Risk Mgmt Cons Healthcare
Job Description
How to Apply
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
Responsibilities*
Investigate and analyze patient care grievances per CMS guidelines. Investigate and analyze potential and actual professional liability claims and incidents incorporating the principles of the Michigan Model for early claims resolution. Perform clinical safety management and respond and investigate in real-time to patient safety events with serious harm, including completing staff interviews and clinical reviews, effectively communicating with staff, families and patients. Provide resources for emotional support for patients and staff involved in acute events. Assist with disclosure of acute events and maintain open communication with patients, families, and staff to help restore and maintain the trusting therapeutic relationship. Prepare summaries of potential and litigated claims for distribution and oral presentation to institutional committees; and lead/participate in patient safety and risk education efforts for the health system. Assist outside counsel on matters in litigation; negotiate settlements within institutional guidelines.
Adherence to clinical risk and grievance protocols, procedures, and objectives ensuring timely compliance with all regulatory and legal requirements. Report to Michigan Medicine leadership unanticipated outcomes resulting in significant patient harm or death. Analyze data to filter for trends with goal of reducing harm and enhancing patient experience. Advise and train Health Care Staff in assessing, resolving, and preventing incidents of risk to patients.
Prepare professional, thoroughly written communication with patients, families, UMH faculty, staff, and plaintiff attorneys in accordance with regulatory and legal guidelines and timelines. Develop and implement ongoing, professional education to faculty and staff on risk management-related topics including but not limited to the following: disclosure of unanticipated patient outcomes, when to contact Clinical Risk, acute adverse event management, documentation practices, actual case studies with lessons learned, patient terminations, and the Clinical Risk claims management process.
Provide guidance and support for patient/family behavioral concerns and terminations, potential and actual criminal allegations in conjunction with UMH Security and Office of General Counsel. Training required on civil mediation, conflict management, and crisis intervention.
Updating and developing policies and procedures for reducing claims and promoting patient safety.
Rotating on call weeks, including weekends.
Required Qualifications*
Desired Qualifications*
Enthusiasm and self-initiative for making a difference in the level of quality care our Health Care System delivers. Supervisory experience a plus. Additional insurance or risk management certification such as ARM, CPHRM, CPPS, or CPCU. Experience in the management of professional medical liability claims and clinical risk control.
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.
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