Talent.com
Healthcare Risk Manager
Healthcare Risk ManagerLakeland Regional Health-Florida • Lakeland, FL, United States
Healthcare Risk Manager

Healthcare Risk Manager

Lakeland Regional Health-Florida • Lakeland, FL, United States
1 day ago
Job type
  • Full-time
Job description

Position Details

This is Full-Time Benefit Eligible position working 80 hours per biweekly pay period.

Shift : Monday - Friday

Location : 1324 Lakeland Hills Blvd Lakeland, FL

Annual Salary : Min $73,840.00 Mid $92,310.40

Position Summary

Investigates and resolves incidents and grievances; secures evidence; creates and documents investigative files; resolves disputes / claims with patient and / or family members; resolves facility risk related issues; facilitates corrective action plans; trends and analyzes risk reports; assists with managing risk management incident reporting software, including the safekeeping of Patient Safety Work Product via the Patient Safety Organization. Initiates reports to insurance carrier and regulatory agencies; assesses damages and injury for claims, answers interrogatories and request to produce for claims, prepares staff for depositions and trials, and manages and coordinates claims with defense counsel. Identifies opportunities for the improvement of quality, safety and cost, as well as patient, customer, and employee satisfaction.

Position Responsibilities

People At The Heart Of All That We Do

  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Safety And Performance Improvement

  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.
  • Stewardship

  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • Standard Work Duties : Healthcare Risk Manager

  • Investigates and resolves incidents and grievances (including sexual misconduct allegations, and reports to appropriate regulatory agencies, when required); creates and documents investigative files; resolves disputes / claims with patient and / or family members; resolves facility risk related issues.
  • Monitors and manages legal claims with defense counsel, sets reserves, interviews person(s) involved in claims, assists with depositions and trials, answers interrogatories.
  • Assists with developing educational programs and learning modules for orientation and ongoing education, as well as upon request by various departments regarding risk topics.
  • Takes call evenings, nights, and holidays in rotation with other risk managers.
  • Assists with developing and / or reviewing policies and Standard Work.
  • Takes call evenings, nights, and holidays in rotation with other risk managers.
  • Assists with developing and / or reviewing policies and Standard Work.
  • Assists with managing Patient Safety Work Product via Patient Safety Organization
  • Conducts Serious Incident meetings and Root Cause Analyses; provides clinical and / or risk expertise to requested committees and process reviews, as needed.
  • Assists with managing risk management incident reporting software, including the safekeeping of Patient Safety Work Product via the Patient Safety Organization.
  • Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • People At The Heart Of All We Do
  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
  • Guide Projects Using Acceptable Standards And ITIL Framework
  • Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.
  • Competencies & Skills

    Essential :

  • Excellent verbal and written communications, analytical ability, and computer literacy.
  • Excellent presentation skills and organizational skills.
  • Claims handling skills which include dealing with difficult people, and assessing damage.
  • Excellent investigative skills.
  • Maturity, ethics, and strong negotiating skill
  • Conflict resolution skills
  • Qualifications & Experience

    Essential : Bachelor Degree Nonessential : Master Degree

    Experience Essential :

  • Meets “Qualified Healthcare Risk Manager” competencies in accordance with Fla. Stat. 395.0197(2).
  • Staff RN experience (in lieu of Staff RN experience, a candidate with at least 5 years' experience within a Healthcare Risk Management Department coupled with CPHRM certification will be considered).
  • Licenses Essential : Registered Nurse (in lieu of Registered Nurse license, a candidate with at least 5 years' experience within a Healthcare Risk Management Department coupled with CPHRM certification will be considered)

    Experience Preferred : Previous management

    Certifications Preferred : Certified Professional in Healthcare Risk Manager (CPHRM)

    Create a job alert for this search

    Risk Manager • Lakeland, FL, United States

    Related jobs
    Assurance Manager - Healthcare

    Assurance Manager - Healthcare

    RSM • Tampa, FL, US
    Full-time
    We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their ful...Show more
    Last updated: 30+ days ago • Promoted
    Sales Director - Healthcare

    Sales Director - Healthcare

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for a Sales Director in the Healthcare Industry for remote work.Key Responsibilities Build and maintain relationships with midsize to enterprise-level clients in the healthca...Show more
    Last updated: 24 days ago • Promoted
    Clinical Director

    Clinical Director

    Davenport Ambulatory Surgery Center (10719) • DAVENPORT, Florida, United States
    Full-time
    Davenport Ambulatory Surgery Center.FL specializing in Pain Management, Gastroenterology, Ophthalmology, Orthopedic Surgery. We are seeking an experienced clinical leader to join our team as the Cl...Show more
    Last updated: 10 days ago • Promoted
    Healthcare Market Research Manager

    Healthcare Market Research Manager

    VirtualVocations • Lakeland, Florida, United States
    Full-time
    A company is looking for a Manager, Healthcare Market Research & Partnerships.Key Responsibilities Conduct market analysis to identify partnership opportunities and industry trends Develop and m...Show more
    Last updated: 2 days ago • Promoted
    Healthcare Customer Success Manager

    Healthcare Customer Success Manager

    VirtualVocations • Lakeland, Florida, United States
    Full-time
    A company is looking for a Manager, Customer Success - Healthcare.Key Responsibilities Drive improvements in customer retention, expansion, and satisfaction metrics Build and develop a high-perf...Show more
    Last updated: 30+ days ago • Promoted
    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Manager, Healthcare Analytics - Health Plan Integration - Remote

    Molina Healthcare • Tampa, FL, US
    Remote
    Full-time
    Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and ot...Show more
    Last updated: 9 days ago • Promoted
    Healthcare Risk Manager

    Healthcare Risk Manager

    University of South Florida • Tampa, FL, US
    Full-time
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show more
    Last updated: 14 days ago • Promoted
    Business Risk and Controls Advisor (Mid-Level) - Bank

    Business Risk and Controls Advisor (Mid-Level) - Bank

    USAA • TAMPA, FL, US
    Full-time
    At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military...Show more
    Last updated: 11 hours ago • Promoted • New!
    Healthcare Growth Account Manager

    Healthcare Growth Account Manager

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for a Growth Account Manager in the Healthcare Business.Key Responsibilities : Develop and execute strategic account plans to exceed sales targets and update leadership on acc...Show more
    Last updated: 29 days ago • Promoted
    Healthcare Project Manager

    Healthcare Project Manager

    Studio Plus Architects Inc. • Tampa, FL, US
    Full-time
    Quick Apply
    This role represents the highest level of project responsibility at Studio+.As a Project Manager at Studio+, you will be the driving force behind successful project delivery, balancing client satis...Show more
    Last updated: 30+ days ago
    Licensed Psychiatric NP

    Licensed Psychiatric NP

    Headway • FL, US
    Full-time
    Licensed Psychiatric Nurse Practitioner.Wage : Between $156-$206 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wa...Show more
    Last updated: 7 days ago • Promoted
    Account Manager, Healthcare

    Account Manager, Healthcare

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for an Account Manager, Healthcare and Life Sciences (U.Key Responsibilities Cultivate and strengthen relationships with key customer stakeholders to activate and increase re...Show more
    Last updated: 2 days ago • Promoted
    Healthcare Sales Director

    Healthcare Sales Director

    VirtualVocations • Lakeland, Florida, United States
    Full-time
    A company is looking for a Sales Director in the Healthcare Industry for remote work.Key Responsibilities Build and maintain relationships with midsize to enterprise-level clients in the Healthca...Show more
    Last updated: 24 days ago • Promoted
    Healthcare HEDIS Reporting Lead

    Healthcare HEDIS Reporting Lead

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for a Healthcare HEDIS Reporting Lead.Key Responsibilities Develop and manage the annual HEDIS project plan and regulatory reporting Facilitate relationships with Medical Re...Show more
    Last updated: 11 hours ago • Promoted • New!
    PRN Physical Therapist Home Health

    PRN Physical Therapist Home Health

    HCA Florida Healthcare at Home • Sun City Center, FL, US
    Full-time +1
    Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team.Grow your career with an organization committed to delivering respectful, compassionate ...Show more
    Last updated: 3 days ago • Promoted
    Risk Manager

    Risk Manager

    VirtualVocations • Tampa, Florida, United States
    Full-time
    A company is looking for a Risk Manager to support its investment strategy and financial risk management function.Key Responsibilities Develop and enhance risk models and dashboards to monitor po...Show more
    Last updated: 30+ days ago • Promoted
    Medical Director

    Medical Director

    National Veterinary Associates • RUSKIN, Florida, United States
    Permanent
    Join the Ruskin Animal Hospital team and make a real impact in a supportive, vibrant community! We’re seeking a dedicated Managing Veterinarian and offer work-life balance, flexible scheduling, and...Show more
    Last updated: 30+ days ago • Promoted
    CT Tech PRN

    CT Tech PRN

    AdventHealth Connerton • Land O' Lakes, FL, US
    Full-time
    All the benefits and perks you need for you and your family.Whole Person Wellbeing Resources.Mental Health Resources and Support. Joining AdventHealth is about being part of something bigger.Its abo...Show more
    Last updated: 20 days ago • Promoted