Works with leadership to integrate risk management information into the credentialing process in compliance with state and federal agencies, accrediting bodies, and organizational requirements.Negotiates settlement of small claims with administrative authority and advises collection department of appropriate action for unpaid accounts involved in litigation Participates in evaluation of claims for settlement.Develops and implements departmental and facility policies and procedures that affect liability exposures.Prepares system responses to new regulations and standards
Monitors the environment for changes in legal and regulatory requirements. Conducts systems analyses to uncover and identify patterns that could result in compensable events.Conducts risk management educational programs, complying with risk management related standards by Medicare Conditions of Participation, the Joint Commission, and other agencies with the objective of promoting patient safety, enhancing quality care, and minimizing loss to protect the assets of the ABC Company.Maintains risk management statistics and files Plans, oversees special focused data collection and analysis to support quality clinical and management outcome decisions and program development. Collects and analyzes data for risk indicators.Reports events as required to state-mandated reporting systems and/or patient safety organizations Develop and maintain a system for proper reporting, follow up, investigation, analysis and file maintenance of all incidents that occur in ABC Company System.Plans and implements a system-wide program for both loss prevention and loss control, and a comprehensive orientation program directed to all current and future employees, board members, physicians and advise them of their responsibilities, obligations, and part in ABC Company’s risk management and safety program.Sample job description #1 Essential duties and responsibilities:
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