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Risk Specialist

2 weeks ago

Toronto, Canada Sinai Health Full time

Sinai Health is a leading academic health science centre and a trailblazer for integrated care across the health continuum. Our fusion of science, innovation, care and learning has earned us international, national and provincial leadership for unique programs and compassionate care. Since 2015, Sinai Health has delivered excellent care in hospital, community and home. Comprised of Mount Sinai Hospital, Hennick Bridgepoint Hospital, the Lunenfeld-Tanenbaum Research Institute and our system partner Circle of Care, Sinai Health discovers and translates scientific breakthroughs, pushes boundaries for health solutions, and educates future clinical and scientific leaders.

At Sinai Health, we care, create possibilities and offer hope. To support us on our journey, Sinai Health System is looking for an experienced Risk Specialist to support the Risk Management team.

Reporting to the Senior Manager, 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 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 occasional cross site travel.

**Completes standard work related to med-legal claims and proceedings**:

- Liaises with various Sinai Health departments to gather required information for legal cases
- Acts as Hospital Representative at legal discoveries and is able to bind the organization based on their evidence
- Prepares Sinai Health leadership and staff to meet with adjuster/lawyers
- Develops, monitors and reports on key performance indicators and key risk indicators
- Monitors patients safety incidents and feedback files to identify potential claims that should be reported to the hospital insurer
- 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
- 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

**Supports the development and implementation of annual Risk Management Work Plan**:

- Leads the development and implementation of the Risk assessment Checklist (RAC) process
- Provides education, training and support to stakeholders on the RAC process
- Leads review and evaluation of RAC process in collaboration with Senior Risk Manager
- Develops, monitors and reports on key performance indicators and key risk indicators related to RAC
- Prepares reports for local leaders, Senior Leadership Team and The Board
- 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, physicians, and senior management to identify risk exposures and review compliance with recommended mitigation strategies
- Compiles and analyzes risk management data to identify trends Other duties as assigned

**Coordinates the tasks related to HIROC Insurance**:

- 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
- 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

**Manages the process for addressing hazar