RN - $79.64 to $109.53

Director, Risk and Claims Location: Fountain Valley, CA Department: Risk Management Employment Status: Full-time, Day Shift Pay Range: $165,652 - $227,832 annually MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award‑winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient‑centric, affordable, and high‑quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value‑based and other care models. Position Summary The Director of Risk Management plans, establishes, and administers risk and claims management activities for the MemorialCare Medical Foundation (MCMF) risk and claims management programs designed to enhance the quality of patient care, improve patient safety, and prevent losses to the organization. Performs risk and legal analyses and provides clinical consultative services on risk prevention and mitigation strategies. Responsible for management and daily oversight of professional liability claims, procurement of insurance coverage and risk financing, interfacing with defense counsel to establish defense strategies, and communicating to key stakeholders on claim status. ESSENTIAL FUNCTIONS Demonstrate Memorial Care’s core values of respect, justice, compassion, stewardship, and excellence to customers, employees, and visitors, and provide quality service in the performance of work assignments and duties. Manage and oversee all liability claims, NOIs, summons and complaints, and subpoenas. Retain, direct, and approve compensation of defense counsel, interface with defense counsel to establish defense strategies, and communicate to key stakeholders on claim status. Design and implement policies and procedures related to loss prevention, patient safety, risk mitigation, patient rights and/or physician responsibilities incorporating state and federal regulations, clinical best practice or other professional guidelines as applicable to the appropriate care setting. Conduct risk assessments and act as a resource to administration, physicians, patients and employees regarding risk management services and clinical best practices for patient safety. Assist with redesign of clinical care processes to ensure patient safety and care processes are consistent with applicable legal, regulatory and licensing requirements. Conduct investigations of activities regarding actual or alleged liability (excluding Workers’ Compensation) relative to patients, employees, physicians, and visitors. Analyze potentially compensable events against standards of care and make recommendations for actions. Provide investigative and other support for event analysis (Root Cause Analysis, Intense Analysis, Failure Mode Effect Analysis) and design and lead Lean and other process improvement activities. Qualifications Minimum Requirements Minimum 5 years clinical risk management or medical malpractice legal experience. Strong leadership skills and ability to build consensus. Flexibility, organizational awareness and strategic perspective. Certification in Risk Management desirable. Strong oral and written communication skills. Excellent time management, organizational and analytical skills. Diplomatic communication skills to effectively interact with staff, physicians, patients & families, and administration to facilitate resolution of conflict and promote corrective actions. Education / Licensure / Certification RN licensure required. Juris Doctor or similar graduate law degree. #J-18808-Ljbffr