Director, Risk and Patient Relations - RN
Scripps Health - San Diego, CA

Director, Risk and Patient Relations - RN

company building Scripps Health location San Diego, CA
Full-Time
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Job Description

Scripps Mercy Hospital, San Diego is proud to be recognized as a teaching hospital that provides uninsured or underinsured patients with the utmost care and consideration. With a range of medical, primary, and specialty services, as well as a Level I trauma center and robot-assisted surgery, Scripps Mercy Hospital San Diego consistently delivers exceptional medical care.

In April 2023, Scripps Health has been named one of the top employers in the nation by Fortune magazine for the 15th time. The 26th annual 100 Best Companies to Work For list ranked Scripps No. 95. It was the only San Diego County company to receive the honor.

Join Scripps Health as Director, Risk & Patient Relations - Registered Nurse, where you will be accountable for hospital risk management services including developing, implementing, and coordinating the risk management plan. You will monitor the Occurrence Reporting System and implement risk mitigation and patient safety strategies. In addition, you will facilitate process improvement support with hospital departments, and provide claims management to include reduction and identification and claims monitoring. You will have authority to settle cases and /or is the liaison between claimant, attorneys, claims administrator and corporate legal counsel to move toward settlement.

Additionally, you will provide advocacy services to patients and/or family members who express concerns regarding hospital care or services. Coordinate Patient Rights chapter of the CAMH and supports patient rights issues (Title 22). Provide assessment, education, evaluation, and improvement of survey readiness through periodic performance reviews and action plans.

This position is located at Scripps Mercy San Diego and eligible to participate in the Director Incentive Plan.

#LI-AF1

Required Education/Experience/Specialized Skills:

· BSN or related clinical healthcare education/experience plus five years acute care hospital or health care agency advocacy and/or Risk Management experience, at least one of which in leadership.

· Excellent interpersonal skills, written communication and presentation skills.

· Able to make others feel comfortable and inspire confidence quickly.

· Highly developed analytic capability and application of complex problem-solving techniques.

· Fluency in performance improvement methodology, applied statistical concepts, and information management.

· Demonstrated success in CAL survey process with demonstrated knowledge of JCAHO, Title 22 and other state and federal standards.

Required Certification/Registration:

· Current California RN if applicable.* *

Preferred Education/Experience/Specialized Skills/Certification:

· Previous customer satisfaction/customer relations experience, claims management experience.

· Masters degree.

· Fluent in Spanish.

· Certified Professional in Health Care Quality and/or Risk Management preferred.

Job: *Regulatory

Organization: *Scripps Mercy San Diego

Title: *Director, Risk and Patient Relations - RN *

Location: Central San Diego County-SAN DIEGO-SCRIPPS MERCY HOSPITAL SAN DIEGO

Requisition ID: 232005036

This job was posted on Fri Sep 15 2023 and expired on Fri Sep 22 2023.
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Scripps Health

Physicians
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17 ratings
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2.4
Professional growth
3.9
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3.6
Recognition & Support
3.9
Culture and Values
Summary
Founded by Ellen Browning Scripps and Mother Mary Michael Cummings, Scripps is dedicated to offer quality, safe, cost-efficient, socially responsible health care for everyone. The company take cares for patients, engages in clinical research and improves community health in a supportive and caring environment to make a positive difference in the health of patients across Southern California. Scripps is a $3.1 billion not-for-profit healthcare organization with 15,000 employees, 3,000 affiliated physicians and more than 2,000 volunteers. Its mission is to care for everyone, including the underserved. As a non-profit health care system, philanthropy is vital to the ability to care for the community. Through support from donors, Scripps Health Foundation helps to heal, enhance, and save lives. Pioneers like Ellen Browning Scripps and Mother Mary Michael Cummings were the visionaries of their time who inspire today and inspired by exceptional physicians, nurses and staff on the front lines of health care and patients.
Nonprofit
Large
$1B to 2B
15004 Innovation Drive, San Diego, CA, 92128, and others
Physicians
1924
Chris Van Gorder
Company Details
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Director OF Risk Management Interview Questions & Answers

How do you assess and mitigate risks in a company?

Answer

I assess risks by conducting thorough risk assessments and identifying potential vulnerabilities. I then develop and implement strategies to mitigate those risks.

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About the Director OF Risk Management role

Accounting / Finance - Other Director OF Risk Management

As Directors of Risk Management, we are responsible for the implementation and ongoing execution of risk-related activities. It is our duty to manage risk processes. We work alongside a range of business units. We ensure that the plan’s populations are represented via the applicable risk program. Working towards addressing obstacles is our job. We manage work plans and activities across the risk management. Overseeing the day-to-day operational needs is our duty. We devise and implement strategies related to risk. We incorporate best practices to optimize risk scores. In this role, we develop reporting dashboards and KPIs while ensuring appropriate oversight and visibility.

Core tasks:

  • identify and enhance existing processes that impact risk
  • assess and build initiatives specific to the needs found in the provider network
  • manage multiple vendors and contracts who provide risk services
  • support reporting and progress to internal staff
  • responsible for the timely submission of risk data
  • provide support for all audits
137 Director OF Risk Management jobs in San Diego, CA
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