A Job Description of a Healthcare Risk Manager

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Health care risk managers are involved in specific procedures to protect the health care providers they work for and provide a safe environment for patients. Health care risk managers are hired to reduce medical errors, improve patient safety, and stay abreast of federal and state laws and regulations.

Description

  • Health care risk managers perform various investigations and analyses, and evaluate risks in hospital office procedures and policies. This person makes sure the health care provider is in compliance at all levels with insurance, benefits, employee and client services.

Responsibilities

  • The primary responsibility of a health care risk manager is to provide to various hospital departments accurate and timely feedback and research findings on state and federal regulations. These departments include: Operations, Sales, Clinical, Finance, Legal, and other departments as necessary.

    The health care risk manager also recommends and formulates policies, procedures and guidelines for departments, and collects data to investigate the frequency or causes of claims or accidents to patients or employees. A person in this position may also supervise a team in the risk management department and aid them with paperwork, studies, and preparation and presentation of reports.

Qualifications

  • A bachelor’s degree in health education or health care management may be required. A person applying for this position will be asked to have strong verbal and interpersonal skills, because a health care risk manager does a great deal of communicating with department heads, and researching and writing reports. Traveling to various hospitals and clinics may also be required for this position.

Experience

  • A minimum of three years working as a health care risk manager may be necessary. Experience in presenting and putting together statistical material is vital. A health care risk manager must be proficient in Microsoft Excel, PowerPoint and Word computer software. Previous experience reviewing and understanding health data and interacting with patients and insurance carriers is useful.

Environment

  • A health care risk manager works in a busy office environment. It's important to dress professionally and have reliable transportation, as the job involves frequent travel to client work sites and attendance at various seminars and conferences to remain updated on research and regulations in the health care industry.

    This person will use a laptop computer and present documents and reports to others. A health care risk manager may also coordinate health fairs, health screenings, flu shot clinics and other wellness programs as necessary.

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