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Risk Manager

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Job Description - Risk Manager




Department:
Risk Management/QRM



Schedule/Status:
8:00-4:30pm; Full Time


Standard Hours/Week:
40



General Description:
The Manager is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice®; actively and effectively participates in ensuring strategic goals and objectives are met or exceeded; provides the management and oversight necessary to ensure assigned functional area(s) have the proper resources, metrics, and talent in place to effectively fulfill our mission to provide Healing Experiences for Everyone all the Time® and achieve organizational strategic (Game Plan) goals. The Manager assumes 24-hour responsibility and accountability for assigned functional area(s). This position reports to the Senior Vice President. Transformation, initiates, coordinates, and manages all investigational and evaluation activities associated with Clinical Peer Review for all Parrish Healthcare entities (PHC). Provides support in the day-to-day activities of the Risk Management Department. Assists with basic and complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.


Key Responsibilities
 HEALING COMMUNITIES | GROWTH 

  • Manages operational planning within assigned functional area(s) to anticipate current /future service solutions. 

  • Manages implementation of growth strategies to support achievement of Parrish Healthcare Game Plan goals. 

  • Assures the achievement of departmental dashboard metrics within each strategic pillar (People, Service, Quality, Growth, Finances); takes immediate and effective steps to assure national benchmarks are achieved or sustained. 

HEALING EXPERIENCES| SERVICE
  •  Manages departmental systems, processes, policies, and procedures that result in assigned area(s) of responsibility and care partners always providing excellent service excellence as measured by national best-practice benchmarks. 
SYSTEM RELIABILITY | QUALITY & SAFETY

  • In conjunction with the Medical Staff, Nursing leadership, and/or Clinical Review Committee (“Committee”), develop specific criteria for data collection and clinical peer review. 

  • Receive and review event reports identifying quality of care issues and preparing supporting documentation for review. 

  • Receive and review concerns presented by patient, family, PHC staff, or Medical Staff that have a question or issue regarding the quality and compliance with standards of patient care; prepare such concerns for review pursuant to organizational processes.

  • Manages systems, processes, policies, and procedures that result in a continuous improvement environment within which assigned area(s) and care partners always achieve national best/leading-practice standards for quality and safety as measured by CMS, Joint Commission, and other regulatory agencies pertinent to areas of responsibility, holding self and others accountable for actions and outcomes. 

  • Responsible for the adherence to all Parrish Healthcare policies and procedures as well as regulations and codes established by federal, state, and local governments affecting professional practice and industry regulations. Leads necessary certification, accreditation, and audit procedures; and ensures that reports required by regulatory agencies are prepared and submitted within established timeframes. 

CARE PARTNER ENGAGEMENT | PEOPLE 

  • Manages systems, processes, policies, and procedures that result in an inclusive, collaborative, healing work environment within which national best/leading-practice standards for employee engagement are achieved as measured by effective performance management, problem-solving and conflict resolution, mentoring aspiring care partners, and inspiring care partner commitment to our mission, vision, values, and safe care pledge. 

  • Maintains skills and knowledge within professional practice for self and for assigned care partners; able to step in and serve as back up to assigned care partners to cover staffing needs as necessary. 

COMMUNITY INVESTMENT | FINANCE 

  • Manages systems, processes, policies, and procedures that result in effective planning and administration of annual budget(s); productive, cost efficient and effective operations within assigned functional area(s); and effective corrective actions for any operating expenses that deviate from budget. 

  • Performs other duties as assigned. Knows fire, disaster and safety procedures and regulations as pertains to the work area.

Requirements:

Formal Education:
  •  Bachelor’s degree required within related field. Associate’s Degree (AA or AS) in related field with two years supervisory or management experience may be substituted for Bachelor’s Degree.  
Work experience:
  •  Minimum of five (5) years of experience in providing direct risk management service support strongly preferred. 3 years to < 5 years of experience in related area with two of those years being supervisory or management experience. Experience in the field of risk financing, including self-insurance and on-shore captive insurance entities preferred. 

Required Licenses, Certifications, Registrations: 

  • Current Sigma Six Green Belt certification or required within one (1) year of employment. 

  • Associate in Risk Management or Certified Professional in Healthcare Risk Management preferred. 

  • National Certification in the field of Risk Management is also preferred. 


Full Time Benefits: 
Eligible to participate in a number of PMC-sponsored benefits, including: 

  • Benefits Start on Day 1 

  • Health, Dental and Vision Insurance 

  • 403(b) Retirement Program 

  • Tuition Reimbursement/Educational Assistance 

  • EAP, Flex Spending, Accident, Critical and Other Applicable Benefits 

  • Annual Accrual of 152 Personal Leave Bank (PLB) Hours 








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