Risk Management Specialist

Job title: Risk Management Specialist

Job description: The primary role of the Risk Management Specialist is to conduct the daily operations of the Enterprise Risk program under the direction and supervision of the Manager, Enterprise Risk. The Risk Management Specialist contributes to the program by identifying, assessing and responding to organizational risks to improve the quality of outcomes and reduce or minimize actual or potential losses. This includes management of corporate risk management processes, and specialized healthcare risk management services for the purpose of maximizing the quality, efficiency and effectiveness of the Enterprise Risk program. This role is accountable for the liability and property claims’ process, and is the primary contact with the Healthcare Reciprocal of Canada (HIROC). The Risk Management Specialist is accountable for the corporate Risk Assessment Checklist (RAC) program, the cross-site Integrated Risk Management (IRM) program and for overseeing the medical device alerts and recalls process. They also provide consultation and advice to support organizational operations. This role is a network role and will require cross site travel.

DUTIES & RESPONSIBILITIES:

• Provides knowledgeable and experienced professional consultation with internal stakeholders, including staff, physicians and senior management, providing advice and guidance with respect to a variety of clinical and non-clinical issues, policy requirements, insurance and legislative compliance, health law, and administrative matters
• Assesses issues and provides advice and guidance on risk assessment, treatment and mitigation strategies to lessen potential for legal liability, financial loss and/or other risk exposure
• Supports the corporate Enterprise Risk Management program in the maintenance of cross-site Risk Registers using the Integrated Risk Management (HIROC IRM) tool.
• Compiles and analyzes risk management data to identify trends and support the organization’s Risk Register
• Provides leadership with information drawn from risk management activities to help inform organization priorities, strategic planning and operational management
• Monitors and analyzes results of the organization’s enterprise risk management program and recommends changes for improvements
• Accountable for managing the process of a cross site risk management self-assessment tool (HIROC RAC), including facilitating and attending meetings with staff, physicians, and senior management to identify risk exposures and review compliance with recommended mitigation strategies
• Collects and analyzes data from RAC, preparing and submitting detailed HIROC RAC reports to executive leadership and insurer; with accountability for follow up on mitigation strategies with either partial or non-compliant ratings
• Monitors notices received from manufacturers and vendors regarding medical device alert and recall issues, ensuring appropriate and timely corrective actions to minimize patient harm, prevent legal liability, financial loss and/or other risk exposure
• Works with Patient Safety, Patient Relations and Privacy departments, in addition to Legal Counsel to review and investigate adverse events and/or patient complaints; identifies and evaluates the potential for legal liability, financial loss and/or other risk exposure
• Responsible for reporting new civil liability, property, bodily injury and automobile claims to the Healthcare Insurance Reciprocal of Canada (HIROC)
• Identifies and collects hospital records, applicable policies, and reports pertinent to investigation of claims to prevent or minimize legal liability, financial loss and/or other risk exposure
• Facilitates and attends meetings with adjusters, legal counsel, and hospital personnel to conduct factual investigations and assess legal liability, financial loss and/or other risk exposure
• Accountable for maintaining database of all claims to support the collection, analysis, and reporting of risk information
• Responds to internal requests and provides advice regarding insurance certificates and contract reviews, consulting with insurer to satisfy contract terms and conditions
• Serves as lead facilitator for completion of annual insurance renewals
• Prepares certificates of proof of insurance for regulatory colleges
• Develops and presents educational materials and publications on health care risk management
• Participate and collaborate with risk management resources in peer facilities and the hospital’s Insurer, to promote standardization of healthcare risk management and best practices to mitigate risk to patients, staff, visitors, corporation and community

QUALIFICATIONS:

• Undergraduate degree in Business Administration, Finance or another related field
• Must have five to seven years’ experience in risk management in a hospital corporate risk management department or equivalent
• Must have direct experience working with healthcare organizations, knowledge of quality assurance, patient safety, risk management, medical records management, regulatory issues, and current health care issues
• Prior experience in a leadership or management role, including the ability to evaluate and determine project priorities, and work in a team environment
• Ability to work independently with minimal direction and supervision; exercise independent judgment in solving complex problems
• Ability to research topics, make recommendations, and communicate to individuals and groups through both oral and written means
• Demonstrated proficiency working with computer applications; experience with RL Solutions preferred
• Must be a motivated self-starter, highly disciplined, with strong diplomatic skills
• Must be able to work well under pressure in a fast paced and, at times, demanding and stressful environment
• Must be attentive to detail
• Must have excellent research skills
• Previous experience in the following work record is required:

o Ability to prepare high level presentations, diagrams, charts, visuals etc.
o Ability to assemble information required from various sources
o Handles all matters relating to the preparation of claims management and correspondence
o Demonstrates sound use and familiarity with legal terminology, language, and vocabulary as well as medical terminology * Strong relationship building, engagement, and influencing skills

• Strong awareness of corporate operational policies and procedures
• Expert knowledge of relevant legislation and legal frameworks)
• Membership in a Risk Management Association

Company: St. Michael’s Hospital – Unity Health Toronto

Expected salary:

Location: Toronto, ON

Job date: Fri, 21 May 2021 22:33:39 GMT