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Risk Analyst - Risk Management - Full Time

Company: Wyoming Medical Center
Location: Casper
Posted on: May 3, 2021

Job Description:

Under the direction of the Risk Manager, the Risk Management Analyst provides analytical and related support for planning, implementing, and monitoring the effectiveness of the strategies and processes that WMC puts in place to minimize occurrences which could impact the safety and well-being of patients, visitors, and employees. He/she serves as the primary liaison between the hospital and insurance or legal representatives involved in Risk Management processes. The Risk Analyst maintains and applies a knowledge of risk management issues such as liability claims, legal factors, and insurance as well as strong data management and analytical skills. The Risk Analyst also demonstrates excellent interpersonal skills in dealing with patients, families, physicians, staff, and non-hospital contacts, sometimes in unpredictable or emergency situations.Essential Duties and Responsibilities:The employee shall comply with all safety and health standards, and all rules, regulations, and orders which are applicable to the individual's own position, actions, and conduct.Contributes to evidence-based planning, development, implementation, and evaluation of Risk Management policies, processes, and activities, including patient safety initiatives.Monitors and analyzes measures and initiatives related to patient safety goals.Analyzes data and trends related to patient safety, risk occurrences, and near-misses, and reports results to Risk Management teams and to hospital leadership as appropriate. Works closely with Information Services to manage and support the electronic occurrence reporting software applications.Serves as primary point of contact and liaison for insurance company representatives. Ensures that insurance policies are current, and processes renewals. Is responsible for timely filing of insurance claim notifications and for maintaining claim files until resolution is reached.As directed by the Risk Manager, works closely with the hospital's attorneys and paralegal staff to gather medical records and other information for legal actions. Maintains the hospital's risk-related legal case files. Drafts and takes action on correspondence to or from attorneys, patients, insurance companies, or others involved in claims.Provides statistical trending of risk management claims, lawsuits, and occurrence reports and works with Risk Manager to identify hospital-wide or departmental trends. Works with the Risk Manager and others to develop and manage approaches and initiatives to assess and reduce risk-related losses and exposures.Assists the Risk Manager and risk oversight committees with incident investigations as directed. Coordinates with in-house and outside legal counsel during incident investigations. Participates in Root Cause Analyses (RCAs).Prepares reports related to sentinel events, risk trending, and RCAs, including action plans as appropriate.Participates in meetings related to risk management activities as required, including with medical staff or hospital leadership.Based on occurrence data, trends, and risk analysis, prepares or contributes to education modules or other training initiatives to reduce risk and improve patient safety.Performs additional duties as assigned.

Keywords: Wyoming Medical Center, Casper , Risk Analyst - Risk Management - Full Time, Other , Casper, Wyoming

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