Claims Risk Management Jobs in Tennessee (NOW HIRING)

Responsibilities
Compass Intervention Center has been providing psychiatric services in Memphis, Tennessee for 29-years. Compass Intervention Center is a 108-bed, free-standing facility that treats children and teens, ages 12 to 17 for Residential and Acute patients; ages 10 to 17 for our Outpatient Programs struggling with a psychiatric, substance abuse or dual diagnosis disorder. It is the only TRICARE®-certified residential treatment facility in Memphis, Tennessee.
We are dedicated to providing age-specific programs to address the needs of children, preteens and teens with a wide variety of psychiatric illnesses, behavioral problems and substance abuse issues.
Our treatment programs focus on youth and families struggling with emotional, behavioral, and chemical dependency issues. We provide specialized, individual treatment to help every patient achieve a positive outcome and improve relationships.
Website: https://www.compassinterventioncenter.com
JOB SUMMARY:
As the Risk Manager the main responsibility is the oversight of the UHS Risk Management TERM Program. The Risk Manager reports directly to the Chief Executive Officer with dotted line reporting to the Corporate Risk Manager. The Risk Manager meets personally with the Chief Executive Officer on a periodic basis. Detailed responsibilities are outlined below.
ESSENTIAL JOB FUNCTIONS:
Risk Identification and Evaluation

• Ensures appropriate and timely reporting of occurrences by maintaining Incident Reporting system and enters incidents into the MIDAS Database.
• Collects and screens all reports.
• Analyzes and trends data
• Identifies actual and potential risk situations and facilitates the determination of causative factors
• Refers occurrences for follow‑up to appropriate department or medical committee; ensures that all Level III/IV events are referred to the Peer Review Committee
• Receives immediate and concurrent reporting of adverse patient outcomes identified by the PI process
• Performs risk surveys and inspects patient care areas in concert with hospital's safety (EOC) program committee objectives
• Reviews reports on facility and equipment to assess loss potential
• Receives and investigates reports of product problem to determine appropriate response and establish record keeping responsibilities. In the event of patient injury, established direction from Corporate Risk Management in the appropriate action for defense strategy
• Receives information (verbally or formally) from facility staff regarding patient events which may lead to a claim.

Other areas of Responsibiity:

• Risk Reduction
• Cntract Preparation
• Claims Management
• Loss Control and Prevention
• Committee Participation
• Employee/Physician Education
• Reporting, Report Preparation and Submission
• Medical Staff
• Professional Grown and Development

Qualifications
Education: Graduate of an accredited school of nursing or other mental health related program. Bachelor Degree required.
Experience: Clinical experience in a psychiatric in ‑ patient facility with knowledge of high- risk areas preferred. Two years Risk Management experience.
Certification: Licensed Nurse or Bachelor degree in Mental Health/Social Work.
Skills: Knowledge of hospital operations, risk identification, assessment and reduction and claims management; excellent communication skills, both written and oral.
Physical Requirements: Ability to stoop, kneel, sit, stand, crouch, reach, grasp, walk, push, pull, lift, moving about in work area and throughout hospital to accomplish tasks. Perform repetitive motions with wrists, hand, and fingers. Ability to express and exchange ideas via spoken word, conveying information to others in an audible, accurate, and on occasion, quick manner. Ability to perceive the nature of sounds with or without correction; perceive detailed information through oral communication and to make fine discriminations in sound.
Must be able to concentrate on work amid distractions such as noise, conversations, and foot traffic; must be able to consistently meet deadlines regardless of case load; must be flexible in work hours in order to meet patient and organization operating needs. Must maintain self-control in volatile or hostile situations such as when verbally or physically confronted. Computer skills with advanced knowledge in Word, Power Point, and Excel programs.
This opportunity provides the following:

• UHS is Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.