Insurance Risk Manager Jobs in Miami Beach, FL (NOW HIRING)

Description

  Risk Manager (RN/LPN)-Multi-Facility Coverage

Catholic Health Services | South Florida

Protect Patients. Reduce Risk. Lead Change.

Catholic Health Services (CHS), one of South Florida's leading faith-based healthcare organizations, is seeking an experienced and highly motivated Risk Manager to join our leadership team. This position plays a critical role in promoting a culture of safety, regulatory compliance, and risk reduction across our healthcare facilities.

The Risk Manager serves as the facility's designated Patient/Resident Safety Officer and is responsible for coordinating and implementing risk management programs designed to identify, analyze, and reduce risks to residents, patients, employees, and the organization.

Key Responsibilities

Lead and coordinate the facility's risk management program in collaboration with facility leadership.

Provide risk management coverage and support for two assigned facilities, balancing priorities and maintaining a visible presence at each location.

Conduct investigations of incidents, accidents, complaints, and adverse events.

Analyze and trend data to identify risk exposures and opportunities for improvement.

Ensure timely reporting of reportable events to regulatory agencies and internal stakeholders.

Participate in quality, safety, and risk management committees.

Develop and implement risk reduction strategies and corrective action plans.

Conduct audits and compliance reviews to ensure adherence to policies, procedures, and regulatory requirements.

Serve as a resource to leaders and staff on risk management, patient safety, and regulatory matters.

Coordinate and deliver risk management education and training during orientation and throughout the year.

Assist legal counsel with litigation support, record production requests, and investigations.

Promote a culture of resident/patient safety and continuous improvement.

Qualifications

Required:

Active Florida Registered Nurse (RN) license required; Licensed Practical Nurse (LPN) candidates with strong risk management experience will be considered.

Minimum of two (2) years of healthcare risk management experience.

Risk Management Certification required.

Strong investigative, analytical, and problem-solving skills.

Experience with incident reporting, root cause analysis, and regulatory compliance.

Knowledge of applicable federal and state healthcare regulations, including OBRA, OSHA, Joint Commission, and CARF standards.

Excellent written, verbal, and presentation skills.

Proficiency with Microsoft Office and healthcare software applications.

Valid Florida driver's license.  Willing to travel among facilities.

Why Join Catholic Health Services?

Mission-driven, faith-based healthcare organization.

Opportunity to make a direct impact on patient and resident safety.

Collaborative leadership environment.

Competitive compensation and comprehensive benefits package.

Professional growth and development opportunities.

If you are a detail-oriented healthcare professional with a passion for patient safety, regulatory compliance, and risk reduction, we encourage you to apply and become part of our mission of compassionate care.

Catholic Health Services is an Equal Opportunity Employer.

Summary & Objective

The Risk Manager is responsible for coordinating, directing and implementing the risk management programs at an assigned CHS facility.

Essential Functions

• Coordinates and implements the risk management programs in the assigned facility in conjunction with facility leadership.
• Coordinates programs for risk identification, risk analysis and risk control and/or risk reduction, including, but not limited to the following:

              a. Daily audit functions as assigned by CHS

              b. Investigation, analysis, documentation and timely reporting to the appropriate regulatory entities of  

               potential and/or adverse incidents.

              c. Assists leadership in the development of measures to minimize risks of adverse events to residents/patients.

              d. Coordinates risk reduction activities.

              e. Assists legal counsel in responding to requests for production and interrogatories.

              f. Assures facility compliance with policies and procedures.

• Participates as a member of applicable entity committees and is designated resident/patient safety officer.
• Provides risk management training at orientation and annually; assists in the identification, planning, conduction, and scheduling of continuing entity risk management education programs.
• Maintains the standards of confidentiality at all times.

Other Duties

• Works collaboratively with other facility leadership and staff members.
• Provides orientation to new employees as needed.
• Maintain required certifications and mandatory skill updates.
• Comply with all policies, local, state and federal laws and regulations.
• Perform other duties as assigned.

Supervisory Responsibility

• No direct reports

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Requirements

Knowledge & Experience Requirements

• Clear and Active Registered Nurse to practice in the state of Florida (LPN accepted)
• 2+ years of Risk Management experience
• Certification in Risk Management preferred
• Ability to collect, collate, analyze and trend data. Knowledge of risk exposures.  
• Strong communication skills in one-on-one situations and ability to deliver verbal presentations to small groups. 
• Ability to write reports and business correspondence. 
• Knowledge of applicable OBRA, Joint Commission on the Accreditation of Health Care Organizations, the Commission on Accreditation of Rehabilitative Facilities, OSHA, AHCA, State and Federal regulations.
• Must have a valid Florida driver's license
• Must have knowledge of computer office/clinical software
• Must be able to read, write and understand the English language