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Certified Risk Manager (CRM) or Certified Professional in Healthcare Risk Management (CPHRM). Reports real and potential risk situations to the General Counsel, Claims Manager, Governing Body, medical staff, administration, hospital departments and committees, as appropriate.
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Once the RCA has been conducted, the risk manager facilitates a debrief session after an SRE/SAE, coordinates with leadership staff to conduct a RCA and develop a measurable action plan. Certified Professional in Healthcare Risk Management (CPHRM) required; may obtain within first 12 months of employment.
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Masters degree preferred Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid Texas license as a Master’s Social Worker (LMSW) required, LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM), or Fellowship of the American Academy of Case Management (FAACM) required.
$130,000 - $172,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Licenses/Certifications: Certified in Healthcare Risk Management (CPHRM) or able to obtain within two (2) years of employment. The role encompasses the key risk management functional areas of: loss prevention and reduction, claims management, risk transfer through insurance, regulatory and accreditation compliance, risk management operations, and bioethics.
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Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote* Certified Professional Healthcare Risk Management (CPHRM) 7+ years relevant general and professional liability claims processing or management experience.
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Strong knowledge of Risk Management principles typically acquired by ASHRM or CPHRM certification. General Counsel, LCMC colleagues, and Claims Department in order to investigate and respond to events/occurrences, advise.
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Works collaboratively with assigned Trinity Health Area Claims Manager and works directly with Legal counsel as requested. Certification (CPHRM) is preferred but required within 3 years of employment.
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The Risk Manager and Patient Safety Specialist manages the review, investigation and reporting of safety events/incidents/occurrences with potential impact on patient safety and hospital liability in accordance with established hospital, regulatory, and accreditation procedures, guidelines and criteria.
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5+ years’ experience in relevant field, including experience with enterprise risk management, quality improvement, healthcare administration, legal support and/or claims management. At least 3 years’ experience in related field, including experience with enterprise risk management, quality improvement, healthcare administration, legal support and/or claims management.
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Development and implementation of the organization's enterprise risk management programs in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and accreditation standards related to safety and risk management.
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Assisting in claims management activities to include coordination with corporate claims and legal department as well as any attorneys retained to manage hospital medical malpractice activities.
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Fellow or Diplomat of American Society of Healthcare Risk Managers Associate in Risk Management (ARM) or Certified Professional in Healthcare Risk Management (CPHRM), preferred. Experience in risk management and/or professional liability claims management preferred.
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Certified Professional in Health Care Risk Management (CPHRM) certification required. Gathers data for insurance renewal, assists with investigation and resolution of claims, and complies with risk management-related standards.
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Be responsible for medical professional liability claims and complex general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility.
$38.27 - $96.32 an hourFull-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Be responsible for investigating, evaluating and managing professional and other liability claims against the organization. Experience handling Medical Negligence Professional Liability Claims.
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