University of Iowa Health Care seeks a Risk Manager. UI Health Care is a leading academic medical center comprised of the University of Iowa Hospitals and Clinics, University of Iowa Stead Family Children's Hospital, Carver College of Medicine, University of Iowa Physicians, and University of Iowa Health System. Reporting to the chief legal counsel for UI Health Care, the Risk Manager will be responsible for identifying, tracking, and mitigating risk across UI Health Care and its affiliated entities. As part of a collaborative team, this position will perform a broad range of health care risk management services in a fast-paced environment. Duties may include working with the quality/safety program to identify, investigate, and respond to risk issues to promote safe patient care and staff safety; apply enterprise risk methodologies to analyze and measure risk using data; collaborate and consult on complaints/concerns identified by Office of Patient Experience; facilitate event reporting with a focus on incidents involving harm or potential liability; work with the quality/safety program and clinical teams to identify opportunities for improvement; propose and implement solutions to risk-related issues; collaborate with UI Risk Management and Iowa Attorney General regarding institution insurance programs and assist in management of claims against the organization's insurance; collaborate with legal counsel and insurance company claims representatives; and assist in risk management training and educational programs. Responsibilities:
Identification and investigation of potential risk events:
Reviews events and complaints that pose organizational risk requiring attention and investigation and develops appropriate responses in conjunction with CQSPI and OPE.
Participates in quality and patient safety event review meetings to discuss agenda items and conduct necessary follow-up.
Collaborates with CQSPI Department regarding peer review matters with risk-related implications.
Monitoring of activities that increase care risks or legal action:
Analyzes event reporting data and makes recommendations for future review/ action.
Participates in activities designed to reduce risk exposure and improve quality and safety of patient care (e.g., safety oversight team reviews, root cause analyses, M&M conferences, quality improvement activities.)
Facilitates risk assessments as needed to proactively identify and evaluate areas of risk.
Acts as a liaison and resource to staff to assess risk exposures in specific clinical and other situations (e.g., facilities, safety & security, nursing, pharmacy, OPE).
Works with procurement, bioengineering and operations to identify medical device and equipment failures for purposes of improving organizational risk, patient safety and for reporting to the FDA.
Participate as member of various organizational committees to provide risk management perspective and input for purposes of managing organizational risk and promoting patient safety activities.
Claims management processes and data management:
Conducts investigations and analysis of potential and actual professional liability claims filed against the UI Health Care (facilities or employees) at direction of the legal counsel.
Collaborates with UI Risk Management in investigations and analysis of potential and actual property, auto, cyber and general liability claims filed against UI Health Care (facilities or employees) at direction of UI legal counsel
Utilizes clinical expertise to review related clinical information (e.g., medical record, relevant medical literature); conduct investigatory interviews with individuals involved, named parties and/or other clinical experts.
Manages or participates in all aspects of claims process which includes but is not limited to: coordination of depositions; response to interrogatories; requests for production of evidence; insuring documentation and data management.
Coordinates with insurance company claim representatives and legal counsel to successfully manage, mitigate and resolve claims.
Oversees collection and dissemination of confidential claims information and data to authorized individuals and institutions for purposes of credentialing, reappointment and other relevant purposes (e.g. clarifying coverage and providing claims information for faculty, graduate medical education trainees, advance practice providers and other staff.)
Oversees and reviews periodic risk management claim reports as needed (e.g., loss runs, etc.).
Coordinates the timely and accurate response to inquiries for claims history and coverage information.
Develops, coordinates and provides risk management training and educational programs:
Collaborates with various UI Health Care departments to analyze data (e.g., complaints, grievances, claims, lawsuits) to identify priority topics and audiences for targeted training and education.
Utilizes external data (local, state, national) to identify high-risk topic areas and focus groups for targeted education.
Offers risk educational programming on a regular basis and per request to a variety of audiences including organization-wide presentations as well as specialty specific.
Coordinates disclosure and candor training program(s).
Develops intranet web page and utilizes available technology resources.
Coordinates with UI Health Care educational programming /resources as well as tracking of programs / attendance / evaluations. Assists with various risk management activities as requested (e.g., claims management, educational activities, committee participation)
Bachelor's degree in nursing or other clinical field, risk management, legal, or related field or equivalent combination of education and experience.
Five years of related experience in either risk management or a health care delivery system.
Excellent verbal and written communication skills.
Computer skills including spreadsheet, word processing, and database experience.
Strong problem solving and organizational skills.
Ability to work independently and to interact with staff, department managers and medical faculty on sensitive clinical practice issues.
Ability to effectively plan and organize training programs.
Advanced degree in risk management, patient safety, or legal.
Certification or licensure in clinical field.
Certified Professional in Healthcare Risk Management (CPHRM) within one year of hire.
Experience in a clinical environment.
Ability to present educational materials to diverse audiences.
Familiarity handling professional liability insurance claims.
Application Process: In order to be considered, applicants must upload resume and cover letter and mark them as a "Relevant File" to the submission.. Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Successful candidates will be subject to a criminal background check. Up to 5 professional references will be requested at later step in the recruitment process. This position is not eligible for University sponsorship for employment authorization.