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Leads and oversees the hospital's risk management (RM) program. Coordinates insurance coverage and risk financing, manages professional and general liability claims against the hospital, and supervises the daily activities of the RM Department. Ensures the facility complies with all applicable regulatory standards while striving to enhance patient safety and quality care and to minimize loss.: Designs and implements risk management surveys and studies; conducts surveys and special projects to assist in long-term planning and changes to facility policies and systems that reduce risk and losses. Identifies and communicates regulatory requirements to senior management. Plans, develops, and implements risk management educational programs for administration, board members, the medical staff, and associates. Answers medical and legal inquiries from Physicians, Nurses, and Administrators regarding emergent issues. Participates with the Ethics Committee to resolve patient care issues. Collects and analyzes data. Utilizes clinical information systems, including quantitative analysis tools, benchmarking tools, and computer applications. Reports on a regular basis to the Board Quality and Performance Improvement Committee and other committees as requested. Develops annual budgets for risk/ insurance cost centers. Identifies and explains variances from budget.

Top Risk Management Executive

Develops and implements self-insurance coverages for businesses and organizations, utilizing knowledge of tax and insurance strategies, securities, insurance, pension plans, and real estate. Typically reports to Chief Financial Officer or Chief Operations Officer and supervises Insurance Director.: Understands organization's assets, liabilities, cash flow, insurance coverage, tax status, and financial objectives. Analyzes organization's financial status, develops financial plan based on analysis of data. Manages those, including brokers and consultants, who prepare and submit documents to implement coverages selected.

Risk Management Top Executive

Top Executive Risk Management

Risk Management Manager

Plans, manages, and coordinates risk and insurance programs of establishment to control risks and losses. Identifies, evaluates, and implements corrective action against risks that may result in injury, property loss, damage, or legal liability. Analyzes and classifies risks as to frequency and potential severity, and measures financial impact of risk on company. Typically reports to director level and may have supervisors reporting to this position.: Selects appropriate technique to minimize loss, such as avoidance (reducing chance of loss to zero), loss prevention and reduction (reducing frequency and severity of loss), retention (including self-insurance and planned noninsurance), grouping of exposure units (to increase predictability of loss), and transfer (placement of property, activity, or risk with other establishment or insurers). Directs insurance negotiations, selects insurance brokers and carriers, and places insurance. Appoints claims and self-insurance administrators, and allocates program costs. Prepares operational and risk reports for management analysis. Manages insurance programs, such as fidelity, surety, liability, property, group life, medical, pension plans, and workers' compensation. Prepares operational and risk reports for management analysis. May direct loss prevention and safety programs. May select and direct activities of safety, engineering, and loss prevention experts. May negotiate with unions for employee benefits.

Insurance and Risk Manager

Manager Risk

Risk Management Supervisor

Supervises employees engaged in strategies intended to control the organization's risks and losses. Assists in the formulation of strategies to further the organization's financial objectives. Typically reports to Risk Management Manager and supervises Risk Management Analysts.: Remains up-to-date on organization's financial status. Communicates organization's goals and objectives to employees. Prepares status reports for management. May communicate with brokers, agents, and consultants to obtain information and review proposals for selected coverages.

Supervisor Risk Management

High Risk Pregnancy Specialist

Specializes in diagnoses and manages complications of pregnancy. Handles complicated or unusual high risk pregnancies or pregnancies that require care by a team of trained individuals. Performs advanced ultrasound, with an explanation of the findings. Provides consultation, answering questions and suggesting management plans to patient's regular care provider. Requires two-year subspecialty training in Maternal-Fetal Medicine following medical school and a four-year residency in obstetrics and gynecology.: Manages some aspects of patient's care while regular care provider manages prenatal care and the delivery of the baby. Provides the obstetric health care team an awareness of the most recent approaches to the diagnosis and treatment of obstetrical problems, along with the diagnostic and therapeutic techniques for optimal management of complicated pregnancies. May manage complete pregnancy care if regular provider requests it.

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