Risk Management Specialist

Risk Management Specialist

HMH HOSPITALS CORPORATION Edison, New Jersey

Requisition # | Shift: Day | Status:
Full Time with Benefits

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

• Coordinates on-site assessment of actual and potential risks within the Medical Center, assessing liability and probability of legal action, and recommends appropriate actions to minimize institutional risks.
• Maintains ONElink event reporting system in accordance with hospital accreditation requirements, and prepares and presents a variety of statistical reports as required.
• Reviews and investigates ONElink event reports and related clinical documentation, and recommends corrective actions as appropriate.
• Serves as a resource for all levels of team members for any enterprise risk management issues during regular shifts and on an On Call basis.
• Manages enrollment and terminations, claims history requests for professional liability insurance for clinical providers and any General Liability claims.
• Collaborates with the Medical Center's Quality/Patient Safety Dept to identify, review, and make appropriate recommendations concerning quality and patient safety issues, as well as participate in the Root Cause Analysis process.
• Meets with the Patient Experience representative to evaluate potential claims for professional and general liability, and recommends follow-up and settlement of claims as appropriate.
• Participates in the network Early Event Resolution Committee for any identified claims, as appropriate.
• Acts as the liaison between insurance broker, third party administrator (TPA) representatives, and Legal team to communicate Notice of Claims and Potentially Compensable Events.
• Assists in the development of preventive risk management programs to minimize potential and actual claims and liabilities and future risk.
• Develops and conducts regular Enterprise Risk Management training programs stressing proper documentation and encouraging event reporting to reduce the Medical Center's liability exposure.
• Participates in Administrative Rounding to encourage patient and team member safety as part of the Medical Center's Safety program.
• Prepares reports and analyses setting forth progress, adverse trends, and appropriate recommendations or conclusions.
• Maintains final supporting documents of the FDA Recall notices.
• Attends various committees supporting HMH Enterprise Risk Management initiatives.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

• Bachelor's degree with 5 years healthcare enterprise risk management experience.
• Legal support or insurance/claims investigation and settlement may be accepted with other additional applicable healthcare management experience.
• Knowledge of legal and regulatory requirements related to health care enterprise risk management.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

• RN or related clinical experience.
• CPHRM certification within one year of employment.

Minimum rate of $ Annually. HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.