Risk Management Specialist

Risk Management Specialist

The Risk Management Specialist provides leadership, management, and coordination of risk management and mitigation activities, including compliance investigations and resolutions. The Risk Management Specialist coordinates and interacts with all departments and leadership to determine potential losses and develop strategies to minimize liability and asset losses by the health center. The Risk management Specialist also investigates and coordinates Quality of Care reviews, customer complaints and reported incidents. The Risk Management Specialist must conduct all activities while maintaining the strictest standard for confidentiality.

Successful Candidate will have :

• Investigate and / or coordinate the investigation of all reported compliance incidents, quality of care concerns, HIPAA violations and / or customer complaints.
• Manage, monitor, and track data on incidents, accidents or unusual occurrences, including patient or associate injury, privacy violations and emergency response.
• Assist in the development of policies and procedures, as well as Standard Operating Procedures (SOP's) for activities related to the risk management program.
• Designs and maintains database for collecting and analyzing incident, accidents, and quality of care occurrences for reporting.
• Coordinate, conduct and document root-cause analysis and failure mode effect analysis activities for the health center.
• Assists in the coordination of the development of remediation plans, performance improvement, monitoring and reporting on progress.
• Keeps immediate supervisor fully and accurately informed concerning work progress including present and potential work problems, liability issues and suggestions for improvement.
• Interfaces with insurance companies as it relates to cases of risk to the organization.
• Deliver technical support and assistance to managers and supervisors in the management and execution of risk management controls and health center policy and procedures.
• Resolve conflicts and develop effective, efficient solutions to complex problems.
• Perform other duties as assigned.

Education / Qualifications

About Swope Health Services :

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with :

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability.