Covenant Health

Job Title
SR RISK MANAGER
ID
3441915
Facility
Covenant Health Corporate
Department Name
RISK MANAGEMENT

Overview

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Covenant Health Overview:

Covenant Health is East Tennessee’s top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees.

 

Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. 

 

 

Senior Risk Manager 

Primary Location: Fort Sanders Regional Medical Center

Full-Time, 80 Hours Per Pay Period, Day Shift

 

Position Summary:  The senior risk manager is responsible for the facility’s risk management activities, which include, but may not be limited to, managing claims against the facility, interfacing with defense legal counsel, administering the risk management program on a day-to-day basis, managing and analyzing risk management data, conducting risk management educational programs, complying with risk management related standards by The Joint Commission and other accrediting or regulatory agencies, all with the objective of maintaining patient safety, enhancing quality care, and minimizing loss to protect the assets of the facility.  This individual participates in formulating policy and/or organizational changes. The senior risk manager performs these functions reporting to the corporate director of risk management directly and to a facility vice-president indirectly.

Responsibilities

Program Administration:

  • Has full responsibility for operations of the risk management program at the facility.
  • Directs loss control/loss prevention activities and reports results to senior administration at the facility and the corporate risk department.
  • Supervises the statistical trending of losses and analyzes patterns.
  • Designs and implements risk management surveys and studies; conducts surveys, studies, and special projects to assist in long-term planning and changes to facility policies and systems that reduce risk and losses.
  • Responsible for identifying and communicating regulatory requirements.

Loss Prevention and Patient Safety:

  • Receives incident reports and other information regarding untoward occurrences in the facility, and collates such information systematically to permit analysis pursuant to risk management policy and procedure. When risk management personnel are informed of an incident, the investigation should include getting the facts, determining the event’s significance, reviewing the medical record, deciding who must know about the event, determine how to proceed with the patient, securing all evidence (e.g. documentation, equipment, etc.), interviewing appropriate people, and creating a comprehensive investigation file.
  • Plans, develops, and presents educational material to administration, the medical staff, nursing personnel, and other department personnel on topics related to risk management as they affect personnel.
  • Supports the patient safety initiatives through direct participation on committees/task forces.

Claims Management:

  • Oversees investigation of incidents/accidents/events that could lead to financial loss, including professional liability, general liability, and workers’ compensation.
  • Investigates risks involving actual or potential injury to patients, visitors, and employees; collects information necessary to prepare for the defense of claims.
  • Interacts with legal counsel and patients/families to effect timely settlement.
  • Provides direction and advice to medical staff, as necessary, in connection with malpractice litigation and medico legal matters.
  • Reports patient care-related incidents to the Department of Health, FDA, or other agencies if required by law; directs investigation and development of corrective plans; submits required reports to state and federal agencies.
  • Complies with required mandatory reporting of the Medicare, Medicaid, and SCHIP Extension Act of 2007.

Educational Services:

  • Plans, develops and presents educational material to administration, medical staff, nursing personnel and other department personnel on current topics related to risk management.
  • Develops and implements educational programs to reduce or eliminate potential safety hazards throughout the facility.
  • Develops and presents educational material to new and current employees.

Qualifications

Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

 

Minimum Experience: An equivalent combination of education and experience as evidenced by the possession of a RN, Bachelor’s degree in nursing, business administration, health administration, public health, education, or directly related field and four (4) years experience providing direct patient care in a clinical health care environment and two (2) years experience in management; risk management; or similarly responsible position may be accepted in lieu of the above indicated education and experience requirements.

 

Licensure Requirement:  Current Tennessee RN license

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