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Skills
Auditingunmatched
Budget Managementunmatched
Claims Managementunmatched
Communication Skillsunmatched
Corporate Complianceunmatched
Data Analysisunmatched
Educational Evaluationunmatched
External Auditunmatched
Financial Complianceunmatched
Healthcareunmatched
Hospitalunmatched
Internal Auditunmatched
Interpersonal Skillsunmatched
Legalunmatched
Legal Standardsunmatched
Maintain Complianceunmatched
Medical Salesunmatched
Nursing Credentialsunmatched
OSHAunmatched
Patient Safetyunmatched
People Managementunmatched
Performance Analysisunmatched
Performance Reviewsunmatched
Pharmaceutical Salesunmatched
Presentation/Verbal Skillsunmatched
Quality Managementunmatched
Risk Analysisunmatched
Risk Managementunmatched
Safety Standardsunmatched
Salesunmatched
Staff Trainingunmatched
The Joint Commission (TJC)unmatched
Description
Overview:
This position is responsible for the organization's risk management activities, which include the investigation and management of claims in conjunction with outside legal counsel. Managing and analyzing risk management data and conducting risk management educational programs, all with the objective of controlling and minimizing loss to protect the assets of the organization. Investigates and follows up on concerns and complaints. Also, this position is responsible for patient safety and implementing JCAHO National Patient Safety Goals/Standards. Maintains and continually improves the Corporate Compliance Program by conducting audits, monitoring, and training and educating staff, management, Medical Staff and the Board of Trustees. Chairs the ethics committee.
Key Responsibilities:
Develop and implement departmental goals aligned with clinical, legal, and ethical standards.
Oversee departmental operations, including patient safety, complaint management, and quality improvement.
Manage staffing, hiring, performance evaluations, and continuing education.
Prepare and monitor departmental budgets and ensure fiscal compliance.
Lead internal and external audits and maintain confidentiality.
Promote professional growth and a positive care environment.
Uphold the organizations Code of Conduct and service excellence standards.
Qualifications:
Current NC Nursing Licensed or Multistate Nursing License is required.
Excellent communication, public speaking and interpersonal skills. Ability to function calmly and rationally in high stress situations and ability to build harmonious relationships with hospital management, personnel, and physicians.
Minimum 2 years experience in healthcare risk management, or claims investigation/management.
Nice-to-have Qualifications:
Management/Supervisory experience preferred. Should have experience with OSHA and JCAHO.
Medical and/or Pharmaceutical Sales experience is preferred.