New York, New York
Centennial, Colorado
Durham, North Carolina
Raleigh, North Carolina
Oklahoma City, Oklahoma, Oklahoma
Posted: 12-Sep-23
Location: Durham, North Carolina
Salary: Open
Categories:
Internal Number: 233011
General Description of the Job Class
The Site Director of Risk Management is responsible for administering the risk management program for their facility/entity in collaboration and with oversight from DUHS Risk Management leadership. The Site Director is responsible for developing and implementing appropriate measures to identify and minimize the risk of injury to patients, visitors and staff, and to minimize loss or damage to property.
Duties and Responsibilities of this Level
The Site Director will be directly responsible for day-to-day oversight and operation of the Risk Management function at their dedicated site. The Site Director will directly supervise Risk Managers and administrative staff who manage the majority of risk management events at the facility. The Site Director at their discretion or at the direction of the Associate Director of Risk Management DUHS or AVP DUHS Risk Management may retain select complex event files for their sole management. They will assure compliance with DUHS requirements for departmental managers, including appropriate management of both fiscal and human resources. Work with staff to establish performance and behavioral goals and assist staff in achieving set goals. Direct and assure efficient and effective occurrence review and claim file management by the risk managers. Set and reinforce investigation and response standards. Identify and resolve staff and system issues that impede departmental standards compliance. Respond promptly to client and claimant concerns with regard to response time or investigation period.
In addition to personnel management, the Site Director will work directly with and support of the hospital/facility leadership to coordinate and manage the DUHS Risk Management Department at their respective site. The Site Director will develop and enhance existing risk management programs at the entity to be consistent with the established philosophies and procedures of the DUHS Clinical Risk Management Department. Report exposures identified through incident and claims investigations following established Department processes and participate in necessary leadership committees and event response teams. The Site Director will evaluate individual files and trend data for issues for referral to the Patient Safety Officer and compliance with regulatory requirements. Conduct departmental performance improvement as required. Provide risk management data and support to the facility Administration, patient safety and quality improvement processes as needed. Assure compliance with the information reporting needs of Durham Casualty and the risk management standards required by the reinsurance market. Provide risk management information on medical and allied health staff to medical staff services for credentialing. Develop and enhance the skills of the departmental staff. Encourage and provide resources as available for staff development, including state and national exposure where possible. Assist staff in identifying areas for development and in setting goals and objectives. Determine and recommend appropriate reserve levels for claim files; ensure adequate financial coverage to support resolution of claims. Authorize financial settlement of claims within limits prescribed by University Counsel and Durham Casualty. Attend national and local conferences to keep abreast of national trends in determining institutional priorities. Plan, coordinate and supervise the activities of Risk Management staff. Work collaboratively with Departments such as Safety, Regulatory, Compliance, Duke Police and Patient and Visitor Relations. Coordinate the provision of Risk Management education within the entity. Assist in supporting the SRS in the entity. Create and present Risk Management reports to entity committees and boards as required. Assist University Counsel's office as needed. Provide support to entity leadership with critical event management. Maintain data and documentation in accordance with entity and DUHS Risk Management Department standards. Assist with Actuarial and other processes required by Durham Casualty Company. Meet and communicate regularly with entity and DUHS Risk Management leaders. Participate in entity committees as required.
Perform other related duties incidental to the duties described herein.
Required Qualifications at this Level
Education
Work requires a Master's degree in Business Administration, Hospital Administration, Law or a closely related field.
Experience
Work requires a minimum of five years of progressively responsible experience in healthcare risk management, including budgeting, staffing, and supervision of personnel. Prior experience must include the negotiation of settlements and projection of financial reserves.
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