Director, Risk Management (H)

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The department of Risk Management has an exciting opportunity for a full-time Director, Risk Management to work onsite at the UHealth campus. The Director, Risk Management develops and administers risk management programs. The Director, Risk Management monitors and coordinates risk control, reduction, and prevention programs. The incumbent oversees the organization’s risk management programs to minimize the risk of injuries and adverse events to staff and/or patients. Additionally, Director Risk Management, is responsible for the facilitation of Patient Grievances involving Quality of Care issues. The goal of the Director Risk Management of UHT is to proactively identify areas of high risk to patient, visitor and staff safety and develop risk reduction strategies in coordination with the Quality team. In furtherance of their mission, the Director Risk Management UHT will oversee and manage the Incident reporting system which entails investigation, tracking and trending events that pose risk to patients, visitors and staff at UHT as well as the identification of trends of areas of high risk to patients’ safety. The Director Risk Management will also oversee events involving patient grievances and complaints regarding patient care. The Director Risk Management of UHT shall provide consultation to UM leadership that includes: Senior Management, Faculty and Staff, Medical Leadership and the Board of Governors.

CORE JOB FUNCTIONS

• Investigates and analyzes the frequency and cause of operational risks.

• Assists and directs the coordination and maintenance of the event reporting system, including systematic reviews of all event reports, to identify trends or patterns and develop recommendations for appropriate corrective action, prevention, education, and monitoring.

• Provides and directs basic and complex preventive risk management assessment(s) of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.

• Maintains current knowledge of federal and state regulations.

• Creates and modifies policies to comply with safety legislation and industry practices.

• Coordinates and develops organization-wide programs to mitigate claims and losses.

• Acts as the liaison to attorneys, insurance companies, and individuals.

• Investigates any incidences that result in an asset loss.

• Works closely with senior leadership, corporate and defense counsel, department directors, corporate associates, and insurance carriers on risk management issues or concerns.

• Provides comprehensive risk management education and orientation programs.

• Tracks and analyzes data for trending and develops appropriate action plans and risk modification strategies.

• Analyzes acquired conditions, validates compliance with bundles, and determines corrective action plans.

• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.

Department Specific Functions                                                                                                                                       

• Oversight and management of the Incident reporting system to include timely review, analysis and investigation of event reports and patient grievances and complaints to identify areas of high risk, patient experience as well as potentially compensable events.

• Facilitate resolution of complaints/grievances pertaining to quality-of-care issues. Facilitate interventions as necessary with Patient Relations, Physician Leadership

• and Corporate Patient Advocate of Risk Management Department.

• Review, analyze and identify AHCA, DOH and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk

• management Officer and the Chief Medical Risk Officer. Facilitate and/or participate in Root Cause and FMEA analysis as necessary in conjunction with the Quality Team.

• Analyze complaint/grievance data and collaborate with the UHealth Tower Leadership on an Ad hoc basis.

• Develop a consultant relationship with departments and units to build and sustain a patient focused culture.

• Provide notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel.

• Conduct additional investigation and assist with discovery requests as directed.

• Provides interpretation of risk management and patient safety standards and procedures to medical and hospital staff; counsels staff and physicians in sensitive situations involving actual or potential claims

• Analyze and trend data as captured through the event reporting system to identify trends of areas of high risk. Develop summary reports of trending analysis and submit them to appropriate committees.

• Review, revise and develop policies and procedures in association with the Associate Medical Risk Officer pertaining to or having a bearing on risk management and patient safety in accordance with regulatory requirements.

• Develop and present Risk Management Program summary reports as required.

• Participate on committees, work groups and/or process improvement teams that improve patient/customer satisfaction.

• Identify educational needs and develop and present Risk Management and Event Reporting education to staff, faculty and community physicians.

• Attend national and local conferences to keep abreast of national trends in determining institutional priorities.

• Plan, coordinate and supervise the activities of the UHT Risk Management staff.

• Perform other related duties incidental to the work described herein

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

• Bachelor’s Degree in relevant field or equivalent training, education, or work experience in relevant fields required

• Minimum 5 years of relevant experience required; 7-10 years of experience preferred

• Medical/Legal background is a plus

• RN Training and licensure is a plus

• Certified Professional in Health Care Risk Management (CPHRM), Certified Professional in Patient Safety (CPPS) is highly desired.

Knowledge, Skills and Attitudes:

• Ability to maintain effective interpersonal relationships

• Ability to communicate effectively in both oral and written form

• Ability to recognize, analyze, and solve a variety of problems

• Ability to exercise sound judgment in making critical decisions

• Proficiency in computer software (i.e. Microsoft Office)

_ Any appropriate combination of relevant education, experience and/or certifications may be considered. _

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H16