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Washington University of St. Louis Professional Liability Manager - Professional Liability Program - 50949 in St. Louis, Missouri

Job Type/Schedule This position is full-time and works approximately 40 hours per week. Department Name/Job Location This position is in the Professional Liability Program. The position is located at the Mid Campus Center. This position is for the Medical School Campus. Essential Functions POSITION SUMMARY: Manages the investigation of claims alleging medical professional liability. Analyzes and evaluates incident reports and lawsuits. Reviews medical records and performs interviews of members of the health care team. Prepares investigative reports for Director and Legal Counsel regarding potentially compensable events covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development and case management. Participates in risk financing efforts. Promotes patient safety; develops working relationships with Director of Patient Safety regarding ongoing patient safety improvement efforts; develops and provides education programs to departments; coordinates communications with affiliated hospitals. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Communicates in an effective and timely manner to appropriate individuals (i.e. Director of Risk Management, Office of General Counsel, Director of Patient Safety, physician and risk managers of affiliated institutions) the occurrence of adverse events. Represents the University in attendance at debriefings and root cause analyses (RCA) as requested. Advises physicians and others regarding documentation and communication practices, and disclosure of adverse events to patients and families. Recognizes, reviews and triages adverse events which need to be reported to the Director and others as listed above. 2. Conducts internal claims and events investigations, plans and helps implement defense strategies and negotiates disposition of assigned files. Specific activities associated with those responsibilities includes conducts meetings with physicians, analyzes medical record information and event reports; coordinates with Office of General Counsel and the Director of Professional Liability in the direction of approved legal counsel and other legal personnel involved in the defense of claims and lawsuits; coordinates expert witness reviews; coordinates University response to discovery and provides affidavit in response to discovery requests and answering interrogatories; coordinates witness preparations; makes recommendations for resolution of claims; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration and/or trial. 3. Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Professional Liability, excess insurance carrier, and when applicable, assists with preparing the University’s response to external agency investigations, i.e. professional Board of Healing Arts inquiries. 4. Assists with the Self-Insured Professional Liability Insurance Program operations, including with the submission of the insurance application. Reviews risk financing information with the actuary, broker, insurance representative, auditors, and University personnel. Provides coverage letters and claim history to current and prior insured. Supervises data entry to the Missouri Division of Insurance, and CMS required reporting. Establishes indemnity and expense reserves based on the reserving policy. Participates in negotiating settlements within authority. Reviews and approves defense counsel related bills. Provides direction to adjust patient bills. 5. Designs and incorporates patient safety measures into educational programs for University personnel including new employee orientation, and periodic updates focused on specialty-specific topics. Identifies and selects different instructional resources and methods to provide information to physicians on Risk Management techniques for use in their professional practice. 6. Represents the University on Risk Management matters at BJC, SLCH and their affiliated institutions. Required Qualifications Bachelor’s degree, Certification and seven years of experience analyzing, interpreting and communicating medical information with five years in managing professional liability matters and/or patient safety measures for physician programs. Preferred Qualifications * Master’s degree. * Certification in Professional Healthcare Risk Management is highly preferred. * Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered. * Knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures, and standard of medical care. * Organizational skill with attention to accurate detail in the preparation of written reports. * Knowledge of methods and techniques of individual case study, recording, and file maintenance. * Experience with clinical risk management, risk financing for professional liability, investigating and analyzing medical malpractice litigation. Salary Range Base pay commensurate with experience. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. Current employees applying for a new position within the university may be subject to this requirement. The screenings will include a criminal background check and, as applicable for the position, other background checks, drug screen, employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits This position is eligible for full-time benefits. Please click the following link to view a summary of benefits: https://wustl.box.com/s/8wkhs25yssf0775x9d6nd6vqa7obpth7. Applicant Special Instructions *JOB LOCATION/WORKING CONDITIONS: *Normal office environment and pressures due to deadlines. Some local travel to other University employee work locations, court proceedings, legal offices, etc. EOE Statement Washington University is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, genetic information, disability, or protected veteran status. Job Title: Professional Liability Manager - Professional Liability Program - 50949 Job ID: 50949 Location: Medical School Full/Part Time: Full-Time Regular/Temporary: Regular