Healthcare Risk Manager

A Healthcare Risk Manager typically reports to the Chief Clinical or other appropriate administrator and is responsible for managing and integrating the risk management program into the quality and safety activities of assigned clinical areas. The HRM works in collaboration with the clinical team to ensure adherence to all federal regulations and clinical policies and systematically investigates all clinical incidents/accidents/events that could lead to patient or staff harm and/or financial loss and ensures all risk management activities are in compliance with industry standard risk management guidelines that are overseen by regulatory government agencies. The work involves handling sensitive patient legal and financial information all of which directly affects the Universitys public image and legal or financial status. Based upon assigned functions a Healthcare Risk Manager position is intended to qualify for exempt status under the Administrative duties exemption of the Fair Labor Standards Act.

The following list provides examples of the most typical duties for position in this job class. Individual positions may not include all of the examples listed nor does the list include all of the work that may be assigned to the position in this class.

• Develop manage and administer facility-wide systems for risk identification investigation and reduction. Assess operational and clinical risks across the assigned areas based on knowledge of national and state regulatory and accreditation standards and/or licensing requirements
• Maintain working knowledge of state national and/or federal standards as required reporting quality of care issues adverse medical incidents facility compliance related issues and any other requirements that directly impact the continued operations of the facility.
• Ensures compliance with patient safety and risk management related standards by accrediting and regulatory entities and participants in clinical quality and safety efforts of the facility.
• Assess develop implement and maintain educational risk management programs for assigned personnel leaders and Executive Team on identified issues and any other related activities as statutorily required.
• Identify investigate and report on adverse medical incidents and facilitate the Collaborative Risk Review and Action directly in the facility process for disclosure of unanticipated outcomes.
• Work closely with the USF Self-Insurance Program and affiliate risk managers to identify events likely to lead to litigation
• Serves as a resource to clinical administration other employees and providers on Risk Management/ethical issues.
• Monitors analyzes and reports aggregated event report data to leadership and other relevant committees within the organization with a focus on risk exposures for trends or patterns.
• Close collaborations with the Patient Experience department to address patient grievances and identify risk measures that could improve patient satisfaction.
• Collect analyze and share Risk Management software data. Prepare graphs reports and data to support department goals and strategic plans. Track and analyze data provide feedback trending and problem solving. Prepare and present data as needed.
• The RM assists with data collection review of medical records and acts as consultant to physicians leadership and team members on matters of Risk Management and Patient Safety.
• Maintains confidentiality and ethical judgment
• Knowledge and proficiency in MS Office Suite
• Experience with electronic health record (EHR) systems is required. Candidates must demonstrate proficiency in navigating reviewing and interpreting patient information conducting safety investigations and ensuring compliance with data privacy requirements within an EHR environment.
• Excellent and effective written verbal communication and interpersonal skills
• Analytical and Critical Thinking
• Conflict Resolution
• Collaboration with clinical legal and administrative staff

• This position requires a Bachelors degree in nursing or other allied health professional and five years of experience in a healthcare setting with experience implementing major performance improvement processes.
• CPHRM certification is preferred; but must be obtained within (1) year of employment
• Knowledge of patient safety principles of High Reliability Organizations and Collaborative Just Culture preferred.
• High Reliability Collaborative Just Culture Program certification in Fact Gatherer and Facilitator must be obtained within (1) year of employment.
• Legal- Licensure: Registered Nurse or other allied health professional Florida State license is preferred.

Senate Bill 1310- The Florida Senate ( is conditional upon meeting all employment eligibility requirements in the U.S.
SB 1310: Substitution of Work Experience for Postsecondary Education Requirements
A public employer may include a postsecondary degree as a baseline requirement only as an alternative to the number of years of direct experience required not to exceed:
(a) Two years of direct experience for an associate degree;
(b) Four years of direct experience for a bachelors degree;
(c) Six years of direct experience for a masters degree;
(d) Seven years of direct experience for a professional degree; or
(e) Nine years of direct experience for a doctoral degree
Related work experience may not substitute for any required licensure certification or registration required for the position of employment as established by the public employer and indicated in the advertised description of the position of employment.
Minimum Qualifications that require a high school diploma are exempt from SB 1310.

• CPHRM Certification is preferred; but must be obtained within (1) year of employment
• Knowledge of patient safety principles of High Reliability Organizations and Collaborative Just Culture is preferred.
• High Reliability Collaborative Jut Culture Program Certification as Fact Gatherer and Facilitator must be obtain within (1) of employment.