Rush University Medical Center  Risk Manager, Office of Risk and Claims Management in Chicago, Illinois

Job Title: Risk Manager, Office of Risk and Claims Management

Department: Risk Management

Shift: 1st

Full/Part: Active Regular FT (72 to 80 hours per pay period)

Specialty:

Job Number: 2018-3595

Job Description:

Do you wish to join one of the nation’s leading academic health centers for research and health profession education?

Rush University Medical Center’s Office of Risk & Claims Management is seeking a Risk Manager !

Position Highlights:

Risk Management is responsible for the pro-active development and implementation of incident response plans, in addition to providing assistance in the identification, assessment and analysis of risk associated with Rush University Medical Center, its affiliates, and all personnel named as insureds under the Medical Center’s Self Insurance Trust Fund Agreement. Risk Managers will primarily be responsible for identifying areas of risk and loss prevention throughout the hospital and outpatient settings, and will work closely to assess the risk, analyze the risk utilizing data analysis, and provide the data to key leaders to advise and mitigate the risk. In addition, Risk Managers will be responsible for developing and implementing plans to mitigate risk issues through proactive response planning, incident management plans, education, and assisting with the facilitation of process improvement across the system. Risk Managers will be responsible for conducting a thorough investigation of any potential claim, including medical record reviews, interviews and meetings.

Position Responsibilities Include:

  • Serve as a resource for capturing and reporting monthly data on department or unit risk trends with analysis and benchmarking.

  • Assist in identifying, assessing, and reporting potential risks, with early and proactive intervention in an effort to mitigate risk.

  • Partner with Claims Management to identify potential claims, and conduct a thorough and detailed investigation, which includes medical record reviews, interviews and meetings to allow for potential early resolution.

  • Participate in the development and advancement of data analysis tools, including the development and implementation of tools and/or methods to track, benchmark and monitor risk across the organization.

  • Assist with developing and maintaining risk policies and procedures across the organization.

  • Facilitate the review, analysis, coding, investigation and distribution of safety events with the risk management team Assist in the development and implementation of clinical incident and crisis management plans.

  • Partner with Patient Relations in responding to patient grievances.

  • Provide clinical risk consultation regarding policy and procedure interpretation, as well as mitigation of risk exposure.

  • Partner with Hospital Operations Administrators through rotating 24/7 On-Call clinical risk, emergency management and incident management support.

  • Participate in various committees throughout the organization, and partner with the Department of Performance Improvement and Clinical Effectiveness, to evaluate various risks and develop process improvement plans as necessary.

  • Preparing data and statistical reports for various Quality Improvement and departmental committees regarding the overall trends across various departments/areas.

  • Proactively educate medical staff, nursing, ancillary departments, house staff and administration on risk issues while recognizing industry liability trends.

  • Develop educational programs for high risk departments in an effort to mitigate overall risk for individuals and institution.

Position Qualifications Include:

  • A Bachelor’s degree is required. A Master’s Degree in Nursing and/or a Juris Doctor is desired.

  • Experience in the healthcare industry and/or health law is strongly desired.

  • 2 or more years of risk management experience in the healthcare industry or equivalent experience is strongly desired.

  • National clinical / risk certification is desired.

  • Familiarity with a RMIS system is strongly desired.

  • Strong data collection, analysis and reporting skills required.

  • Strong interviewing skills required.

  • Proficient in designing and producing high quality reports and presentations.

  • Ability and desire to function collaboratively as a team as well as an individual contributor.

  • Analytical and problem solving skills required.

  • Ability to process, review and triage multiple demands, with the ability to shift priorities as needed.

  • Committed to accountability, hard work, process improvement, and excellence.

  • Ability to provide on-call coverage on a rotating basis

Company Highlights:

  • Rush is a not-for-profit health care, education and research enterprise comprising Rush University Medical Center,Rush University, Rush Oak Park Hospital and Rush Health.

  • Rush's 14-story hospital Tower is the cornerstone of the Rush Transformation, and is the symbol of a philosophy-an evolution in the delivery of patient-centered care.

  • Leading academic medical center, acute care hospital w/ 664 licensed beds

  • Rush University is home to one of the first medical colleges in the Midwest and one of the nation's top-ranked nursing colleges, as well as graduate programs in allied health, health systems management and biomedical research. Twelve programs are nationally ranked by U.S. News & World Report.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.