Duke University Health System (DUHS) Job Descriptions
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RISK MANAGER
Job Title: RISK MANAGER
Job Code: 5092
FLSA: E
Job Level: G1
Revised Date: 06/01/2018
Supervisory Responsibility: No
General Description of the Job Class
Occupational Summary:
Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Negotiate resolution with authority from Director. Provide basic and complex preventive risk management assessment of processes, procedures, and programs, including inservice education, consultation, liaison activities, and on-call emergency assistance to providers.
Duties and Responsibilities of this Level
Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation.
Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and complete negotiation of resolution within authority granted by Director. Complete notifications and financial recommendations needed for compliance with tracking and insurer requirements, including insurance carrier notifications, reserve recommendations, and any federal, state, or entity reporting requirements (including SMDA, DataBank, etc.) as necessary.
Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends. Provide quality assurance and peer review referrals as appropriate.
Provide inservice education on risk management topics, both standard basic education and complex focused topics as needed and/or requested.
Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed. On-call duties are assigned on a rotation basis when possible.
Prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions.
Represent the Department of Clinical Risk Management on various DUHS and entity committees as required. Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education
Work requires a Bachelor's degree in business administration, public policy, hospital administration or a related field to acquire appropriate analytical, communicative and organizational skills. A Bachelor's degree in a clinical field (e.g. nursing, physician's associate) may be substituted if supplemented by additional courses or training in business or a related field (at least one year).
Experience
Work requires a minimum of four years experience in one or more of the following fields: patient care, public policy, health care administration, business administration, legal support or insurance/claims investigation and settlement.
Graduate education beyond the bachelor's degree in hospital administration, business administration, public policy or a related field may be substituted for the required experience on a 1:1 basis.
Degrees, Licensure, and/or Certification
Associate in Risk Management or Certified Professional in Healthcare Risk Management desirable.
Knowledge, Skills, and Abilities
Customer Service Risk Evaluation
Interviewing Skills Investigation Skills
Medical Terminology
Analyze Data
Analyze Trends
Risk Analysis
Distinguishing Characteristics of this Level
N/A
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
