Claims Risk Manager Jobs in Montclair, NJ (NOW HIRING)

Job Title: Manager

Location: Newark Beth Israel Medical Ctr

Department Name: Risk Management

Req #: 0000258316

Status: Salaried

Shift: Day

Pay Range: $95,000.00 - $115,000.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

A Typical Day

• The Risk Manager is responsible for the Risk Management activities at Newark Beth Israel Medical Center
  • The activities include the identification, evaluation and mitigation of loss exposures
• The Risk Manager identifies, analyzes and acts upon actual and potential exposures to the organization with a goal of improved patient safety and protection of the organization's assets. This is also accomplished through education and collaboration with all levels of the organization
• The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance
• Enter Potentially Compensable Events (PCEs) into the event reporting system and conduct/document initial investigations,
• Manage and investigate actual and potential claims involving patients, visitors, employees, and property, including referral to insurance carriers as appropriate
• Review and analyze event reporting data to identify trends, high-risk events, and liability exposures; oversee closure of incident reports
• Handle hospital claims and litigation matters, including claim assessment, discovery coordination, subpoena responses, and support of internal and external legal counsel through all phases of litigation and trial preparation
• Review Summonses and Complaints for coverage implications and ensure timely notification to applicable insurance carriers
• Partner with Patient Experience and operational leaders to investigate and resolve patient and family grievances to reduce escalation into claims and litigation
• Respond to inquiries from federal and state agencies and coordinate investigations as required
• Assist Quality and Patient Safety teams with Root Cause Analyses (RCAs) and implementation of risk mitigation strategies as needed
• Represent Risk Management on hospital committees and present analyzed risk and claims data to support patient safety and organizational objectives
• Maintain visibility throughout the organization through regular rounding and consultation with clinical and non-clinical departments
• Coordinate annual insurance renewal applications, certificates of insurance, and other insurance-related activities as required
• Administer tracking systems for subpoenas, litigation, claims, and lost or personal property reimbursement matters
• Coordinate notification and follow-up activities related to medical device recall alerts
• Educate staff and leadership on risk management principles, event reporting, claims prevention, and loss reduction strategies

This Role Might Be For You If ...

• You are excellent skills in communication, conflict resolution and problem-solving

• You handles face-to-face communication with patients, families, employees and physicians with sensitivity and empathy,

• You have strong attention to detail, analytical and organizational skills

• You have experience in supporting litigation discovery for outside counsel

To Be Considered

Required:

• Minimum of a Bachelors degree required
• 3-5 years minimum experience in healthcare required

Preferred:

• Risk Management experience in acute care setting strongly preferred

Certifications and Licenses Required:

• Certified Professional in Healthcare Risk Management (CHPRM) preferred, must obtain within 2 years of hire

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.