Risk Manager

K1545

This position is located in NJ and some travel is required.

The Risk Manager will assist the director risk management in coordinating the risk management program, including the identification, evaluation and treatment of risk in the organization. The risk manager supports the development of, and manages, a systematic process to identify, assess, and treat actual and potential exposures to loss.

Essential Functions

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. (Do not delete, move or over-write this statement)

• Works collaboratively with the OnPoint Safety and Quality team in identifying safety issues and

developing strategies to mitigate risks.

• Assists with communication and documentation of errors or serious events in accordance with legal

requirements and/or accreditation standards.

• Reviews patient complaints which may result in legal action. Works with patient relations manager to

offer solutions to patient grievances. Works with billing and compliance officer in deciding on

appropriateness of billing waivers/write offs.

• Assists in managing the policy process and supports staff with policy clarification and decision

making.

• Serve as a liaison to the Enterprise claims department for the purpose of reporting potential claims,

including but not limited to, professional liability, general liability, property, and auto damage.

• Develops and maintains positive working relationships with providers, management, and staff to

promote open communication and accurate flow of information.

• Reviews and ensures event are reported to the appropriate regulatory agencies as required by local,

state, and federal regulations.

• Assists clinical chairs and department heads in designing risk management programs within their

departments.

• Develops and conducts educational sessions on risk management for medical staff and employee.

• Participates in risk management call coverage.

• Performs other duties as assigned.

Qualifications

Knowledge of healthcare regulations with an Ability to function independently in the adoption and execution of standards.

Treats all information and data within the scope of the position with complete confidentiality and security.

Ability to interact with physicians, administrators, staff, patients/families, and personnel from outside

organizations.

Education:

Bachelor's degree in a healthcare related field

AND

Experience:

three years experience with progressively responsible experience in hospital risk management or similar

area of responsibility

Closing Statement

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.