DIR - RISK MANAGEMENT

Job Description

Responsibilities

Director of Risk Management

The Ridge Behavioral Health System is a 110-bed hospital offering psychiatric and substance use disorder treatment for children, adolescents, and adults.

Our specialized treatment services are provided by a multidisciplinary team of highly trained psychiatrists, psychologists, social workers, addiction counselors, nurses, and activity therapists.

The Ridge Behavioral Health System prides itself as being the only free-standing psychiatric hospital in the Central Kentucky area. We have provided behavioral health services to over 92 Kentucky counties for over 39 years.

https://ridgebhs.com

The Director of Risk Management (RM) also serves as the Facility Compliance Officer and is the back-up to the Director of Performance Improvement when necessary. The Director of Risk Management has broad responsibility to protect the hospital's assets from loss. The Director of Risk Management is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.E.R.M. Program. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

This opportunity is a full-time, salaried position.

Job Duties/Responsibilities:

• Assists Administrator in facilitating the processing of summons and complaints served on the hospital and its employees.
• Reports receipt of summons and complaints immediately to Corporate Risk Management and Insurance Department.
• Assists the Corporate Risk Management as needed to intervene, document, and assist in the investigation of all claims.
• Coordinates investigation of claims within the facility:
• Directs in house claims investigation.
• Preserves all pertinent information (medical record, x-rays, equipment, lab/pathology specimens, relevant reports/d policies and procedures)
• Facilitates early reporting.
• Establishes early control of situation.
• Assists in obtaining materials for attorneys.
• Maintains all legal case files and ensures maximum protection and discoverability.
• Coordinates with and assists attorneys as they interface with the facility and employees.
• Advises Business Office of actions consistent with directions from Corporate Office for unpaid accounts involved in litigation.

• Conducts/facilitates in-services to educate employees and physicians.
• Participates in developing/reviewing policies and procedures.
• Operates to maintain and facilitate system securing hospital, employee, and patient property.

• Facilitates, develops, and provides educational programs to insure all employees and medical staff are aware of the Risk Management concept and its relation to their specific duties/job role in identifying and reducing liability exposures.
• Plans and presents risk management information to all new employees at hospital orientation.
• Plans and presents Risk Management information to all employees at annual update.
• Plans, presents, facilitates, and/or recommends in-services to all departments as necessary to address Risk Management problems.
• Submits articles to hospital, nursing, medical staff newsletters, as appropriate.
• Plans and presents in-services/information at Department Managers meetings. Provides Risk Manager presentation specific to management levels at least annually.
• Shares current literature and articles of relevance with all appropriate departments.
• Plans, facilitates, presents information, and suggests topics on Risk Management to Committees or hospital departments as necessary and based upon occurrences or claim patterns.

• Provides aggregate analysis of risk data and trend analysis of incidents to:
• Administration
• Corporate Risk Management
• Patient Safety Council
• MEC
• Performance Improvement
• Environment of Care/Safety Committee (Safety related only)
• Governing Board
• Medical Staff Committees/Department as necessary and related to the department.
• Incidents with Claims Potential
• Directly reports to Administration those incidents with claims potential.
• Reports to Corporate Risk Management any serious risk event involving actual or potential injury to patients and visitors; enters Incident Reports.

• Develops, coordinates, presents/facilitates educational programs specific to medical staff concerns.
• Advises physicians on issues of interest or concern including Informed Consent process.
• Documentation and communication; Accountability; Response to patient/family complaints; and internal problem solving.
• Provides methods to communicate patient events to the Risk Manager that may result in a claim.

• Consults with Medical Director as necessary.
• Regularly reviews current literature pertinent to Risk Management.
• Attends appropriate management and risk management seminars.
• Consults with Corporate Risk Management as necessary.

• Demonstrates tact, diplomacy, and sensitivity in communications.
• Is clear and accurate in communication.
• Responds promptly to requests, problems, and questions.
• Maintains confidentiality as appropriate.
• Interacts well with co-workers, inter and intra departments.

Benefits Highlights

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Referral Bonus Program

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

If you would like to learn more about the Psych Registered Nurse position, please contact Heather Ballinger, HR Director at Heather.Ballinger@uhsinc.com or by phone at 859.268.6477

Qualifications

EDUCATION:

• Bachelor's Degree from an accredited college or university in nursing or other related health field is required.
• Master's Degree is preferred.

Licensure/Certifications:

• Current RN license by Board of Nurse Examiners for the State of Kentucky: or a Master's Degreed Mental Health Professional.

EXPERIENCE:

• Five years clinical experience in an in-patient facility with knowledge of high- risk areas.
• Three years management experience preferred.
• Crisis intervention training required (Handle with Care / Verbal De-escalation). This training is offered upon hire.
• Knowledge of hospital operations, risk identification, assessment and reduction and claims management

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.