Maryland-DC Chapter of the Society for Healthcare Risk Management
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Risk Manager, Mercy Medical Center

Job Summary: Under the leadership of the VP Risk Management and Patient Safety and according to established policies and procedures, the risk manager provides oversight of a system-wide risk management program designed to improve patient safety, reduce occurrences, and minimize claims and damages.

Responsibilities Include:
Provide guidance to physicians and staff on risk sensitive issues including providing on-call assistance for urgent risk management issues.

Investigate occurrences and evaluates exposure and recommends appropriate actions for loss control.

Utilize risk management software system for case documentation and data analysis.

Under the direction of the VP negotiate professional and general liability claims, assist legal counsel and evaluate PCE for early resolution potential.

Participate in educational programs and orientations as needed.

Actively participates in or facilitates committees related to risk management, safety, and quality improvement. Responsible for the documentation related to the RCA committee findings and actions.

Provide support and oversight for the patient representative to include review of clinical complaints and coordination of necessary responses.

Collects, evaluates and maintains data on incidents, complaints and claims.

Education/work experience:

  • Bachelor’s degree in clinical field.
  • 3-5 years of healthcare risk management experience to include at least 1 year of claims management.

Skills and abilities: The candidate must demonstrate skills in:

  • Team building
  • Coaching and decision making
  • Critical thinking and creative problem solving skills
  • Ability to build and maintain positive relationships
  • Strong inter-personal skills to work effectively with various departments and disciplines

Inquiries about the position may be directed to:
Mary Harryman, Vice President Risk Management/Patient Safety
Office of Risk Management
Mercy Medical Center
345 St. Paul Place
Baltimore, Maryland 21202
Phone: 410-935-2059
Fax: 410-385-5148
Email: mharryman@mdmercy.com

 

Clinical Quality Coordinator, Mercy Medical Center

Job Summary: The Clinical Quality Coordinator is a clinically competent professional who assists in ongoing assessments to promote quality safe patient care. In this position, the candidate is responsible for aggregating, analyzing, synthesizing and presenting data to a number of audiences. The Clinical Quality Coordinator will use a clinical knowledge base to review medical records, abstract, synthesize and summarize data; support the collection of data for regulatory agencies and other initiatives that require data collection.

Education/work experience:

  • Possess a bachelors degree in nursing or other related health care field
  • Have current license in nursing or related health care field

    Work orientation and experience:
  • One to three years experience with quality or performance improvement activities
  • One to two years proficiency with all Microsoft applications
  • Current understanding of medical terminology
  • Current external quality reporting requirements preferred
  • Experience with medical record review preferred

    Skills and abilities: The candidate must demonstrate skills in:
  • Team building
  • Coaching and decision making
  • Critical thinking and creative problem solving skills
  • Ability to build and maintain positive relationships
  • Strong inter-personal skills to work effectively with various departments and disciplines

    Inquiries about the position may be directed to:
    Chip Hatchell, Director of Patient Safety
    Quality/Patient Safety Department
    Mercy Medical Center
    345 St. Paul Place
    Baltimore, Maryland 21202
    Phone: 410-576-5286
    Fax: 410-385-5148
    Email: chatchell@mdmercy.com

 

Claims Manager, Medical Professional Liability

MedStar Health
Columbia, MD

This position is under the general direction of the Assistant Vice President and responsible for the handling of all aspects of a claim file from beginning to conclusion, including the investigation in conjunction with the facility risk manager, determination of liability, confirmation of coverage, assessment of damages, and negotiation and settlement of claims.

The Claims Manager will effectively:

* utilize the Harvard Risk Management Foundation claims information system to maintain all relevant data
* Maintain a diary system to periodically review all claims for status of investigation, assessments of liability, documentation of damages, adequacy of reserves, evaluation of expert witnesses, documentation of recent developments and current plan for claim resolution
* Participate in claims conferences and mediations with risk managers, defense counsel and claims consultants to focus the efforts of all concerned parties on the assessment of liability and development of appropriate litigation strategy, hospital presidents and VPMA’s
* Work with the Risk Management staff to advise on investigative activities and receive internal documentation and information resulting from interventions
* Responsible for the coordination of defense strategy among all named defendants, regardless of coverage and proactively drive claim strategy forward to ensure successful outcomes;
* Ensure claims management strategy for individual claim is adhered to by monitoring and assuring timely follow up on case strategy, including proactive identification of cases appropriate for alternative dispute resolution.

Qualifications:
* Minimum of BS/BA Degree required.
* JD, advanced degree, clinical training or professional insurance designations preferred
* Minimum of five years Professional and General Liability
* Highly motivated
* Self starter with the ability to adapt to change, exercise initiative and use independent judgment.
* Exceptionally strong interpersonal, written and verbal communication skills.
* Claims/litigation management experience.

MedStar Health, the largest health system in the Baltimore/Washington area, has plenty to be proud of. We've been named among the "Best Places to Work" by the Baltimore Business Journal and rated 5% over the national average for healthcare companies in employee satisfaction. Join us!

To learn more and apply, visit:
http://tinyurl.com/3gumv2b
EOE

Suburban Hospital, Risk Manager

Department: Legal/Compliance
Schedule: Full Time
Shift: Day
Hours: 8:30 - 5:00
Work Location: Suburban Hospital
Job Details: - Bachelor's
- 3 years

This position is responsible to the Senior Counsel for Risk Management and Chief Operating Officer at Suburban Hospital for investigating adverse patient outcomes, analyzing events, formulating safety plans, participating in policy review, Sentinel Event investigations and facilitating root cause analysis, presenting educational programs, claims investigators, and assist with responses to regulatory agencies.

COMPETENCIES:
Education: Requires a Bachelors degree in a clinical discipline. Master’s degree preferred. CPHRM preferred.

Knowledge: Requires a high level of clinical knowledge and regulatory standards.

Skills: Requires good verbal and interpersonal communications skills for interaction with medical and administrative personnel. Requires high level of analytical skills to analyze and interpret reports and medical records. Must possess both technical and business writing skills. Must possess computer experience with word processing and database management skills.

Required Licensure, Certification, Etc.: Licensure in a clinical discipline preferred.

Work Experience Minimum of three to five years of risk management/quality improvement experience. Leadership experience.

Machines, Tools, Equipment: PC and PC applications including word processing and spreadsheet applications, and ability to use standard office equipment.

Interested parties please apply online at www.hopkinsmedicine.org.

Quality Manager, Upper Chesapeake Health

JOB SUMMARY: In collaboration with the Director, Quality and Health Information Management, a clinically competent professional who provides leadership of the Quality Management Department; assists in the ongoing assessment, development and oversight of the UCH Quality Management Program; coordinates and delegates the program activities at both hospitals by working with physicians and members of the multi-disciplinary care team as appropriate to achieve and organizational goals related medical staff QM/PI Program; assist in the development of departmental goals and develops strategies to achieve those goals .

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:
Education & Training: Bachelor’s degree in Nursing or related health care field.

Work Orientation & Experience: Five years of Quality Management experience in an acute care setting. Three years of management experience required. Proficiency in Microsoft Office Products required.

Skills & Abilities: The candidate must demonstrate skills in leadership, team building, delegation, coaching and decision making; demonstrated critical thinking and creative problem-solving skills, ability to build and maintain positive relationships with all customer bases, including Medical Staff leadership; strong inter-personal skills to work effectively with a variety of customer populations; proficiency in the ability to negotiate with and influence others; comprehensive knowledge of the Performance Improvement and QM philosophy, processes and techniques, JCAHO standards and regulation.

REPORTING RELATIONSHIPS:
Supervised by: Reports to the Director of Quality and Health Information Management.

Supervision provided to: Directly manages the Quality Management Department and assumes line authority in the absence of the Director of QHIM.

Interested candidates please apply for the position through the Upper Chesapeake Health career page at www.uchs.org.

Director of Compliance, Erikson Living

Erickson Living develops and manages continuing care retirement communities that provide unparalleled opportunities and unmatched value for middle-income people over age 62. The Erickson network currently comprises 16 campuses in nine states. Our company's goal is to serve even more seniors nationwide. As we grow, we seek talented, compassionate individuals to share their gifts to create communities that celebrate life.

Responsibilities
The Director of Compliance oversees components of the compliance program related to policy and procedures, education and training, compliance line reporting and auditing and monitoring. Responsible for all HIPAA privacy compliance activities. The Compliance Director serves as a channel of communication to receive and direct compliance issues to appropriate Erickson resources for investigation and resolution and as a channel of communication to Erickson leadership on the compliance efforts, results and challenges.

Erickson Living is a manager of continuing care retirement communities that are operated by non-profit entities. Management services include oversight of community compliance programs and HIPAA privacy activities. Communities managed by Erickson Living typically provide on-site physician services, skilled nursing and assisted living care, rehabilitation services, home health, home support, and hospice care.

    1. Develop, on a yearly basis, a Corporate Compliance Audit/Review Schedule delineating the areas identified for Audit/Review based on the strategic objectives established in the Corporate Compliance Plan or Compliance Governance Committee.
    2. Oversees privacy/compliance risk assessments and on-going compliance auditing and monitoring activities in coordination with the compliance and operational assessment functions.
    3. Works with legal counsel and management, departments and committees and consultants to ensure the organization has and maintains appropriate privacy and compliance policies and procedures to meet state and federal regulations.
    4. Oversees, directs, delivers or ensures delivery of privacy/compliance education and training to include orientation to all employees, volunteers, medical and professional staff, directors, contractors, business associates and other appropriate third parties. Initiates, facilitates, and promotes activities to foster information privacy and compliance awareness within the organization.
    5. Participates in the development, implementation, and ongoing compliance monitoring of business associate agreements and trading partner agreements to ensure privacy concerns, requirements, and responsibilities are addressed.
    6. Works collaboratively with Legal Counsel, HIPAA Security Official, Privacy Liaison (AED) and management to take any action on allegations/complaints concerning the organization¿s privacy, security, or compliance policies and procedures, including but not limited to conducting or coordinating internal or external reviews, audits or investigations.
    7. Maintains current knowledge of applicable federal and state privacy/compliance laws and accreditation standards.
    8. Oversees the Erickson Values Line.


Qualifications

EDUCATION and/or EXPERIENCE:
Bachelor¿s degree required. Master¿s or juris doctor degree preferred. Minimum of 5 years of compliance and HIPAA experience.
Knowledge and experience in compliance, information privacy laws, access, release of information, release control technologies information technology and medical records. Knowledge in and the ability to apply the principles of HIM, project management and change management. Demonstrated organization, facilitation, communication and presentation skills. 5-10 years preferred at a mid to large corporation. Excellent interpersonal and documentation skills. Broad software skills including Microsoft Office. Must be able to perform each essential duty satisfactorily. The requirements listed above are representative of knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISORY RESPONSIBILITIES:
Supervises the Compliance Program Manager.

LICENSES, CERTIFICATES, REGISTRATIONS: CHC, CPA, CIA, JD, RHIA or coding certification preferred.

Please apply online at www.erickson.com, or contact John Lessner: 410-402-2697, John.lessner@erickson.com.

EEO Statement
In conformity with applicable laws, Erickson Living and its affiliates are Equal Opportunity Employers and do not discriminate on the basis of race, color, creed, religion, sex, age, marital status, national origin, or physical or mental disability, sexual orientation, or any other characteristic protected by law or unrelated to job requirements.

Closing Statement
"AN EMPLOYER MAY NOT REQUIRE OR DEMAND AN APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR, OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. ANY EMPLOYER WHO VIOLATES THIS PROVISION IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE."

Assistant General Counsel Regulatory Matters

Maxim Healthcare Services is one of the leading providers of medical staffing, home health and wellness services in the United States. Founded in 1988, Maxim has rapidly expanded to include 12 divisions and over 400 branch offices in 44 states and the District of Columbia. We have earned a position as an innovative leader in the healthcare industry through our emphasis on patient care and customer service. Today, Maxim is one of the largest privately owned companies in our industry.

Our Corporate headquarters in Columbia, MD is seeking an experienced attorney to fill a newly created Assistant General Counsel role to assist in the management and resolution of legal matters affecting the company. The ideal candidate must be service-oriented, able to work in a fast-paced environment and provide timely advice, and have the ability to effectively communicate with employees on all levels of the organization.

Responsibilities and Duties include:

    • Advising branch and corporate office personnel with regard to all healthcare regulatory matter that arise including, but not limited to, fraud and abuse laws, HIPAA, HITECH, and licensures in order to minimize exposure and expense to the company while meeting business objectives.
    • Draft and/or review contracts, licensure materials, statutes and regulations.
    • Investigating and analyzing factual situations and negotiating and implementing resolutions in conjunction with business partners where appropriate.
    • Proactive and assertive management of matters to ensure the highest quality and most efficient representation.
    • Other responsibilities as assigned by the General Counsel.

Requirements include:

    • Juris Doctor degree from an ABA-accredited law school, and strong academic credentials.
    • Must be a member in good standing of the Maryland bar, or actively licensed and in good standing in another state and eligible to sit for the next scheduled administration of the Maryland bar exam.
    • 5 to 7 years of legal experience related to health law in either a law firm or in-house setting.
    • Experience in and understand the healthcare regulatory framework and reimbursement mechanisms for home health agencies.
    • Experience in and understanding of healthcare business principles, payor arrangements, and experience with HIPAA, HITECH, Fraud and Abuse Laws, including Stark and Anti-kickback, Medicare and Medicaid, licensure and state laws, healthcare compliance, and medical records and policy review.
    • Excellent organizational, written and verbal skills, with the ability to quickly analyze issues and craft practical, business-oriented solutions.
    • Ability to manage multiple projects simultaneously, and to consistently meet deadlines with high-quality work product in a fast-paced environment.
    • Demonstrated commitment to excellence in client service in a high growth, fast paced business environment.
    • Prior in-house or law firm experience required.

Our company is committed to maintaining a challenging environment that promotes personal accountability, personal growth, and an active role in the driving vision of the company. We offer competitive pay, full benefits including medical, dental and vision coverage as well as 401(k), 529 college savings plan, basic life insurance with the option of supplemental and 17 days paid time off in addition to holidays.

To learn more about Maxim Healthcare Services, please visit our website www.maximhealthcare.com and APPLY ONLINE at www.joinmaxim.com. EOE/AAE

Infection Control Practitioner

The Hebrew Home of Greater Washington, a premier provider of geriatric services in the Washington D.C. metropolitan area, is seeking a dynamic individual to be our Full-Time Infection Control Practitioner.

Primary responsibilities include oversight of the Infection Prevention and Control Program, including, but not limited to, the development of the appropriate policies and practices, staff education, surveillance, and data analysis to measure the effectiveness of the program.

Qualified candidates must have minimum of 3 years experience as an Infection Control Practitioner, preferably licensed as an RN. If you are a high-energy person who enjoys working in a highly team-oriented environment, come be a part of a state-of-the-art operation whose roots go back to 1910.

We offer a highly competitive compensation and benefit package. Please send your resume with cover letter including salary history/expectations to:

Director of Quality Improvement/Risk Management

The Hebrew Home of Greater Washington, a premier provider of geriatric services in the Washington D.C. metropolitan area, is seeking a dynamic individual to be our Director of Quality Improvement/Risk Management. Located on a 34 acre campus in suburban Rockville, MD, our system provides a continuum of care encompassing long term care (558 nursing home beds), sub-acute care (70 beds), dementia care, assisted living (60 units), independent living (500 units), a world-renowned Research Institute, and outpatient health clinics. This position will work closely with all operating departments, including our full time medical staff as well as the Quality Improvement Committee of our Board.

Primary responsibilities include providing leadership to coordinate quality improvement and risk management programs for residents, patients, and staff; regulatory compliance; tracking and trending of specific data; investigating and analyzing actual and potential risks; assessing documentation tools, techniques, protocols and compliance, assisting with the development and monitoring of quality improvement/risk management priorities and indicators; and planning and presenting educational programs for staff and board committees.

Qualified candidates must have a minimum of 3 years experience in senior quality improvement/risk management positions with a clinical background preferred. If you are a high-energy person who enjoys working in a highly team-oriented environment, come be a part of a state-of-the-art operation whose roots go back to 1910.

We offer a highly competitive compensation and benefit package. Please send your resume with cover letter including salary history/expectations to:

Risk Manager

The Maryland Medicine Comprehensive Insurance Program is seeking a full time risk manager. The Maryland Medicine Comprehensive Insurance Program (MMCIP) is a joint venture between the University of Maryland Medical System Corporation (UMMS) and University Physician, Inc. (UPI) and provides medical professional liability insurance coverage for physicians and for hospitals comprising UMMS, including: the University of Maryland Medical Center, Maryland General Hospital, Baltimore Washington Medical Center, Shore Health System (Memorial Hospital at Easton and Dorchester General Hospital), the James Lawrence Kernan Hospital, Mt. Washington Pediatric Hospital and University Specialty Hospital.

Duties will include: working with the department of Claims, Litigation and Risk Management, the Risk Manager will actively participate in the risk management process of minimizing and preventing adverse events; having a positive impact on the quality of patient care, improvement of patient safety and mitigation of financial losses to clients of the Maryland Medicine Comprehensive Insurance Program; investigating adverse events/near misses, identifying and analyzing these events and recommending loss prevention methodologies and system changes; and other duties as assigned.

Qualified applicants will possess: Bachelor's degree from a four-year college or university; Master's degree preferred. 1-2 years nursing and/or clinical experience required in special care units, ICUs, ER, shock trauma, chronic or rehab care based on assigned areas of responsibility; previous experience in risk management, patient safety, or quality assurance preferred; paralegal knowledge an asset; excellent communication, organizational, analytical, presentation, and writing skills; mature judgment; ability to effectively interact with all levels of staff and professionals; computer literate; and flexible.

Interested parties should apply on line at www.upi.umaryland.edu.

This position is located on the Eastern Shore.

Senior Risk Management/Patient Safety Coordinator (full-time)

Salary range: $26.00/hour - $42.00/hour

In this role, you will participate in the risk management activities of the organization by assisting in the management of insurance programs and loss control activities; identifying exposures and recommending solutions; implementing approved programs; promoting loss prevention; updating and monitoring compliance with insurance procedures; and ensuring necessary and timely updates to safety/risk management policies. Additionally, you will support the mission of Trinity Health and Holy Cross Hospital .

Minimum requirements include current Maryland RN license plus 3-5 years of experience in healthcare risk management. A Bachelor of Science in Nursing or health related field is preferred. To excel in this position, you must also possess strong communication, negotiation, customer service, and computer skills (Word, Excel, PowerPoint, MIDAS+), coupled with a professional demeanor. Interested bilingual candidates are encouraged to apply.

For complete details on this extraordinary career opportunity and to apply online, please visit us at: www.holycrosshealth.org . With an excellent benefits package (including PTO, 403[b] and pension plans, tuition assistance, and student loan repayment program) and competitive salary, you'll find Holy Cross Hospital will give you more room for your career. EOE, M/F/D/V. Pre-employment drug/alcohol screening required. Smoke-Free Workplace.

More People Choose Us. You Should, Too. Bring your career to Holy Cross Hospital in Silver Spring , MD. Thrive at the only hospital to receive the Workplace Excellence Award every year since 1999.

University of Maryland Medical Center, Quality Management Department has an immediate opening for a Quality Improvement Coordinator (QIC).

The QIC position functions primarily in two areas: Data collection and Performance Improvement. The incumbent works closely with different clinical departments (i.e. Medicine, Orthopedics, etc) in their quality improvement efforts. The role works very closely with the appointed quality physician and multidisciplinary team to improve regulatory, benchmarked, and improvement performance.

The position is analogous to a senior clinical nurse. Inquiries about the position may be directed to:

    Fe Nieves-Khouw MSN RN, Director, Quality Improvement, Patient Safety Officer
    Department of Quality and Safety
    University of Maryland Medical Center
    110 South Paca Street
    Baltimore , MD 21201
    Phone #: 410-328-7575
    Fax # 410-328-8258
    Email: FNIEVES@umm.edu

Interested individuals may also access the University of Maryland Medical Center website and click on career opportunities.

 

Also see the ASHRM job search page for more openings.

 

Maryland-DC Chapter of the Society for Healthcare Risk Management