*Hospital, Public and Private, Academic Medical Group, College / University
4 Year Degree
Job ID: 4898 Location: Chapel Hill, NC Facility/Division: UNC Medical Center Status: Full Time Shift: Day Job
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Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
This position administers medical malpractice claims, assesses liability potential, and provides education designed to reduce claims against faculty and staff of UNC Health Care System covered by the self -insured UNC Liability Insurance Trust Fund (LITF).
Description of Job Responsibilities:
1. Analyzes individual occurrences and trends and patterns for opportunities to prevent future patient injury. Recommends changes in policies, practice and procedures to prevent patient injury. Monitors compliance with loss prevention activities.
2. Develops case management plan defining key participants and steps in resolving claims. Defines issues involved in the case and makes recommendations for settlement strategies. Serves as liaison between Health Care System attorneys and patient attorneys, attending conferences with attorneys and staff, arranging meetings, pulling files and communicating policies and procedures to all involved in the claims. Gathers information and drafts settlement agreements. Authorizes funding for settlement payments.
3. Investigates medical circumstances and legal implications of incidents and claims. Researches medical records, protocols, laws, policies and procedures governing the alleged liability claim. Interviews employees, patient, patient family members, and others who are involved with the incident and claim.
4. Performs special projects that involve data gathering, analysis, preparation of reports, development of recommendations and presentations. 5. Plans, develops, and presents educational sessions with insured faculty and staff regarding loss prevention and reduction techniques, insurance coverages and exclusions, medical record documentation, legal issues and communication techniques.
Bachelor’s degree in an appropriate discipline (or equivalent combination of education, training and experience).
If a Bachelor's degree: Three (3) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.
If an Associate's degree: Seven (7) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.
If a High School diploma or GED: Eleven (11) years of experience in risk management, paralegal services, claims settlement work or clinical nursing.
Legal Employer: NC HEALTH
Entity: Shared Services
Organization Unit: Risk Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
Internal Number: Job ID: 4898
About UNC Health
UNC Health is an integrated health care system owned by the state of North Carolina and based in Chapel Hill. UNC Health is committed to empowering health, not just health care. We are proactively focused on healthy-based, personalized care, changing people’s lives for the better.
UNC Health is comprised of UNC Hospitals in Chapel Hill, ranked consistently among the best medical centers in the country; Pardee UNC Health in Hendersonville; Chatham Hospital in Siler City; Johnston Health in Clayton and Smithfield; UNC Lenoir Health Care in Kinston; Wayne UNC Health Care in Goldsboro; Caldwell UNC Health Care in Lenoir; Nash UNC Health Care in Rocky Mount; UNC Rockingham Health Care in Eden; Onslow Memorial Hospital in Jacksonville; UNC REX Healthcare and its provider network in Wake County; and the UNC Physicians Network.