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Risk Management Specialist - Risk Management

Company: UNC Health Care Systems
Location: Chapel Hill
Posted on: June 7, 2021

Job Description:

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Job Summary:

This position administers medical malpractice claims, assesses liability potential, and provides education designed to reduce claims against faculty and staff of UNC Health Care System covered by the self -insured UNC Liability Insurance Trust Fund (LITF).

Description of Job Responsibilities:

  1. Analyzes individual occurrences and trends and patterns for opportunities to prevent future patient injury. Recommends changes in policies, practice and procedures to prevent patient injury. Monitors compliance with loss prevention activities.

  2. Develops case management plan defining key participants and steps in resolving claims. Defines issues involved in the case and makes recommendations for settlement strategies. Serves as liaison between Health Care System attorneys and patient attorneys, attending conferences with attorneys and staff, arranging meetings, pulling files and communicating policies and procedures to all involved in the claims. Gathers information and drafts settlement agreements. Authorizes funding for settlement payments.

  3. Investigates medical circumstances and legal implications of incidents and claims. Researches medical records, protocols, laws, policies and procedures governing the alleged liability claim. Interviews employees, patient, patient family members, and others who are involved with the incident and claim.

  4. Performs special projects that involve data gathering, analysis, preparation of reports, development of recommendations and presentations. 5. Plans, develops, and presents educational sessions with insured faculty and staff regarding loss prevention and reduction techniques, insurance coverages and exclusions, medical record documentation, legal issues and communication techniques.

Education Requirements:

Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).

Professional Experience Requirements:

If a Bachelor's degree: Three (3) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.

If an Associate's degree: Seven (7) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.

If a High School diploma or GED: Eleven (11) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Risk Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

Keywords: UNC Health Care Systems, Chapel Hill , Risk Management Specialist - Risk Management, Other , Chapel Hill, North Carolina

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