Duke Careers

Risk Manager

Duke Careers

full-time

Posted on:

Location: North Carolina • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation.
  • Investigate, evaluate and document pre-litigation occurrences and claims.
  • Recommend resolution, and complete negotiation of resolution within authority granted by Director.
  • Complete notifications and financial recommendations needed for compliance with tracking and insurer requirements, including insurance carrier notifications, reserve recommendations, and any federal, state, or entity reporting requirements (including SMDA, DataBank, etc.) as necessary.
  • Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends.
  • Provide quality assurance and peer review referrals as appropriate.
  • Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested.
  • Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed.
  • On-call duties are assigned on a rotation basis when possible.
  • Prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions.
  • Represent the Department of Clinical Risk Management on various DUHS and entity committees as required.
  • Perform other related duties incidental to the work described herein.

Requirements

  • Bachelor's degree in business administration, public policy, hospital administration or related field (or a clinical Bachelor's with additional business training).
  • Minimum of four years experience in patient care, public policy, health care administration, business administration, legal support or insurance/claims investigation and settlement.
  • Knowledge, Skills, and Abilities: Customer Service, Risk Evaluation, Interviewing Skills, Investigation Skills, Medical Terminology, Analyze Data, Analyze Trends, Risk Analysis.
  • Licensure/Certifications: An Associate in Risk Management or Certified Professional in Healthcare Risk Management desirable.
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