Risk Manager
Risk Manager
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Job Description
General Description:
The Risk Manager plays a vital role in promoting a culture of safety compliance and continuous improvement across Carolina Health Centers. Reporting to the Director of Compliance and operating within the Operations Department the Risk Manager collaborates closely with the Compliance Director and the Chief Medical Officer (CMO) to ensure the operational excellence and effectiveness of the organizations risk management and emergency preparedness programs.
Duties and Responsibilities:
- Risk Management Program Oversight
-Maintain a comprehensive understanding of Quality improvement (QI) processes tools and techniques Quality measurement and reporting standards Root cause analysis and preventive risk management strategies and State & federal regulations and accreditation standards
-Maintain up-to-date knowledge of industry best practices and internal policies related to risk management.
-Engage clinical staff through regular in-person site visits to foster trust and support a culture of safety and transparency (Just Culture).
-Collaborate with the CMO to ensure ongoing compliance with Federal Tort Claims Act (FTCA) deeming requirements.
-Coordinate the quarterly Peer Review process in collaboration with clinical leadership.
-Establish review implement and maintain policies and procedures aligned with the organizations risk management goals.
- Incident Management & Investigations
-Facilitate investigations of potentially compensable and preventable adverse events. Support serious incident reviews (e.g. RCA FMEA) alongside the CMO and Compliance Director and communicate key findings and improvement plans. Coordinate and advise on sentinel event response reporting and management.
- Leadership & Committee Involvement
-Chair the Risk Management and Emergency Preparedness Committees leading organizational strategies for risk mitigation and emergency planning. Present risk reports and proposals to leadership the Board and the Quality Improvement Committee.
- Claims Complaints and Compliance
-Manage risk-related patient complaint investigations and organizational claims including legal coordination. Serve as liaison to regulatory agencies for reporting and compliance. Analyze operational data to detect fraud and ensure OSHA compliance across all sites.
Reporting Relationships:
Responsible to:
- Directly supervised by Director of Compliance
Workers supervised:
- NA
Interrelationships:
- Works in cooperation with staff and
- Coordinates with office providers and office managers
This job description is not designed to cover or contain an exhaustive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.
Requirements:
All employees of Carolina Health Centers Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: respect honesty integrity openness transparency diversity equity inclusion stewardship and innovation.
In addition this position requires:
Education:
- Bachelors degree in nursing required
- Masters degree preferred
Work Experience:
- Minimum of 3 to 5 years of experience in healthcare risk management or quality improvement required
- Advanced knowledge of Microsoft Office Suite (Word Excel PowerPoint Outlook Teams) and other productivity tools
- Strong knowledge of clinical operations healthcare regulations and accreditation standards
Licensure and Certification:
- Certification in Risk Management (e.g. CPHRM) is strongly preferred.
Skills:
- Able to read write and communicate effectively orally and in writing
- Great interpersonal and organizational skills
- Proficient in use of computer and keyboard
- Able to establish and maintain effective working relationships
- Knowledge of HIPAA and ability to maintain confidentiality
- Able to manage self and environment calmly and appropriately in stressful situations
- Must exhibit leadership capabilities
- Must have valid drivers license and safe driving record
- Must be able to work overtime and flexible hours as needed
Physical Abilities:
- Stand for extended periods of time
- Able to push pull and reach sit stoop and stretch
- Have full range of body motion
- Have the hand-eye coordination and manual dexterity needed to operate a computer telephone copier and medical equipment
- Required to talk and hear
- Vision abilities required for this job include close vision distance vision color vision peripheral vision depth perception and ability to adjust focus
Work Environment:
This position requires frequent travel to multiple health center sites and consistent in-person engagement with clinical and administrative staff. The Risk Manager must be comfortable navigating both clinical and office environments while managing sensitive and complex situations with professionalism and discretion.
Required Experience:
Manager
Employment Type
Full-Time
