Job Description
- Program Manager, Risk role at ArchWell Health involves ensuring the safety, compliance, and risk management of healthcare operations. The position reports directly to the Director of Risk Management and is responsible for overseeing the incident reporting process, managing grievances, and leading the approval and implementation of new policies to enhance risk management strategies.Requirements
- Coordinates the Clinical Risk Management Program to meet the needs of the organization
- Manages the incident reporting process and reviews and analyzes all occurrences for risk management, quality of care, regulatory and insurance concerns
- Conducts root cause analysis investigations, focused investigations, and other reviews and investigations.
- Manage professional and general liability carrier reporting and follow-up.
- Assist providers with managing licensing board letters of inquiry and investigations.
- Create quarterly reports reviewing incidents for trends and process improvement.
- Collaborate with relevant departments to analyze incident data, identify trends, and develop strategies to prevent recurrence.
- Work closely with compliance regarding regulatory matters.
- Conduct regular risk assessments across various aspects of the organization, including clinical practices.
- Collaborate with departments to identify potential risks and develop mitigation plans.
- Stay up to date with industry regulations and standards related to healthcare risk management.
- Provide training and educational programs to colleagues on risk management, incident reporting and grievance resolution.
- Promote a culture of safety and risk awareness throughout the organization.
- Maintain detailed records of incidents, health plan grievances, and risk assessment.
- Create update and maintain risk management policies and procedures that outline the organization’s approach to managing risks.
- Ensure the organization complies with relevant laws, regulations and industry standards related to risk management and safety.
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