Manager, Healthcare Risk Management

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The department of Risk Management has an exciting opportunity for a full-time Manager, Risk Management to work onsite at SoLe Mia in Aventura, FL. The Manager, Risk Management supervises the activities of the risk management programs. The Manager, Risk Management implements the risk management monitors, and coordinates risk control, reduction, and prevention programs. The incumbent runs the University of Miami Healthcare System’s risk management program with the goal of minimizing the risk of injuries and adverse events to patients.

CORE JOB FUNCTIONS

• Investigates and analyzes the frequency and cause of events causing injury to patients.

• Assists and directs the coordination and maintenance of the event reporting system (ERS), including systematic reviews of all event reports filed at facilities and departments, to identify trends or patterns and develop recommendations for appropriate corrective actions, prevention, education, and monitoring.

• Provides and directs basic and complex preventive risk management assessment(s) of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.

• Maintains current knowledge of JCAHO, and federal and state regulations.

• Creates and modifies policies to comply with safety legislation, JCAHO, HIPAA, and industry practices.

• Coordinates and develops hospital-wide programs for quality patient care and risk-free services.

• Acts as the liaison to attorneys, insurance companies, and individuals, and investigates any incidents that result in an asset loss.

• Works closely with senior leadership, corporate and defense counsel, department directors, corporate associates, and medical and allied health staff on risk management issues or concerns.

• Represents Risk Management at departmental meetings.

• Provides a comprehensive risk management education and orientation program.

• Conducts root cause analyses in response to unexpected occurrences.

• Tracks and analyzes data for trending and develops appropriate action plans and risk modification strategies.

• Analyzes hospital acquired conditions, validates compliance with bundles, and determines corrective action plans.

• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.

• Ensures employees are trained on controls within the function and on University policy and procedures.

Department Specific Functions

• Knowledge of relevant event and incident reporting requirements and systems required.

• Ability to work effectively with a team of other executive, senior, and management level risk managers; quality and safety leadership and personnel; patient experience advocates, and patient access staff is required.

• Clinical knowledge and experience in hospital and other healthcare settings, including medical record review and analysis, with documented experience and expertise in various settings such as surgical care (including inpatient and ambulatory surgery settings and robotic surgery), emergency care, general inpatient care, specialty care including cancer and ophthalmology specialties, intensive care, or outpatient care preferred.

• Ability to understand and undertake risk prevention and patient protection responsibilities in both general acute care and specialty care settings, as assigned, in a multi-campus/facility academic health system preferred.

• Experience in academic health systems with working knowledge of research based and generally accepted best practices in patient safety, quality, performance improvement, and risk prevention is desired.

• Ability to develop, implement, and present continuing education in medical risk prevention methods is desired. 

• Working knowledge or experience with applicable State and Federal healthcare regulatory requirements, including facility and professional licensure and regulation, hospital and laboratory accredit