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Hackensack Meridian Health
Neptune, NJ | Full Time
$120k-153k (estimate)
1 Week Ago
Manager, Risk Management
$120k-153k (estimate)
Full Time | Ambulatory Healthcare Services 1 Week Ago
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Hackensack Meridian Health is Hiring a Manager, Risk Management Near Neptune, NJ

DescriptionOur team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Manger, Risk Management provides basic and complex preventive risk management assessment of processes, procedures, and programs, including risk mitigation activities, in-service education, consultation, liaison activities, and on-call emergency assistance to facility(s) and providers. Formulates and recommends safety policies, practices and procedures. Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files and claim pre-litigation files.
ResponsibiltiesA day in the life of a Manger, Risk Management at Hackensack Meridian Health includes:
  • Provide prompt notification to the Regional Risk Director and network office upon receipt of claim or lawsuit. Assist network Litigation Management leadership and external counsel in defense of the claims as instructed.
  • Develops a safety culture where reporting is encouraged and use of the Onelink adverse event reporting system is monitored, with interventions to address issues as needed.
  • Provides site leadership with prompt notification of any significant organizational risk activity working closely with key stakeholders and local leaders.
  • Ensures timely response to urgent matters and works closely with leaders for entry of event into ONElink adverse event reporting platform. Completes necessary trend analysis of occurrence reports. Collects data for risk exposures and provides feedback to the involved departments.
  • Ensure identified risk management strategies are undertaken by affected areas.
  • Create and implement new programs to foster a culture of safety and safe environment for patients, visitors, Team Members and customers of the facility.
  • Provide statistical analysis for review by appropriate committees as requested.
  • Collaborates with site Quality/Patient Safety Dept to identify, review and make appropriate recommendations concerning identified issues, as well as participate in the Root Cause Analysis process.
  • Work with Patient Experience and Quality/Patient Safety leadership to respond to patient grievances. Uses decision making ability to analyze and recommend disposition strategies.
  • Oversee and direct ONElink occurrence reporting process for site.
  • Work with outside counsel to obtain necessary documentation and resolution.
  • Provide on-call assistance 24/7 for emergent/urgent risk management issues to all Team Members and Medical/Dental Staff. Investigates, evaluates and documents occurrences and claims as appropriate.
  • Responds to site Team Members and Medical/Dental staff on risk related issues and offers risk management guidance to resolve or manage situations.
  • Provides on-site support and/or leads survey activity for State and Federal agencies as needed.
  • Assists in the process of accepting Subpoenas, and Summonses and Complaints;
  • Investigates and analyzes claims/litigation and potential claims upon receipt including:
    • Obtains and sequesters evidence,
    • Obtains visit history and pertinent medical records,
    • Notifies the liability insurance carrier of actual and potential claims,
    • Obtains insurance information and performs insurance coverage analysis,
    • Processes claims with the appropriate carrier(s) and broker within policy period,
    • Obtains coverage determinations, and partners with the risk leader to resolve unfavorable determinations,
    • Coordinates day-to day discovery (document production, interrogatories, scheduling interviews and depositions),
  • Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested by team members, hospital leadership; medical and dental staff; or system leadership. Provide Risk Management reports to stakeholder groups as necessary such as administration, leadership, etc.
  • Participates in the network Early Event Resolution Committee (EERC) for any identified claims, as appropriate.
  • Provide timely monthly reports to the Regional Risk Director and/or Sr. VP & Chief Risk Officer of activities at site.
  • Leads or co-leads facility committees as requested. Ensure data flows through committees.
  • Participates in RCA/ACA/PI teams and monitors these activities for mitigation of organization risk with regular review.
  • Participate as an active representative on the system Safety Event Classification group; Patient Safety Committee; Safety Council and other committees as assigned.
  • Represent the Corporate Risk Management Department on various site facility and entity committees as required.
  • Create and implement new programs or process improvements to foster a culture of safety and safe environment for Team Members and Visitors by serving as Chair or Co-Chair of site Safety Committee and serving as Safety Officer as needed.
  • Investigate Team Member safety events and creates shared learning with the Risk team, Team Safety and Team Health.
  • Provide data and statistical analysis for review by appropriate leadership, committees or departments as requested.
  • Provides risk management services to HMH affiliated companies (i.e Physician Practices, Post-Acute Care organizations) as directed.
  • Assist the Insurance team with data gathering and insurance renewals.
  • Circulate all FDA Recall Alerts received to ensure any required action is completed.
QualificationsEducation, Knowledge, Skills and Abilities Required:
  • Bachelor's degree in Nursing, Business Management or related health field.
  • Minimum of 5 years of experience in progressively responsible experience in the healthcare industry with preference in healthcare risk management, patient safety quality improvement or nursing.
  • Strong understanding of
    • Process Review
    • Root Cause Analysis
    • Department of Health and Joint Commission requirements
    • Emergency Management
    • Regulatory Compliance.
Education, Knowledge, Skills And Abilities Preferred
  • Master's degree in Business Management or related health field.
Licenses And Certifications Preferred
  • Certified Professional in Healthcare Risk Management.
  • Certified Professional in Patient Safety.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$120k-153k (estimate)

POST DATE

06/07/2024

EXPIRATION DATE

07/03/2024

WEBSITE

hackensackmeridianhealth.org

HEADQUARTERS

OAKHURST, NJ

SIZE

50 - 100

FOUNDED

2016

CEO

ROSE F HAYET MD

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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About Hackensack Meridian Health

Hackensack Meridian Health is a leading not-for-profit health care organization that is the largest, most comprehensive and truly integrated health care network in New Jersey, offering a complete range of medical services, innovative research and life-enhancing care. Hackensack Meridian Health comprises 17 hospitals from Bergen to Ocean counties, which includes three academic medical centers Hackensack University Medical Center in Hackensack, Jersey Shore University Medical Center in Neptune, JFK Medical Center in Edison; two childrens hospitals - Joseph M. Sanzari Childrens Hospital in Hacke ... nsack, K. Hovnanian Childrens Hospital in Neptune; nine community hospitals Bayshore Medical Center in Holmdel, Mountainside Medical Center in Montclair, Ocean Medical Center in Brick, Palisades Medical Center in North Bergen, Pascack Valley Medical Center in Westwood, Raritan Bay Medical Center in Old Bridge, Raritan Bay Medical Center in Perth Amboy, Riverview Medical Center in Red Bank, and Southern Ocean Medical Center in Manahawkin; a behavioral health hospital Carrier Clinic in Belle Mead; and two rehabilitation hospitals - JFK Johnson Rehabilitation Institute in Edison and Shore Rehabilitation Institute in Brick. Additionally, the network has more than 500 patient care locations throughout the state which include ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, urgent care centers and physician practice locations. Hackensack Meridian Health has more than 35,000 team members, and 7,000 physicians and is a distinguished leader in health care philanthropy, committed to the health and well-being of the communities it serves. More
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