Manager, Risk Management

Job Overview:

The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. The Manager will report program metrics to key stakeholders on a regular basis. The Manager will perform audits to ensure compliance with mandatory requirements. The Manager will work with specific assigned areas to understand and promote performance improvement within those areas. Participation in organizational meetings. Preparation and participation in regulatory surveys.

Qualifications:

Required:

Minimum of a Bachelor s degree required
Strong attention to detail, analytical and organizational skills
Experience in supporting litigation discovery for outside counsel
Strong written and oral communication skills
Successful completion of all orientation programs

Preferred:

Knowledge of NJ State and HIPAA privacy requirements preferred but not required.

Scheduling requirements:

Shift- 8:
00am- 4:
00pm/Flexible Day
Monday-Friday
Full Time

Essential Functions:

Handle all claims and litigation related hospital matters.
Assist legal counsel with potential claim assessments.
Coordinate procurement of responses to Discovery propounded on hospital and staff.
Reviews Summons &
Complaint for coverage related issues and ensure notification to appropriate carriers.
Interface with legal counsel, including outside counsel at all phases of litigation and trial preparation.
Manage, review and analyze Event Reporting data including the closure of incident reports in the incident reporting system.
Analyze event reports for trends, high risk/high exposure, potentially compensable events for both patients and staff
Coordinate and facilitate Serious Safety Event Classification meetings with the Quality Resource staff.
Assist in Root Cause Analysis process including the reporting of events to the Department of Health (DOH).
Assist in the Apparent Cause Analysis process.
Coordinate and facilitate Patient Safety meetings working with the Quality Resource staff.
Review hospital incident reports and refer potential liability claims to insurance carrier as appropriate. Effectively manage actual claims and potential claims.
Investigate all hospital related risks involving actual injury to patients, visitors, employees and property.
Work to resolve patient and family grievances against the hospital by listening and
communicating with the parties in order to avoid escalation of grievances into genuine claims.
Formulate and review policies to protect patients, visitors, staff and hospital.
Represent the Risk Management Department on hospital committees as needed, including the provision of analyzed risk data (Committees to include but not limited to:
PIC/CQRC, Patient Safety, Safety, Workplace Violence, Bioethics, and Medication Safety.
Is accessible and visible to internal and external customers.
Responsible for reporting and follow-up of all motor vehicle accidents involving motor vehicles insured by hospital.
Responsible for reporting and follow-up of all hospital property claims.
Complete comprehensive hospital insurance application annually.
Available 24/7 to respond to risk management related calls regarding the hospital.
Assist in coordinating Agreements with the Hospital and Corporate
Provide guidance and investigation in Guardianship matters.
Coordinate with insurance carrier to obtaining certificates of insurance as needed.
Respond to and investigate inquiries from Federal and State governmental agencies.
Complete renewal on automobile policies annually.
Respond to subpoenas propounded on hospital.
Coordinate notification and follow-up on Device Recall Alerts.
Provide Risk Management educational training to Hospital staff/employed/ independent practitioners as part of the Hospitals orientation process deemed appropriate for risk management
Administration of tracking documentation addressing (i) subpoenas, (ii) medical malpractice and other litigation claims and (iii) lost and personal belongings, including reimbursement for such items.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

Paid Time Off (PTO)
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short &
Long Term Disability
Life &
Accidental Death Insurance
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.G., Pet Insurance)
Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.