Director of Risk Management - Healthcare

Excellent Opportunity with a Leader in Home Healthcare: Recognized for Excellence by Forbes and Fortune MagazineIt's all about helping people achieve more!Almost Family, Inc is a leading provider of home health nursing, rehabilitation and personal care services.  Our Senior Advocacy Mission raises the bar with programs designed to achieve better outcomes for our patients.  For nearly 40 years, we have developed a culture that fosters innovation, clinical excellence, and integrity.Our Corporate Office has an immediate opening for a Director of Risk Management. The Director will serve as the overseer of the company-wide claims management program. This position is critical to the Almost Family, as we look to reduce risk to the company. Only candidates who meet all requirements will be considered for the position.    Why consider choosing a career with us?  Because we are committed to helping you achieve your goals.  As a member of our Senior Advocacy Care Team, we are confident you will achieve more for your career with industry-leading specialty programs that enhance care and promote better outcomes for patients.  You will enjoy the support of a progressive group along with great benefits, competitive pay, and flexible schedule options to fit your lifestyle.  If a long tradition of world-class caring is important to you, consider joining our team.  You'll feel right at home. 

The Director of Risk Management has primary oversight of the company-wide claims management under the Risk Management Program. The Director analyzes risk management data, investigates actual or potential adverse events, develops and implements appropriate measures to minimize the risk of injuries to patients and employees and to minimize loss or damage to property, all with the objective of controlling and minimizing loss to protect the assets of the company.  The Director works with other Corporate Departments (HR, Legal, Finance and Operations) to implement programs to reduce future risk for the company. The Director acts as a liaison between the facility and legal counsel on actual or potential litigation matters and assists with the preparation and production of discovery documents and the preparation and coordination of employees as witnesses.
Essential Duties and Responsibilities
 
Specific duties and responsibilities include, but are not limited to:
• Reviewing all accident reports for the company
• Reviews all requests for release of Protected Health Information and releases all documents
• Reviews and follows up on all patient complaints coming into the Corporate Office
• Reports Risk Management claims to appropriate insurance company (GL/PL, Workers Comp, etc.)
• Organizes company file and requests for data related to all claim files.
• Review claim files for improvement to Company Policy and Procedures.
• Claims and lawsuit assistance
• Liaison to Workers Compensation adjusters for consultation on strategy and settlements.
• Oversight of Transitional Work Program
• Releases all HIPAA related requests / infractions