Risk Management Coordinator
Posted
Provide support and expertise both interdepartmental and system wide in areas of Risk Management, Professional and General Liability Claims Administration, and Data Management Support.
Qualifications:Minimum Qualifications:
Education:
Bachelors degree with 3 or more years of clinical healthcare experience or Masters degree required
Licensure/Certification/Registry:
Registered Nurse in the State of Illinois required.
Experience:
Experience of working in a similar size and complexity of Memorial Health System
Other Knowledge/Skills/Abilities:
Highly developed negotiation and interpersonal skills.
Ability to work under limited supervision making decisions on non-routine issues and ability to provide solutions
Moderate physical effort required
Seldom travel
Responsibilities:- Assess episodes of care to evaluate compliance with the Medical Practice Standard of Care.
- Engages in communication with healthcare providers and their patients to evaluate compliance with established processes, policies, and procedures.
- Recommend levels of appropriate compensation to claimants.
- Establish appropriate financial reserves to pay claimants for medical care, legal fees, and related costs.
- Works directly with MHS inside and outside legal counsel and insurance carriers to resolve all levels of claims.
- Acts as liaison between MHS and vendors when events occur. Provides details of events to be reported to the vendors and the Food and Drug Administration.
- Consults directly with the Quality Assurance and Medical Staff Office personnel to bring matters to their attention to improve processes and assist physicians in providing higher levels of care.
- Acts as daily consultant to all MHS staff and physicians in reference to risk control actions.
