and leads staff as a motivational and supportive leader to engage each in a developmental role
Oversees staff on completing interactions with clinical staff and directs staff with their involvement as required for investigation, feedback, recommendations, and closure
Directs and teaches staff on proper documentation and recording in database of PCE’s
Educates staff on investigation methodologies and interventions as applicable to enhance the review and reporting process for PCE’s in a timely manner
Develops quality monitoring methods and reports for ongoing assessments and monitoring of volume, trends, and staff performance
Ensures that a system approach and processes exist for all PCE’s or complaints of professional liability exist for managing in an efficient and effective manner
Established prioritization mechanism is deployed for expediency in handling, investigation, assessment of potential loss to BSWH and resolution
Engages leadership and Risk Management staff when PCE’s may be identified as a serious reportable event or sentinel event
Apprises leadership on PCE’s, escalated matters and maintains ongoing communication as required with respective leadership
Develops and maintains a system for trending and analysis of PCE’s to enable identification of areas of clinical analysis, significant events, areas for greater focus, and opportunities to reduce risks for BSWH
Compiles, assesses requests, generates data analysis, and facilitates the reporting of data to include the Board, Peer Review Oversight Committee (PROC), PCE SubPROC, and meetings as requested and on a regular basis for Department Head Meetings and ad hoc requests as received for reporting purposes
Directs and serves as a point of contact for leadership, Risk Management and Patient Relations for PCE’s
Establishes policies and procedures to assure compliance to best practices, regulations, and insurance reporting requirements
Manages the appropriate handling of BSWH patient accounts with patient billing department
Oversees the involvement of PCE staff with Patient Relations for coordination of the review and closure process on events to support the regulatory guideline requirements of written communication that may be a source of potential liability
Participates in highly sensitive responses to patients and/or families as requested and directs staff that may participate in disclosures and facilitate resolutions of Potentially Compensable Events (PCE’s)
Seeks technology and innovative ideas to improve work performance, processes and work flow
Qualification
Required
H.S. Diploma/GED Equivalent
5 Years of Experience
Excellent written, verbal communication and listening skills
Keen ability to interact effectively with front-line staff, providers, and all levels of leadership in the system
Outstanding organization and planning skills with attentiveness to detail for managing multiple assignments and projects simultaneously
Extensive knowledge of processes, tools, and techniques for assessing and controlling a system's exposure to risks of various kinds
Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks
Strong experience working with patient care areas, cross-functional teams, and ability to interact well with all levels of leadership in the system
Ability to collaborate with other departments throughout the health system to leverage existing relationships and activities to resolve patient relations' matters
Comprehensive knowledge of claim processing, procedures/systems, auditing, medical terminology and understanding of claim protocols
Strong knowledge of the legal environment and litigation process
Benefits
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Company
Baylor Scott & White Health
Baylor Scott & White Health is a non-profit health care system that research about the outpatient, and emergency treatment services.
10001+ employees
H1B Sponsorship
Baylor Scott & White Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (9)
2023 (6)
2022 (5)
2021 (4)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
J
Jennifer Mitzner
Executive Vice President & CFO
Recent News
2025-12-09
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