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Risk Management Specialist - Risk Management

Job ID: 10804
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

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. 


Other Information


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



This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

Equal Employment Opportunity

UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.

To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.

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