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Job Location drjobs

San Francisco, CA - USA

Yearly Salary drjobs

$ 150000 - 180000

Vacancy

1 Vacancy

Job Description

This position requires onsite work 2 days per week and additional days as needed.

Functions as a lead and resource on cases of high complexity. Applies extensive knowledge of industry practices in health care risk management and advanced professional concepts to substantial projects typically at high degrees of complexity. Counsels senior managers on major risk factors and processes to prevent risk and liability. Regularly serves on committees.

This position supports the activities of UCSF Health in support of the Mission Vision and Values of the organization promotes highquality patient care compliance with UCSF Medical Center policies patient safety and patient and family services. This position works independently and in collaboration with other Risk Management Staff medical center staff and physician leaders developing close strategic and collaborative relationships across the institution.

Along with department leadership this position handles professional liability claim management for all of UCSF Health inclusive of UCSF Medical Center LPPH ambulatory practices and the School of Dentistry. This position engages in every aspect of claims/litigation handling from the initial intake and claim submission through resolution and corrective action planning. This position works independently and collaboratively with departmental leadership as well as with the thirdparty claims administrator and outside counsel to investigate the claim research and respond to discovery requests and trial preparation. The Claims and Litigation Specialist Risk Manager is a primary point of contact for cases in active litigation and ensures that claims are reviewed at internal risk management committee meetings and that appropriate risk mitigation prevention opportunities are timely identified for implementation. The Risk Manager is also responsible for keeping departmental leadership apprised of litigation activities as well as ensuring that the claims database is updated with claim developments.

In addition to handling professional liability claims this position also provides risk advice in a variety of areas including consent mandatory reporting patient/family/visitor behavior threat management medication management adverse event management patient complaints and grievances Medical and Nursing Board complaints privacy and confidentiality surgical complications disclosure of adverse events discharge and discontinuation of care elopement and AMA media requests policies and procedure to name a few.

This position will develop and demonstrate knowledge of professional liability standards of care as well as regulatory standards inclusive of Joint Commission Medicare Conditions of Participation Title 22 and other California Laws and Regulations.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $150000 $180000 (Annual Rate).

To learn more about the benefits of working at UCSF including total compensation please visit: degree in a related area and / or equivalent experience/training.

  • Minimum five years experience in large hospital risk management quality management or claims management program or comparable work experience
  • Knowledge of healthcare risk management issues and ability to apply knowledge and skills to provide advice. Ability to apply knowledge and skills to recommend improvements to risk management processes and procedures.
  • Advanced knowledge of claims and litigation handling.
  • Indepth knowledge of relevant risk management industry and medical malpractice federal state and local laws and regulations.
  • Advanced analytical and critical thinking skills to identify potential significant risks. Ability to consistently produce highquality thorough work despite pressing deadlines by accurately completing activities the first time. Knowledge to check for quality and correct own errors.
  • Time management skills to prioritize personal and team tasks and see projects through from inception to completion on schedule. Demonstrates adaptability and flexibility to effectively handle change.
  • Interpersonal skills to work collaboratively coordinate and integrate with others throughout the organization and with outside counsel claims people and UCOP Skills that include diplomacy discretion and tolerance and the ability to respond in stressful or timesensitive situations.
  • Advanced analytical abilities and problemsolving skills to quickly evaluate complex issues identify options for resolution and apply sound judgment.
  • Strong verbal and written communication skills to effectively communicate through all mediums and with all groups. Ability to listen actively understand varying viewpoints and receive feedback.
  • Ability to perform all commonly applicable functions in word processing and spreadsheet software. Strong computer skills including Microsoft Word Excel
  • Proven ability to maintain confidentiality of sensitive information. Discretion tact and ability to deal with sensitive issues.


    • Advanced knowledge in healthcare risk management theory and industry best practices
    • Ability to apply knowledge and skills to recommend improvements to risk management processes and procedures and claims administration.
    • Juris Doctorate degree
    • Paralegal
    • Certified Professionals in Health Care Risk Management(CPHRM)


    Equal Employment Opportunity
    The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin age protected veteran or disabled status or genetic information.

    Department Description
    The primary function of the Risk Management Department is to minimize financial exposure to UCSF Health (inclusive of UCSF Medical Center UCSF Benioff Childrens Hospitals UCSF School of Medicine Nursing Dentistry and Pharmacy LPPH and UCSF affiliates) arising from professional liability matters. The department also serves as a resource to all UCSF Health employees regarding risk management issues. Risk management consultation is provided on a 24hour basis. The department is located at 1800 Owens Street 4th Floor.


    About UCSF
    At UCSF Health our mission of innovative patient care advanced technology and pioneering research is redefining whats possible for the patients we serve a promise we share with the professionals who make up our team.

    Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

    Pride Values
    UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism respect integrity diversity and excellence also known as our PRIDE values.

    In addition to our PRIDE values UCSF is committed to equity both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community nurturing a culture that is welcoming and supportive and engaging diverse ideas for the provision of culturally competent education discovery and patient care. Additional information about UCSF is available at


    Join us to find a rewarding career contributing to improving healthcare worldwide.

    Employment Type

    Full Time

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