HCA, Hospital Corporation of America Coordinator Risk Management (RN) Full Time Days in Fort Pierce, Florida

Coordinator Risk Management

Full Time, Days, 1.0

Lawnwood Regional Medical Center

Fort Pierce, FL

Facility Description: Lawnwood Regional Medical Center & Heart Institute is a 380-bed acute-care hospital offering a full range of services. Lawnwood is home to the most experienced Heart Institute on the Treasure Coast and offers diagnostic, interventional and therapeutic care, including open-heart surgery. Other hospital services include a 24/7 emergency department, pediatric emergency department, labor/delivery and birthing, pediatrics, orthopedics, oncology, nuclear medicine, diagnostic services, and a full range of inpatient and outpatient general surgical services. Lawnwood provides the area’s only Level III Neonatal Intensive Care Unit, Level II Trauma Center, Pediatric Intensive Care Unit and Comprehensive Stroke Center.

Lawnwood is accredited by The Joint Commission and designated as Certified Primary Stroke Center. Lawnwood’s Physical Rehabilitation Center is CARF accredited and, for 11 years in a row, the hospital is a Five-Star Recipient for the Treatment of Heart Attack by Healthgrades. At Lawnwood Regional Medical Center & Heart Institute, patients come first – no matter what!

/Lawnwood Regional Medical Center is a member of the nation’s leading provider of healthcare services, Hospital Corporation of America. HCA has been named one of Ethisphere’s World’s Most Ethical Companies for eight consecutive years. Join our tradition of excellence!/ / / /Benefits:/ /We offer a generous compensation package for Full-time and Part-time including: vacation, 401k, and Medical Insurance./ // Position Summary The risk manager is responsible for the facility’s risk management activities, which includes, but may not be limited to a general knowledge of facility insurance programs, managing claims against the facility, interfacing with defense legal counsel, administering the risk management program on a day-to-day basis, managing and analyzing risk management data, and conducting risk management educational programs, complying with risk management related standards by JCAHO and other accrediting and regulatory agencies with the objective of enhancing patient safety, promoting patient safety, quality care, and minimizing loss to protect the assets of the facility. This individual participates in formulating policy and/or organizational changes, but must seek advice and approval from higher authority. Risk management may be one of several areas of responsibility for this individual.

OPERATIONS/COMPLIANCE

Overview The level one risk manager has specific responsibilities regarding gathering and analyzing data and preparing reports to management and outside agencies as required, which may be subject to final approval by facility management. Responsible for keeping management advised of developments in professional liability, entailing ongoing review of applicable literature. May recommend budget items to management.

/Specific Activities/ • Develops, coordinates, and administers facility-wide systems for risk identification, investigation, and reduction; maintains a network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facility and to assess loss potential. • Participates on committees directed towards promoting patient safety issues. • Maintains risk management statistics and files in compliance with JCAHO and state and federal agencies; promotes maximum confidentiality by limiting access of such information. Also strives to verify that the following information is accurate, available, and secure: includes medical records, patient billing records, policies and procedures, incident reports, medical examiner’s reports (if available), as well as any other data pertinent to a particular claim. • Collects, evaluates, and distributes relevant data concerning patient injuries: aggregate data summaries, monthly trend analyses of incidents, claims profiles, and workers’ compensation trends; provides aggregate analysis of risk data; maintains statistical trending of losses and other risk management data. • Informs directors of service and department heads regarding occurrences, issues, findings, and risk management suggestions; provides feedback to directors at all levels in the effort to eliminate risks; assists clinical chairs and department heads in designing risk management programs within their departments. • Works with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary to prepare testimony in pending litigation. • Responds to professional liability and facility liability questions posed by physicians, nurses, and other personnel. • May have on-call responsibility. • Advises security on procedures to reduce the frequency and/or minimize the severity of property loss or assets. • Provides assistance to departments in complying with Joint Commission or other accrediting agencies, regarding risk management related standards. • Recommends appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences; recommends ways to minimize risks through system changes; reviews and revises facility policies as appropriate to maintain adherence to current standards and requirements.

LOSS PREVENTION/PATIENT SAFETY

Overview The level one risk manager is responsible for development of loss prevention programs that may include but not limited to patient safety issues. Periodic in-services and routine orientation may be conducted for facility employees/medical staff regarding health care risk management and related subjects. This position may utilize outside speakers and faculty for such programs, subject to the approval of management, and may coordinate such efforts with the facility’s education department. / / /Specific Activities/ • Proactive analysis of patient safety and medical errors processes. • Participates in the process of disclosure for medical errors. • Participates in root cause analysis investigation and reporting of adverse drug events and sentinel events to the appropriate parties. • Maintains awareness of legislative and regulatory activities related to health care risk management. • Complies with various codes, laws, rules, and regulations concerning patient care, including those mandated by state and federal agencies, incident reporting. Includes investigation activities of federal, state and local enforcement authorities. • Provides in-service training to medical center personnel to enhance their awareness of their role in reducing liability exposures. • Disseminates information on claim patterns and risk control, as well as legislative and regulatory changes. • Maintains a risk management education calendar. • Takes steps to ascertain that risks are minimized through follow-up and actions on all regulatory/insurance survey report recommendations/deficiencies. • Receives and investigates reports of product problems to determine appropriate response (in-house recalls, independent evaluations, etc.). • Participates on select committees related to provision of patient care. • Receives incident reports and other information regarding untoward occurrences in the facility, such as quality assurance outliers or variations, and collates such information systematically to permit analysis pursuant to risk management policy and procedure. • Reviews collated data to identify trends regarding accidents or occurrences, and recommends corrective action to management, if appropriate. • Prepares reports to management regarding trends/patterns and findings. Recommends electronic data programming initiation and improvement

CLAIMS MANAGEMENT

Overview The level 1 risk manager receives complaints/claims related to professional and general liability and transmits that information to the appropriate department manager, administrative representative, patient ombudsman, insurance carrier or legal counsel. At the request of management, legal counsel, or the adjuster, participates in responding to the complaint or claim to obtain information and facilitate settlement at an early stage. Works in coordination with patient ombudsman or acts as same to resolve complaints before they develop into professional/general liability claims. / / /Specific Activities/ Designs, implements, and maintains a direct referral system for staff to report unexpected events and potential claims against the facility through such input sources as medical records, business office, patient advocate, nursing, medical staff, quality improvement, etc. • Investigates and analyzes actual and potential risks in the institution; assesses liability and probability of legal action for potential notification of insurance carriers. • Directly refers to administration those incidents with claims potential; reports to higher authority any serious event involving actual or potential injury to patients, visitors, or employees. • Assists in processing summons and complaints served on present and previous employees; assists defendants in completing necessary documents. • With director of patient representatives, reviews patient complaints that may be the source of potential legal action; discusses and offers solutions when possible to resolve with patient and/or family any grievances perceived as potential liability claims. • Participates in evaluation of claims for settlement; negotiates settlement of small claims within administrative authority; advises collection department of appropriate action for unpaid accounts involved in litigation; approves payment for or replacement of lost property after evaluating claim. • Reviews national and local claims data; analyzes prior claims, lawsuits, and complaints against the facility.

RISK FINANCING

Overview The level 1 risk manager has general knowledge of, and is familiar with, the facility’s insurance coverage against liability and casualty loss, including self-insurance funding and budgeting for payment of deductibles, risk retention, and coinsurance. Usually participates in management reviews of insurance coverage and related issues. May prepare summaries of the facility’s insurance program for management and staff. / / /Specific Activities/ • Notifies the liability insurance carrier of all actual and potential claims, including primary and excess carriers as necessary. • May verify with the Medical Staff Services Coordinator that each independent practitioner provides proof of adequate professional liability insurance at the time of initial credentialing and at reappointment. • May act as liaison with the insurance carrier; completes insurance applications and responds to surveys; prepares materials necessary for renewal of primary and excess insurance policies. • Provides insurance information to outside agencies; assists in compliance with state insurance reporting requirements.

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Requires:

Florida Registered Nurse Licensure Previous Risk Management/Quality experience/Patient Safety 1-3 years LHCRM/CPHRM preferred Previous acute care experience in a similar environment Key attributes: Strong written and oral communications skills, presentation skills, team player, ability to influence change without direct authority, and negotiation skills.

Job: *Quality Risk & Safety

Title: Coordinator Risk Management (RN) Full Time Days

Location: Florida-Fort Pierce-Lawnwood Regional Medical Cntr-St. Lucie County

Requisition ID: 00102-8031