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Healthcare Risk Manager

Baystate Health
Springfield, Massachusetts
Full-time

Baystate Health’s Clinical Risk Managers are an integral member of the healthcare team. As the Risk Manager you will be responsible for identifying potential losses to the organization, both clinical and enterprise, developing and maintaining appropriate loss prevention policy and strategy.

The primary function of the Clinical Risk Manager will be to work with clinicians and administrators within the healthcare system to conduct proactive risk assessments, to review and investigate occurrence reports, adverse and sentinel events, and patient care complications and to identify patient safety issues, potential liability concerns and systems breakdowns.

  • Serve as an expert resource regarding medicolegal issues, interpretation of state and federal statutes and regulation and potential legal and safety risks and ramifications of healthcare decisions and actions.
  • Collaborate with the Patient Safety department in the identification and investigation of patient adverse events.
  • Coordinate the Patient Safety CARe process : including investigation of patient safety adverse events, preparing providers to do disclosure of investigation results to patients and families and collaborating with our Captive Insurer to work toward resolution.
  • Collaboration with providers to promote patient safety.
  • Prepare and submit mandated reports to state and federal agencies and, when applicable, coordinate with external agency investigations.
  • Develop and present educational programs to medical, professional and technical staff on issues of professional liability and clinical and enterprise risk awareness and mitigation.
  • Develop policies to ensure compliance with state and federal healthcare laws and regulations.
  • Collaborate with Legal, Compliance, HR, Security and Patient Relations on risk events to ensure multidisciplinary review and management of case.
  • Work with retained counsel on matters of investigation, discovery and trial preparation of lawsuits.
  • Serve on committees throughout the Baystate Health organization to promote the health of our communities with quality and compassion.

Requirements

  • Bachelor’s Degree required, Masters preferred
  • 5 or more years’ experience in a hospital setting in a clinical or administrative role with specific experience in dealing with patient safety, risk management, and / or quality.
  • Excellent oral, and interpersonal written communication skills, poise in teaching and consulting
  • Nursing experience strongly preferred. Previous healthcare risk management, safety, quality, professional liability experience preferred.
  • Associate in Risk Management (ARM) and / or Certified Professional Healthcare Risk Management (CPHRM) certifications preferred
  • Strong computer, writing, presentation and analytical research skills

Other Information

Ability to work a hybrid schedule available after initial training which includes working on site 3 days a week.

30+ days ago
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