Insurance Program Manager Jobs in Carthage, TN (NOW HIRING)

Want to join a team of daring leaders who care without reservations or limits? Our TriStar Skyline Medical Center team is looking for a Risk Manager. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Risk Manager and be a part of the innovation of ideas.

The Risk Manager develops, coordinates, and administers facility-wide systems for risk identification, investigation and reduction. The Manager maintains a network of informational sources and experts. The Manager performs risk surveys and inspects patient care areas, as well as reviews facility and assesses loss potential.

What you will do in this role:

• Participate in committees as directed (EOC and others as designated by the CQ/PSO.
• Maintain risk management statistics and files in compliance with Joint Commission and state and federal agencies; promote maximum confidentiality by limiting access of such information.
• Collect, evaluate, and distribute relevant data concerning patient complaints; patient injuries; aggregate data summaries, monthly trend analyses of incidents, claims profiles and workers’ compensation trends; provide aggregate analysis of risk data; maintain statistical trending of losses and other risk management data.
• Informs department leaders regarding occurrences, issues, findings, and risk management suggestions; provide feedback to directors at all levels in the effort to eliminate risks; assist department leaders in designing risk management programs within their departments.
• Work with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; record, collect documents, maintain, and provide to defense attorney any requested information and documents necessary to prepare testimony in pending ligations.
• Advise security on procedures to reduce the frequency and/or minimize the severity of property loss or assets.
• Provide assistance to departments in complying with Joint Commission or other accrediting agencies, regarding risk management related standards.
• Recommend appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences; recommend ways to minimize risks through system changes; review and revise facility policies as appropriate to maintain adherence to current standards and requirements.
• Investigate and analyze actual and potential risks in the institution; assess liability and probability of legal action for potential notification of insurance carriers.
• Directly refer to the Chief Quality and Patient Safety Officer those incidents with claims potential; report to higher authority any serious events involving actual or potential injury to patients, visitors, or employees.
• Investigate patient complaints and ensure timely resolution as per the organizational policy and regulatory standards.
• Take an active role in FEMA (Failure, Mode and Effects Analysis).
• Act as resource, internal consultant, and educator for patient safety/risk management issues.
• Actively participate in Root Cause Analysis.
• Investigate risk involving actual or potential injury to patients, visitors, and employees; collect information as necessary to prepare for the defense of claims.

What qualifications you will need:

• Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required.
• 3 years of related experience required. 

TriStar Skyline Medical Center is a 350+ bed facility. We are Tennessee's first comprehensive stroke center and a national leader in neuroscience. In addition, we are equipped with 3 helipads, new ICU and Medical/Surgical floors, and burn care services. We offer a CARF accredited Inpatient Rehabilitation program and are a state-designated Level I Trauma Center. As an Accredited Chest Pain Center with PCI, TriStar Skyline is a leading provider of emergency heart care.

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a Risk Manager and help us improve more lives in more ways.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.