Director of Risk Management

3 days ago


Burbank, California, United States Providence Service Full time
About the Role

We are seeking a highly skilled and experienced Director of Risk Management to join our team at Providence Service. As a key member of our leadership team, you will be responsible for developing and implementing effective risk management strategies to ensure the highest level of patient safety and quality care.

Key Responsibilities
  • Develop and maintain departmental policies, procedures, and objectives to improve organizational performance.
  • Direct the work of risk specialists, patient safety, and physician peer review teams to ensure departmental needs and expectations are met.
  • Investigate and analyze actual or alleged medical center liability issues, ensuring executive leadership is informed of status and discovery.
  • Collaborate with legal counsel and insurance claims representatives to determine event causation, claim worth, and mediation.
  • Manage the claims process for non-self-insured trust actions.
  • Oversee analyzing clinical processes, identify potential risks, and develop strategies to maximize safety, effectiveness, and efficiency.
  • Coordinate physician peer review, including case finding, assigning peer review cases, and maintaining database records.
  • Enhance professional growth and development through participation in educational programs, professional affiliations, and current literature.
Requirements
  • Bachelor's degree in nursing or healthcare-related field.
  • Master's degree (preferred).
  • Certified Professional in Healthcare Risk Management (CPHRM) (preferred).
  • 5 years of supervisor/management experience overseeing comparable functions.
  • 5 years of experience working with risk management and regulatory agency issues in healthcare.
  • Experience developing strategic plans and initiatives.
  • Knowledge of national healthcare trends, multi-disciplinary professional practice models, information systems, quality management, and customer service needs.
  • Knowledge of the fundamentals of risk management, privacy, compliance, patient safety, and/or performance improvement.
  • Knowledge of regulatory requirements, state, and federal laws.
About Providence

At Providence, our strength lies in Our Promise of Know me, care for me, ease my way. We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected. We serve in over 50 hospitals, 1,000 clinics, and a full range of health and social services across the United States.



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