Senior Healthcare Risk Manager: Patient Safety & Compliance

Job Description The Risk Manager is responsible for the review and evaluation of events entered into the Atlantic Health reporting system, and to identify potential claims, lawsuits, and reportability under the Patient Safety Act. Refers events to Peer Review, Quality & Outcomes Management and other committees to address as appropriate. Organizes and moderates Root Cause Analysis and assists with the development of corrective action plans. Coordinates and facilitates regulatory investigations and responds as needed. Management of the resolution process related to complaint/grievances. Provides education to nursing, medical residency staff and all ancillary departments as needed. Manages translation services Evaluates event for severity, frequency and probability of financial loss Reports as appropriate to administration and committees Responds to significant events; review facts; review medical record/documentation; preserve any evidence; conduct staff interviews Provides recommendations for staff re: investigation/handling of events to appropriate management, administrators Refers to Peer Review, Care Review, and Quality & Outcomes Management Committees to address as appropriate Develop educational programs as appropriate or needed based on event findings and trends Reviews events and identifies potential claims/lawsuits Prepares potential files, documenting factual investigation of event Communicates findings to the legal team as appropriate for case preparation Reviews incidents and determines reportability as a Serious Preventable Event under the Patient Safety Act Conducts initial team huddle and determines next steps along with Executive Sponsorship Submits initial notification of SPE to DHSS Organizes and moderates Root Cause Analysis meeting with health care providers involved to identify causal and contributing factors to the event, and assists with development of a corrective action plan Coordinates case presentations to Preventable Events Review Committee Advises site nursing staff, medical staff and administration on legal issues, billing, insurance, risk management, corporate compliance, EMTALA, HIPAA and other regulatory concerns following the review of regulations and standards. Addresses clinical queries by reviewing applicable policies and aligning responses with identified clinical needs Serves as a resource for all inquiries, fostering ongoing open communication and engagement Delivers targeted education and in service training to nursing , medical , and residency staff, as requested or informed by needs identified through case review and event reporting trends Triages events, escalate, investigates and refers as appropriate, close events Acknowledges clinical staff for Good Catches Provide training to nursing staff, medical staff, and residency staff on use of program Coordinate and facilitate investigations (DHSS)(FDA) (CMS) Facilitate, prepare and submit material to agency and respond to deficiencies Coordinate voluntary and required reporting to the FDA Proactive management of difficult patients and family members of complex care cases to mitigate complaints Liaison between patient/family and nursing/physician teams to resolve concerns Manage the response process as well as the electronic documentation of all clinical complaints/grievances in the database Track and trend patterns of complaints/grievances and reports to leadership Ensure compliance with DOH/CMS regulations regarding clinical patient complaints/grievances Manage and arrange language translation services for patients and families while ensuring compliance with regulations Provide training to teams on language translation services as needed Job Description The Risk Manager is responsible for the review and evaluation of events entered into the Atlantic Health reporting system, and to identify potential claims, lawsuits, and reportability under the Patient Safety Act. Refers events to Peer Review, Quality & Outcomes Management and other committees to address as appropriate. Organizes and moderates Root Cause Analysis and assists with the development of corrective action plans. Coordinates and facilitates regulatory investigations and responds as needed. Management of the resolution process related to complaint/grievances. Provides education to nursing, medical residency staff and all ancillary departments as needed. Manages translation services Evaluates event for severity, frequency and probability of financial loss Reports as appropriate to administration and committees Responds to significant events; review facts; review medical record/documentation; preserve any evidence; conduct staff interviews Provides recommendations for staff re: investigation/handling of events to appropriate management, administrators Refers to Peer Review, Care Review, and Quality & Outcomes Management Committees to address as appropriate Develop educational programs as appropriate or needed based on event findings and trends Reviews events and identifies potential claims/lawsuits Prepares potential files, documenting factual investigation of event Communicates findings to the legal team as appropriate for case preparation Reviews incidents and determines reportability as a Serious Preventable Event under the Patient Safety Act Conducts initial team huddle and determines next steps along with Executive Sponsorship Submits initial notification of SPE to DHSS Organizes and moderates Root Cause Analysis meeting with health care providers involved to identify causal and contributing factors to the event, and assists with development of a corrective action plan Coordinates case presentations to Preventable Events Review Committee Advises site nursing staff, medical staff and administration on legal issues, billing, insurance, risk management, corporate compliance, EMTALA, HIPAA and other regulatory concerns following the review of regulations and standards. Addresses clinical queries by reviewing applicable policies and aligning responses with identified clinical needs Serves as a resource for all inquiries, fostering ongoing open communication and engagement Delivers targeted education and in service training to nursing , medical , and residency staff, as requested or informed by needs identified through case review and event reporting trends Topics include litigation process, documentation, event management, hospital policies, protocols Triages events, escalate, investigates and refers as appropriate, close events Acknowledges clinical staff for Good Catches Provide training to nursing staff, medical staff, and residency staff on use of program Coordinate and facilitate investigations (DHSS)(FDA) (CMS) Facilitate, prepare and submit material to agency and respond to deficiencies Coordinate voluntary and required reporting to the FDA Proactive management of difficult patients and family members of complex care cases to mitigate complaints Liaison between patient/family and nursing/physician teams to resolve concerns Manage the response process as well as the electronic documentation of all clinical complaints/grievances in the database Track and trend patterns of complaints/grievances and reports to leadership Ensure compliance with DOH/CMS regulations regarding clinical patient complaints/grievances Manage and arrange language translation services for patients and families while ensuring compliance with regulations Provide training to teams on language translation services as needed Required

QUALIFICATIONS

Bachelor's degree in Healthcare or related field preferred. Minimum 7 years of Risk Management experience preferred Minimum 3 years in Healthcare work experience required Must pass a Level II Background Check Required Licenses, Certifications Or Registrations RN or other clinical professional license CPHRM within two years of hire About Us At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Atlantic Health Morristown Medical Center, Morristown, NJ Atlantic Health Overlook Medical Center, Summit, NJ Atlantic Health Newton Medical Center, Newton, NJ Atlantic Health Chilton Medical Center, Pompton Plains, NJ Atlantic Health Hackettstown Medical Center, Hackettstown, NJ Atlantic Health Goryeb Children's Hospital, Morristown, NJ Atlantic Health CentraState Healthcare System, Freehold, NJ Atlantic Medical Group Atlantic Visiting Nurse Atlantic Mobile Health Atlantic Rehabilitation We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We Have Received Awards And Recognition For The Services We Have Provided To Our Patients, Team Members And Communities. Below Are Just a Few Of Our Accolades Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For." Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026. Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026. Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026. Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026. Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025. Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired. Summary Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) Life & AD&D Insurance. Short-Term and Long-Term Disability (with options to supplement) 403(b) Retirement Plan: Employer match, additional non-elective contribution PTO & Paid Sick Leave Tuition Assistance, Advancement & Academic Advising Parental, Adoption, Surrogacy Leave Backup and On-Site Childcare Well-Being Rewards Employee Assistance Program (EAP) Fertility Benefits, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran About The Team Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission. #J-18808-Ljbffr Atlantic Health