Position Summary and Purpose
The System Director, Risk Management is responsible for promoting an environment of risk awareness and risk reduction, supervision of risk directors and managers, management of liability claims, including consulting with experts, attorneys, excess insurance carrier, and claimants. Actively participates in alternative dispute resolution; Directs facility risk awareness and risk reduction program, including loss prevention and loss control measures, analysis of trending concerns, risk reduction education; Assists in purchase and reserve setting of all lines of insurance coverage for UofL Health; Assists in development and education of system safety and risk management policies and procedures; Participates in sentinel event root cause analysis process; Assists Chief Legal Officer in developing strategic initiatives for organizational growth.
Essential Functions:
• Develops, implements and directs system-wide risk management program, including loss prevention and loss control measures; overseeing the investigation, documentation and assessment of all actual and potential liability risk exposures for the system
• Reviews trends in occurrence reporting data and reporting; reports to hospital administration and legal counsel, as needed, regarding risk management program, trends, and current issues
• Oversees development and education of system safety and risk management policies and procedures; develops, presents and evaluates educational programs relating to risk management theory, current issues, and incident prevention
• Participates in investigations of sentinel events and the root cause analysis process
• Coordinates and oversees the completion of interrogatories, document productions and other discovery requests for professional, general and employment practices liability claims
• Oversees purchase and reserve setting of all lines of insurance coverage for the system
• Works with insurance underwriters and brokers with placement, maintenance, and renewal of all lines of insurance coverage, except workers’ compensation
• Oversees the management of workers compensation program for the system and related employee claims
Other Functions:
• Participates in various other special projects related to protecting the health system against liability claims
• Serves as a resource to physicians, administrators, nursing personnel and other hospital departmental personnel
• Participates in developing and interpreting appropriate risk management policies, procedures, and techniques
• Assists the System VP Compliance & Audit with all federal, state and local health care regulations and standards compliance.
• Develop and review risk policies.
• Assist System VP, Quality and Patient Safety as needed in patient safety education and standards.
• Serves on the Emergency Preparedness Committee and monitors activity of all safety subcommittees
• Maintains compliance with all company policies, procedures and standards of conduct
• Serves as a resource to physicians, administrators, nursing personnel and other hospital and personnel
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Serves as a member of the system’s professional malpractice carrier’s Underwriting Committee
• Serves as a member of the system’s professional malpractice carrier’s Claims Committee
• Attend mediation and trials as necessary.
• Performs other duties as assigned
Job Requirements
(Education, Experience, Licensure and Certification)
Education:
• Bachelor's degree (required)
• J.D. or Master’s degree or higher (preferred)
Experience:
• Minimum of 10 years of risk management, claims management, litigation and insurance experience (required)
Licensure:
• Kentucky RN license (required)
• Kentucky bar admission (preferred)
Certification:
• Associate in Risk Management (ARM) and Certified Healthcare Environmental Manager (HEM) (preferred)
Job Competency:
Knowledge, Skills, and Abilities critical to this role:
• Exemplifies service excellence – responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information
• Displays strong organizational skills – manages time effectively, keeps tasks appropriately prioritized and delegates appropriately; works proactively- anticipates and plans for problems before they arise; is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism
• Role models strong work ethic – motivated, diligent, industrious and persistent in the workplace, stays on tasks to completion, works at a fast pace to ensure optimal efficiency; remains flexible – ability to change directions, as needed, to ensure optimal outcomes
• Displays strong interpersonal skills– can build effective, strong working relationships with employees, colleagues, management and vendors through trust, communication, and credibility; displays self-awareness and emotional intelligence, exercises sound judgement
• Displays strong leadership skills – ability to work collaboratively with others, serve others, help others, lead others, mentor others, and take directions from others in the interest of moving process and programs forward to the desired outcome
Language Ability:
• Must be able to communicate effectively in both verbal and written formats
Reasoning Ability:
• Ability to break down problems or tasks; scanning one’s own knowledge and experience to identify causes and consequences of events
Computer Skills:
• Proficient in Microsoft Office Suite (Word, Excel, Outlook)
Additional Responsibilities:
• Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
• Maintains confidentiality and protects sensitive data at all times
• Adheres to organizational and department specific safety standards and guidelines
• Works collaboratively and supports efforts of team members
• Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community
UofL Health Core Expectation:
At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
• Honoring and caring for the dignity of all persons in mind, body, and spirit
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of UofL Health