Memorial Health

Risk Management Coordinator

Memorial Health  •  $31.51 - $48.83/hr  •  Springfield, IL (Onsite)  •  9 days ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Min

USD $31.51/Hr.

Max

USD $48.83/Hr.

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.
  • Memorial Health

    About Memorial Health

    Memorial Health is one of the leading healthcare organizations in Illinois—a responsibility we are proud to uphold. Founded in 1897 to meet the expanding needs of our communities, we have assembled an ever-growing team and vast resources.

    Dedicated to unsurpassed excellence in care, education, and research, our community-based, not-for-profit corporation features a team of nearly 10,000 strong throughout eight state-of-the-art affiliates offering a broad array of vital services. Yet what matters equally is the size of our heart. Our ambitions. And our potential to do bigger and better things.

    We’re achieving our goals by developing academic alliances with other respected institutions, including the BJC HealthCare Collaborative and the Southern Illinois University School of Medicine. By earning important credentials and accreditations. By making a real investment in employee development. And by building upon our reputation for excellence on the regional level, with the goal of realizing national prominence.

    Industry
    Healthcare & Social Services
    Company Size
    1,001-5,000 employees
    Headquarters
    Springfield, IL
    Year Founded
    Unknown
    Social Media