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Policy Analysis Risk Management Specialist
2 months ago
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 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. Preparation and participation in regulatory surveys.
Minimum of a Bachelor's degree required
Experience in supporting litigation discovery for outside counsel
Shift- 8:00am- 4:00pm/Flexible Day
Monday-Friday
Full Time
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.
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.
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.
Complete renewal on automobile policies annually.
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.
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
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.
