The Risk Manager supports the operations of O'Conner hospital and Verity Health System and is responsible for the investigation, analysis and management of patient occurrences and reportable adverse events. This position also serves as the on-site contact for insurance claims and lawsuits. The Risk Manager provides education and guidance on a variety of risk management topics designed to improve the delivery of safe patient care and decrease financial losses to the organization. The Risk Manager reports to the Executive Director of Quality Management and is also accountable to the Verity Health System Vice President, Risk Management.
Investigation and Analysis
Investigates reported occurrences and develops strategies for management of serious adverse events. Interviews health care providers, patients and family members involved in occurrences. Researches medical records, policies and procedures to gather information required for further analysis.
Serves as facilitator for root cause analysis meetings conducted in response to serious safety events. Monitors compliance with action plans in collaboration with Quality Department leaders.
Analyzes individual occurrence reports and trends to identify opportunities to improve the delivery of safe patient care. Recommends changes in policies, practice and procedures to prevent patient injury.
Monitors compliance with loss prevention activities.
Prepares and maintains summaries of investigations, recommendations and corrective action plans in RL6 database.
Coordinates FDA MedWatch reporting.
Coordinates EMTALA investigations in collaboration with Verity Health System Vice President, Risk Management.
Participates in appropriate committees and meetings as Risk Management representative.
Insurance and Claims Management
Works with patients, physicians and other personnel to resolve adverse events and claims. Negotiates patient bill write-offs when appropriate.
Obtains internal and external expert reviews to assist with evaluation of occurrences and claims.
Works with Verity Health System Risk Management Department to coordinate the collection of information needed to complete applications for property and casualty insurance program. Requests certificates of insurance needed for business operations.
Serves as facility contact for outside counsel retained to defend claims. Gathers information and documents required for responses to discovery requests.
Education and Guidance
Provides educational presentations to health care providers and other staff members on topics related to patient safety and loss prevention and reduction issues.
Provides risk management advice and guidance to hospital staff and leadership.
Bachelor's degree, preferably in nursing or related health care field.Minimum of three years of experience in risk management in a health care setting.Position requires excellent written and oral communication skills.
Internal Number: 7477
About Verity Health System (O'Connor Hospital)
Verity Health System enjoys the dedication of several thousand employees, physicians and other members of our medical staffs, our System Board of Directors and community Board members, and supporters who are proud to carry on a long history of serving diverse communities as a regional health system in California.
Comprised of four hospitals in Northern California and two in Southern California and our Verity Physician Network and Verity Medical Foundation, our health system partners with our community physicians to provide quality, compassionate care to our patients and their family members. Together we are Verity Health.