Duke University Health System (DUHS) Job Descriptions
Duke Job Postings
To see if there are current openings for any of the job descriptions listed on this web site, please search Duke Jobs.
SITE DIR, DUHS CLINICAL RISK MANAGEMENT
Job Title: SITE DIR, DUHS CLINICAL RISK MANAGEMENT
Job Code: 5216
FLSA: E
Job Level: H2
Revised Date: 12/01/2017
Supervisory Responsibility: Yes
General Description of the Job Class
The Site Director of Clinical Risk Management is responsible for leading and administering the risk management program for a designated facility or entity. Working in collaboration with and under the oversight of DUHS Risk Management leadership, this role ensures the proactive identification, evaluation, and mitigation of risks affecting patients, visitors, staff, and organizational assets.
The Site Director provides strategic and operational leadership for site-based risk management activities, including event review, claims management, regulatory collaboration, staff education, and critical event response. This role serves as a key advisor to entity leadership and partners closely with Patient Safety, Regulatory, Compliance, Legal Counsel, and Durham Casualty Company.
Duties and Responsibilities of this Level
Leadership & Program Oversight Provide day-to-day leadership and operational oversight of the Risk Management function for the assigned site or entity.
Directly supervise Risk Managers and administrative staff responsible for managing risk management events and claims.
Plan, coordinate, and oversee the work of Risk Management staff, ensuring efficient and effective operations.
Develop staff capabilities through coaching, performance feedback, goal- setting, and professional development opportunities.
Provide On-Call support and timely consultation on risk related issues for entity leadership, staff and providers
Risk Identification, Investigation & Claims Management Direct and ensure timely, thorough occurrence reviews and claim file management.
Establish, reinforce, and monitor investigation and response standards. Evaluate individual files and trend data to identify risk patterns and emerging issues.
Determine and recommend appropriate financial reserve levels for claims in collaboration with the AVP of Risk Management and Legal Counsel.
Authorize claim settlements within limits established by University Counsel and Durham Casualty.
Collaboration & Stakeholder Engagement Partner closely with hospital/facility leadership to coordinate and support site-based risk management activities.
Identify, evaluate and manage risks that could impatient patient safety, organizational reputation and financial stability.
Work collaboratively with Patient Safety, Regulatory, Compliance, Safety, Duke Police, and Patient and Visitor Relations.
Participate in Root Cause Analysis, action plans, and leader follow up as needed.
Provide risk management information to Medical Staff Services to support credentialing and privileging processes.
Participate in leadership committees, event response teams, and other entity forums as required.
Respond to urgent and emergent risk exposure matters, providing immediate administrative decisions and support.
Education, Reporting & Performance Improvement Develop, deliver, and evaluate risk-focused education for providers, nurses, new employees, and other staff to promote patient safety and reduce claims exposure.
Provide risk management data, reports, and analysis to entity leadership, committees, and boards as required.
Conduct departmental performance improvement activities and support quality and patient safety initiatives.
Ensure compliance with regulatory requirements and internal reporting standards.
Compliance, Documentation & External Coordination Ensure compliance with information reporting requirements for Durham Casualty and reinsurance standards.
Maintain accurate risk management data and documentation in accordance with DUHS and entity standards.
Support actuarial reviews and other processes required by Durham Casualty Company.
Stay current on national trends in healthcare risk management through participation in local and national conferences.
Additional Responsibilities Support entity leadership during critical events and high-risk situations. Assist in supporting the Safety Reporting System (SRS) within the entity. Perform other related duties as assigned in support of Risk Management objectives.
Required Qualifications at this Level
Education
Master's degree in business administration, Hospital Administration, Law, Nursing, or a closely related field.
Experience
Minimum of five (5) years of progressive healthcare risk management experience. Demonstrated experience in budgeting, staff supervision, claims negotiation, and financial reserve projection.
Degrees, Licensure, and/or Certification
Certified Professional in Health Care Risk Management (CPHRM) required.
Knowledge, Skills, and Abilities
Supervision and leadership Budgeting and financial projections Trend analysis and data interpretation Interviewing and investigation skills Personnel management and employment practices Accounting and bookkeeping fundamentals Insurance claims, billing, and collections
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.
