(Only QUALIFIED Healthcare Professionals accepted) Case Manager-RN – Risk Manager
Phoenix | Mesa, Arizona
Under general direction, the Risk Manager plans, organizes, implements and evaluates all activities of the facility-wide Risk Management program including identifying and assessing potential risk, planning and implementing loss prevention and loss control activities, and maintaining appropriate risk management records.
Participates, supports, and ensures the implementation of the risk management strategies to include developing and administering formal and informal facility-wide mechanisms for risk identification, reporting, tracking and resolution including coordination of risk assessments.
Investigates events, claims and lawsuits presented against caregivers, physicians and the organization for liability and damages in accordance with the Risk Management Claims Manual.
Manages litigation cases including directing attorneys, attending key depositions, mediations, and select portions of trials as necessary.
Ensures collaboration and mitigation of risk as it relates to the organizations insurance coverage against liability and casualty loss. Contributes information from Community for management reviews of insurance coverage and related issues.
Collaborates with clinical and non-clinical staff, medical staff and the management team to investigate and respond to patient complaints|grievances in compliance with patient grievance policies and applicable laws and regulations.
Analyzes data and reports findings related to risk strategies. Regularly provides network and facility leadership with progress reports (including recommendations) related to risk management.
Serves as representative to the System-wide Risk Management Leadership Team, Patient Safety Committee, Ethics Committee, Organizational Integrity Committees|Subgroups, Environment of Care, and Caregiver Safety.
Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes|systems designed to share and recognize performance improvements and compliance across the organization in order to mitigate risks to patient and caregiver safety|risks to the organization.
Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in knowledge and execution of risk management in teams of related community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisors and staff regarding risk management requirements.
Bachelor’s Degree in health related field and|or Bachelor’s Degree in Nursing
Certification | Licensure:
Current State Registered Nurse (RN) License strongly preferred
Certified Professional in Healthcare Risk Management (CPHRM); Certified Health Care Quality & Risk Management (CHCQM-RM); Licensed Health Risk Manager (LHRM) preferred
2-5 years experience in Risk and|or Quality Management
5 years Healthcare experience required
Advanced knowledge of state, federal, and accreditation requirements
General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA preferred
Proficient with MS Office applications
Excellent written|verbal communication skills required
Able to work flexible hours
Ability to communicate effectively with physicians, nurses, other healthcare professionals and leaders