Risk Management Coordinator

Risk Management Coordinator Memorial Health - 2.9 Springfield, IL Job Details Full-time $31.51 - $48.83 an hour 3 days ago Qualifications RN License Claims negotiation Hospital experience

Full Job Description Min:

USD $31.51/Hr.

Max:

USD $48.83/Hr.

Overview:

Provide support and expertise both interdepartmental and system wide in areas of Risk Management, Professional and General Liability Claims Administration, and Data Management Support.

Qualifications:

Minimum Qualifications:

Education:

Bachelor's degree with 3 or more years of clinical healthcare experience or Master's degree required

Licensure/Certification/Registry:

Registered Nurse in the State of Illinois required.

Experience:

Experience of working in a similar size and complexity of

Memorial Health System Other Knowledge/Skills/Abilities:

Highly developed negotiation and interpersonal skills. Ability to work under limited supervision making decisions on non-routine issues and ability to provide solutions Moderate physical effort required Seldom travel

Responsibilities:

Assess episodes of care to evaluate compliance with the Medical Practice Standard of Care. Engages in communication with healthcare providers and their patients to evaluate compliance with established processes, policies, and procedures. Recommend levels of appropriate compensation to claimants. Establish appropriate financial reserves to pay claimants for medical care, legal fees, and related costs. Works directly with MHS inside and outside legal counsel and insurance carriers to resolve all levels of claims. Acts as liaison between MHS and vendors when events occur. Provides details of events to be reported to the vendors and the Food and Drug Administration. Consults directly with the Quality Assurance and Medical Staff Office personnel to bring matters to their attention to improve processes and assist physicians in providing higher levels of care. Acts as daily consultant to all MHS staff and physicians in reference to risk control actions.