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Director of Risk Management

The Ridge Behavioral Health System
LEXINGTON, Kentucky
Full-time

Job Description

Responsibilities

Full-Time, Weekdays, Day Shift

As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community.

Position Summary :

The Director of Risk Management (RM) also serves as the Facility Compliance Officer and is the back-up to the Director of Performance Improvement when necessary.

The Director of Risk Management has broad responsibility to protect the hospital's assets from loss. The Director of Risk Management is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure.

The structure and functions of the Risk Management Program are designed to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.

E.R.M. Program. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

Position Specific Responsibilities :

Claims Management :

  • Assists Administrator in facilitating the processing of summons and complaints served on the hospital and its employees.
  • Reports receipt of summons and complaints immediately to Corporate Risk Management and Insurance Department.
  • Assists the Corporate Risk Management as needed to intervene, document, and assist in the investigation of all claims.
  • Coordinates investigation of claims within the facility :
  • Directs in house claims investigation.
  • Preserves all pertinent information (medical record, x-rays, equipment, lab / pathology specimens, relevant reports / d policies and procedures)
  • Facilitates early reporting.
  • Establishes early control of situation.
  • Assists in obtaining materials for attorneys.
  • Maintains all legal case files and ensures maximum protection and discoverability.
  • Coordinates with and assists attorneys as they interface with the facility and employees.
  • Advises Business Office of actions consistent with directions from Corporate Office for unpaid accounts involved in litigation.

Loss Control and Prevention :

  • Conducts / facilitates in-services to educate employees and physicians.
  • Participates in developing / reviewing policies and procedures.
  • Operates to maintain and facilitate system securing hospital, employee, and patient property.

Employee / Physician Education

  • Facilitates, develops, and provides educational programs to insure all employees and medical staff are aware of the Risk Management concept and its relation to their specific duties / job role in identifying and reducing liability exposures.
  • Plans and presents risk management information to all new employees at hospital orientation.
  • Plans and presents Risk Management information to all employees at annual update.
  • Plans, presents, facilitates, and / or recommends in-services to all departments as necessary to address Risk Management problems.
  • Submits articles to hospital, nursing, medical staff newsletters, as appropriate.
  • Plans and presents in-services / information at Department Managers meetings. Provides Risk Manager presentation specific to management levels at least annually.
  • Shares current literature and articles of relevance with all appropriate departments.
  • Plans, facilitates, presents information, and suggests topics on Risk Management to Committees or hospital departments as necessary and based upon occurrences or claim patterns.

Reporting, Report Preparation and Submission

  • Provides aggregate analysis of risk data and trend analysis of incidents to :
  • Administration
  • Corporate Risk Management
  • Patient Safety Council
  • Performance Improvement
  • Environment of Care / Safety Committee (Safety related only)
  • Governing Board
  • Medical Staff Committees / Department as necessary and related to the department.
  • Incidents with Claims Potential
  • Directly reports to Administration those incidents with claims potential.
  • Reports to Corporate Risk Management any serious risk event involving actual or potential injury to patients and visitors;

enters Incident Reports.

Medical Staff

  • Develops, coordinates, presents / facilitates educational programs specific to medical staff concerns.
  • Advises physicians on issues of interest or concern including Informed Consent process.
  • Documentation and communication; Accountability; Response to patient / family complaints; and internal problem solving.
  • Provides methods to communicate patient events to the Risk Manager that may result in a claim.

Professional Growth and Development

  • Consults with Medical Director as necessary.
  • Regularly reviews current literature pertinent to Risk Management.
  • Attends appropriate management and risk management seminars.
  • Consults with Corporate Risk Management as necessary.

Guest Relations

  • Demonstrates tact, diplomacy, and sensitivity in communications.
  • Is clear and accurate in communication.
  • Responds promptly to requests, problems, and questions.
  • Maintains confidentiality as appropriate.
  • Interacts well with co-workers, inter and intra departments.

What We Offer You :

  • Flexible Scheduling
  • Challenging and rewarding work environment with the opportunity to make a difference in the lives of others.
  • Career development opportunities within UHS and its + Subsidiaries
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans

K) with company match and discounted stock plan

  • Tuition Reimbursement Program, Sign-on Bonus, Retention Bonus Program, and Referral Bonus Program where applicable.
  • Close to Hamburg & I-
  • Free parking on premises
  • Free meal with each shift

Qualifications

Job Qualifications : Education

Education

  • Bachelor’s Degree from an accredited college or university in nursing or other related health field is required.
  • Master’s Degree is preferred.

Experience

  • Five years clinical experience in an in-patient facility with knowledge of high- risk areas.
  • Three years management experience preferred.

Certifications / Licensure

  • Crisis intervention training required (Handle with Care / Verbal De-escalation). This training is offered upon hire.
  • Current RN license by Board of Nurse Examiners for the State of Kentucky : or
  • A Master’s Degreed Mental Health Professional.

Other Skills

Knowledge of hospital operations, risk identification, assessment and reduction and claims management

About Universal Health Services :

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.

UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune corporation, annual revenues were $.

4 billion in 2. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has , employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the USA, Puerto Rico and the United Kingdom. .

If you would like to learn more about this position, please contact Human Resources at () -2.

30+ days ago
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