Risk Management Specialist
3 weeks ago
Unity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Risk Management Specialist.
The overall goal of the Enterprise Risk program is to establish an integrated approach to risk management, which will offer a competitive advantage by improving the organization’s capacity to anticipate and respond to change. The program provides a broad spectrum of services, activities and support to all levels of management, as well as professional, medical, and administrative staff throughout the organization. This includes, but is not limited to, written and verbal information and advice, education and consultation services, project coordination and strategic leadership on corporate initiatives.
The primary role of the Risk Specialist is to conduct the daily operations of the Enterprise Risk program under the direction and supervision of the Manager, Enterprise Risk. The Risk Specialist contributes to the program by identifying, assessing and responding to organizational risks to improve the quality of outcomes and reduce or minimize actual or potential losses. This includes management of corporate risk management processes, and specialized healthcare risk management services for the purpose of maximizing the quality, efficiency and effectiveness of the Enterprise Risk program. The Risk Specialist is accountable for the liability and property claims’ process, and is the primary contact with the Healthcare Reciprocal of Canada (HIROC). The Risk Specialist is accountable for the corporate Risk Assessment Checklist (RAC) program, and for overseeing the medical device alerts and recalls process. They also provide consultation and advice to support organizational operations. This role is a network role and will require cross site travel.
**Duties and responsibilities**
- Accountable for reporting new liability and property claims to the Healthcare Insurance Reciprocal of Canada (HIROC) to ensure timely notification to insurer and prevent financial loss due to expiry of limitation periods;
- Accountable for identifying and collecting hospital records, applicable policies, and reports pertinent to investigation of claims to prevent or minimize legal liability, financial loss and/or other risk exposure;
- Accountable for establishing and maintaining database of all claims to support the collection, analysis, and reporting of risk information;
- Accountable for the review and analysis of claims’ data, as well as preparation of reports for senior management to inform strategic decision making;
- Acts as primary liaison with HIROC, insurance adjusters, and legal counsel;
- Facilitates and attends meetings with adjusters, legal counsel, and hospital personnel to conduct factual investigations and assess legal liability, financial loss and/or other risk exposure;
- Accountable for intake and circulation of notices received from manufacturers and vendors regarding medical device alert and recall issues, and ensuring appropriate and timely corrective actions to minimize patient harm, prevent legal liability, financial loss and/or other risk exposure
- Works with Patient Safety, Patient Relations and Privacy departments to review and investigate adverse events and/or patient complaints to identify and evaluate the potential for legal liability, financial loss and/or other risk exposure;
- Responds to internal requests and provides advice regarding insurance certificates and contract reviews, consulting with insurer to satisfy contract terms and conditions;
- Accountable for completion of annual corporate cross-site property assessment survey for insurer; and
- Prepares certificates of proof of insurance for regulatory colleges.
- Provides knowledgeable and experienced professional consultation with internal stakeholders, including staff, physicians and senior management, providing advice and guidance with respect to a variety of clinical and non-clinical issues, policy requirements, insurance and legislative compliance, health law, and administrative matters; Assesses issues and provides advice and guidance on mitigation strategies to lessen potential for legal liability, financial loss and/or other risk exposure;
- Develops and presents educational materials and publications on health care risk management;
- Accountable managing the process of a cross site risk management self-assessment tool (HIROC RAC), including facilitating and attending meetings with staff, physician
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