Risk Modeling Manager jobs in Raleigh, NC

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Job Summary:

Reporting to the Director of Clinical Risk Management, the Clinical Risk Manager is responsible for administering the risk management program and ensuring effective loss prevention/control and compliance with state, federal guidelines and UNC Health Care Standards. The primary responsibility of this position is to administer UNC Hospitals and UNC Liability Insurance Trust Fund (LITF) risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, conducting targeted risk management education, and providing risk management consultation with the objective of promoting patient safety and loss prevention activity in protection of organizational assets.

Description of Job Responsibilities:

1. Initiates, coordinates and manages all investigational and evaluation activities associated with professional liability occurrences, including conducting interviews, researching and reviewing policies and procedures, reviewing of electronic medical record documentation and other information sources; analyzes potential and actual professional liability and general liability exposures and evaluates the extent and elements of exposure and recommends appropriate actions for risk mitigation.

2. Follows an enterprise risk management framework (ISO 31000) in risk identification, analysis, evaluation, mitigation and monitoring. Routinely identifies risk through risk assessments, observation, trended data, inspections, committee minutes, third party reports, attorney requests for medical records and administrative or associate referrals. Develops innovative approaches intended to reduce the frequency and severity of medical malpractice and patient injury claims.

3. Manages incident reporting database documentation of reported events; monitors incident reporting system for patient harm events and unanticipated outcomes and investigates accordingly.

4. Manages and implements the organization's risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and related accreditation standards. Reviews and/or drafts administrative policy and procedures that fall within the risk management domain. Submits reports to appropriate regulatory authorities as required.

5. Provides clinical risk management consultation to all physician and employees insured by the LITF. Prepares and presents reports to management regarding trends, patterns and findings. Advises on the risk of current or future activities or programs conducted at the hospital. Establishes and coordinates committees and councils where indicated to manage high risk events.

6. Facilitates legal consultation from the UNC Health Care System Office of General Counsel to staff and physicians as indicated. Creates and provides education for employees and physicians in relevant risk management topics.

7. Collaborates with assigned departments, Quality/Performance Improvement and Medication Safety Officer to establish quality and safety goals; participates on hospital quality and patient safety committees.

8. Performs special projects that involve data gathering, preparation of reports, development of recommendations and presentations. Participates in professional organization programs throughout the risk management industry by presentation submissions, committee work, or other roles.

Other Information

Education Requirements:

Bachelor's degree in a related degree

Professional Experience Requirements:

Five (5) years of combined experience that may include risk management, clinical, quality or legal work experience.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Risk Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.