Risk Management Program Manager

All hours will be worked on site in Des Moines.

The Risk Management Program Manager provides oversight and coordination of the Medical Centers Risk Management Program. The Risk Management Program Manager is responsible for the primary risk identification processes throughout the health system as directed by the Risk Management Plan. With the information gathered the risk management program manager analyzes loss and other data sources and develops risk mitigation activities metrics for monitoring these activities and supports the claim reporting function when risk issues are identified that could lead to a liability claim against the organization.

At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:

• Expect paid time off parental leave 401K matching and an employee recognition program.

• Dental and health insurance paid holidays short and longterm disability and more. We even offer pet insurance for your fourlegged family members.

• Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.

And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Serves as member of Critical Events Committee (CEC) safety mortality/morbidity and other committees that would benefit from risk management representation
• Establishes and maintains a data gathering and profile analysis for hospital wide risk management activities: Reviews Event Reports to screen for potential liability and appropriate followup. Provides documentation on Event Reports which require followup/action for Risk Management. Works with departments to ensure timely followup of Event Reports. Assists senior leaders Executive Directors/Directors Managers and other staff in using the Event Reporting computer system
• Reviews Unexpected Outcomes (U/Os) daily and works with management in investigating and handling same ensuring follow up as appropriate
• Provides education on risk management issues and unusual occurrence reporting/database
• Provides reports of Event Reports and tracking/trending same to Managers Directors and Senior Leaders
• Prepares drafts of committee and board reports concerning risk management on a regular basis as requested
• Investigates matters as designated by CEC and/or Risk Management based on severity of event and potential for compensation and/or litigation
• Serves as resource in Patient Rights area
• May complete and report potential liability issues and claims internally as well as to UPH the ThirdParty Administrator and any other commercial insurers as indicated using claim reporting guidelines established by UPH legal and any commercial insurer as directed.
• Collaborates with claimants senior leadership and other colleagues to evaluate and when indicated negotiate asserted claims to resolution
• Provides training in RL Datix specific to event reporting data entry and reporting/investigation to leaders and staff

Minimum Requirements

Preferred or Specialized

Education:

Bachelors degree in nursing other healthrelated field or risk management

Masters degree in nursing other healthrelated field or risk management

Experience:

Three years previous risk management or quality experience.

Registered Nurse with 2 years experience in clinical nursing.

5 years of experience in insurance claims risk management customer relations legal experience or as a health care provider or the equivalent combination of education and experience required.

License(s)/Certification(s):

Valid drivers license when driving any vehicle for workrelated reasons.

Current nursing license in Iowa and/or Illinois.

Certified Professional in Healthcare Risk Management (CPHRM)

Associate in Risk Management (ARM) or Certified Professional in Patient Safety (CPPS). One designation must be achieved within one year of eligibility of certification.