Claims Risk Manager Jobs in Minnesota (NOW HIRING)

University Overview

The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10 universities in the annual U.S. News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by Penn's distinctive interdisciplinary approach to scholarship and learning. As an employer Penn has been ranked nationally on many occasions with the most recent award from Forbes who named Penn one of America's Best Large Employers in 2023.

Penn offers a unique working environment within the city of Philadelphia. The University is situated on a beautiful urban campus, with easy access to a range of educational, cultural, and recreational activities. With its historical significance and landmarks, lively cultural offerings, and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play.

The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of health and wellness programs and resources, and much more.

Posted Job Title

Nurse Risk Management Analyst

Job Profile Title

Risk Management Analyst, Health System

Job Description Summary

Review & track incident reports ensuring that follow-ups are complete; perform investigations under direction of in-house counsel or hospital peer review committees; complete regulatory reporting within the required timeframe if indicated; prepare reports of adverse events resulting in liability exposure; act as resource person for all Health System employees concerning risk management issues; investigate patient complaints & determine most appropriate method of management; participate on committees that address issues with risk management implications; complete clinical summaries for medical legal reviews, provide risk management educational sessions to individual departments or units.

Job Description

Job Responsibilities

• Reviews incident reports and enters appropriate information into the database. Refers reports to other involved departments and assures follow-up is complete. Identifies incident reports requiring further investigation and performs reporting to regulatory agencies when necessary.

• Performs investigations pursuant to direction of in-house counsel or hospital peer review committees, often followed by written reports, of adverse events resulting in liability exposure. Investigations may include contact with nurses, physicians, University representatives, and Health System employees.

  Provides written reports under the direction of in-house counsel, of potential claim and claim events, which involve assessing and organizing medical reports; the gathering of all necessary facts and information; and the provision of medical literature when appropriate.

• Acts as a resource person for all Health System employees concerning risk management issues such as informed consent, documentation, policies and procedures, etc. Investigates patient complaints with potential liability exposure.

• Determines the most appropriate method of management and assists in the preparation of response letters. Participates on committees that address issues with risk management implications (i.e.: Incidents & Occurrences Committee, Environment of Care Committee, Patient Safety Steering Committee, Nursing Claims Review Committee, etc.).

• Provides data to committees regarding risk management issues identified through the incident reporting process. Provides risk management educational sessions to individual departments or units to address issues such as incident reporting; documentation; compliance with regulatory requirements; management of patient complaints; or other issues as requested or as identified through the incident reporting process.

• Provides assistance to the Claims Coordinator, in-house counsel, and defense counsel in the interpretation and understanding of the medical aspects of malpractice claims.

• Teamwork and support of colleagues are essential. The employee is expected to promote organizational values of patient and visitor satisfaction by demonstrating courtesy and respect for patients and their families, visitors, and other employees.

• Demonstrates the ability to maintain an accurate and current incident report data base, along with the ability to generate data reports.

• Performs the evaluation of potentially compensable events and prepares reports demonstrating excellent analytical and writing skills. Continuous contact with health care providers and frequent contact with attorneys within and outside the Health System.

• Effective and appropriate interpersonal relationship skills, including tact, diplomacy, and common sense are essential.

  Other duties as assigned.

Qualifications

• BA/BS degree in Nursing required with Professional Nursing License in Commonwealth of PA required; 3 years' clinical experience within last 5 years with prior experience in health care risk management, quality assurance, or case management positions preferred; may be required to travel throughout Medical Center, University Campus & Penn Medicine.

Salary Range: $95,000.00 - $104,686.00

Job Location - City, State

Philadelphia, Pennsylvania

Department / School

President's Center

Pay Range

$76,000.00 - $125,500.00 Annual Rate

Salary offers are made based on the candidate's qualifications, experience, skills, and education as they directly relate to the requirements of the position, and in alignment with salary ranges based on external market data for the job's level. Internal organization and peer data at Penn are also considered.

Equal Opportunity Statement

The University of Pennsylvania is an equal opportunity employer. Candidates are considered for employment without regard to race, color, sex, sexual orientation, religion, creed, national origin(including shared ancestry or ethnic characteristics), citizenship status, age, disability, veteran status or any class protectedunder applicable federal, state or local law.

Special Requirements
Background checks may be required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job.

University Benefits

• Health, Life, and Flexible Spending Accounts: Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefitsto protect you and your family's health and welfare. You can also use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax dollars.

• Tuition: Take advantage of Penn's exceptional tuition benefits. You, your spouse, and your dependent children can get tuition assistance here at Penn. Your dependent children are also eligible for tuition assistance at other institutions.

• Retirement:Penn offers generous retirement plans to help you save for your future. Penn's Basic, Matching, and Supplemental retirement plans allow you to save for retirement on a pre-tax or Roth basis. Choose from a wide variety of investment options through TIAA and Vanguard.

• Time Away from Work:Penn provides you with a substantial amount of time away from work during the course of the year. This allows you to relax, take vacations, attend to personal affairs, recover from illness or injury, spend time with family-whatever your personal needs may be.

• Long-Term Care Insurance:In partnership with Genworth Financial, Penn offers faculty and staff (and your eligible family members) long-term care insurance to help you cover some of the costs of long-term care services received at home, in the community or in a nursing facility. If you apply when you're newly hired, you won't have to provide proof of good health or be subject to underwriting requirements. Eligible family members must always provide proof of good health and are subject to underwriting.

• Wellness and Work-life Resources: Penn is committed to supporting our faculty and staff as they balance the competing demands of work and personal life. That's why we offer a wide variety of programs and resources to help you care for your health, your family, and your work-life balance.

• Professional and Personal Development:Penn provides an array of resources to help you advance yourself personally and professionally.

• University Resources:As a member of the Penn community, you have access to a wide range of University resources as well as cultural and recreational activities. Take advantage of the University's libraries and athletic facilities, or visit our arboretum and art galleries. There's always something going on at Penn, whether it's a new exhibit at the Penn Museum, the latest music or theater presentation at the Annenberg Center, or the Penn Relays at Franklin Field to name just a few examples. As a member of the Penn community, you're right in the middle of the excitement-and you and your family can enjoy many of these activities for free.

• Discounts and Special Services: From arts and entertainment to transportation and mortgages, you'll find great deals for University faculty and staff. Not only do Penn arts and cultural centers and museums offer free and discounted admission and memberships to faculty and staff. You can also enjoy substantial savings on other goods and services such as new cars from Ford and General Motors, cellular phone service plans, movie tickets, and admission to theme parks.

• Flexible Work Hours:Flexible work options offer creative approaches for completing work while promoting balance between work and personal commitments. These approaches involve use of non-traditional work hours, locations, and/or job structures.

• Penn Home Ownership Services: Penn offers a forgivable loan for eligible employees interested in buying a home or currently residing in West Philadelphia, which can be used for closing costs or home improvements.

• Adoption Assistance: Penn will reimburse eligible employees on qualified expenses in connection with the legal adoption of an eligible child, such as travel or court fees, for up to two adoptions in your household.

To learn more, please visit: https://www.hr.upenn.edu/PennHR/benefits-pay