DIRECTOR - RISK MANAGEMENT
 Universal Health Services | |
 United States, North Carolina, Raleigh | |
| 3019 Falstaff Road (Show on map) | |
 Feb 12, 2026 | |
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Responsibilities
About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Notice Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. Qualifications POSITION SUMMARY The Facility Risk Manager (FRM) has broad responsibility to protect the hospital's assets from loss. The FRM is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.E.R.M. Program. The Facility Compliance Officer (FCO) has broad responsibility to always ensure the hospital's compliance with the UHS Code of Conduct and Compliance Program policies. QUALIFICATIONS Education: Bachelor's Degree from an accredited college or university required. Bachelor's Degree from accredited college or university in nursing, or related health field is preferred. Master's Degree preferred. Combination of education and experience considered. Experience: Four (4) years of experience in quality and risk management/improving organizational performance within an acute medical or psychiatric treatment setting. Additional Requirements: A strong knowledge of JOINT COMMISSION, state of North Carolina standards, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities. STANDARDS OF PERFORMANCE
Responsibility I: Risk Identification and Evaluation ____1. Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Review Reporting system (Occurrence notification system); enters incidents into the MIDAS Database. ____2. Collects and screens all reports. ____3. Analyzes and trends data ____4. Identifies actual and potential risk situations and facilitates the determination of causative factors ____5. Refers occurrences for followup to appropriate department or medical committee; ensures that all Level III/IV are referred to the CRM and PCR entered STARS within ten days ____6. Receives immediate and concurrent reporting of adverse patient outcomes identified by the PI process ____7. Performs risk surveys and inspects patient care areas in concert with hospital's safety (EOC) program committee objectives ____8. Reviews of reports on facility and equipment to assess potential loss ____9. Receives and investigates reports of product problems to determine appropriate responses and establish record keeping responsibilities. In the event of patient injury, establishes direction from Corporate Risk Management in the appropriate action for defense strategy ___10. Receives information (verbally or formally on the HPR) from facility staff regarding patient events which may lead to a claim. Responsibility II: Risk Reduction ___11. Networks with department directors to implement system changes aimed at optimally reducing or eliminating causative factors. ___12. Networks with medical staff to ensure active involvement and participation in: ____ A. Risk identification ____ B. Risk analysis ____ C. Risk reduction/loss prevention problem solving and program development designed to benefit the clinical aspects of patient care and safety ___13. Networks with medical staff to ensure the credentialing and privilege delineating process require information regarding professional liability experience, results of peer review activities, changes in medical staff memberships, clinical privileges, licensure, etc. ___14. Interfaces with the Patient Advocate specific to patient complaints and assesses/recommends action, on those, which may be a source of potential litigation. ___15. In conjunction with hospital administration recommends actions, when possible, to resolve with patient and/or family any grievances against hospital perceived as potential liability claims. ___16. Refers policies that present particular risk in relation to previously identified problems to Corporate Risk Management ___17. Identifies particular practices having legal connotations to target planning of preventive and corrective measures ___18. Assesses liability and probability of legal action ___19. Is available to resolve treatment issues, including patient refusal of treatment, consent issues, HIPAA violations, AMA's, etc. under direct supervision of CEO, Corporate Legal Counsel, and Corporate Risk Management Responsibility III: Performance Improvement ___20. Ensure the hospital meets Joint Commission, CMS, and state regulatory requirements ___21. Develop and implement a Performance Improvement Plan, evaluate the results monthly and report the results to PI Committee, MEC and BOG ___22. Ensure that all deficiencies identified through the Performance Improvement analysis are addressed with appropriate problem-solving actions ___23. Analyze statistical data of the hospital to determine and respond to trends. ___24. Consult with senior staff and directors in the development of department specific programs and quality measures which are within the standards of Joint Commission, CMS, TDSHS, OSHA regulations and all other applicable federal, state or local law/regulations governing health-care entities. Responsibility IV: Claims Management ___25. Assists CEO in facilitating the processing of summons and complaints served on the hospital and its employees. ___26. Reports receipt of summons and complaints immediately to Corporate Risk Management and Insurance Department. ___27. Assists the Corporate Risk Management as needed to intervene, document and assist in the investigation of all claims. ___28. Coordinates investigation of claims within the facility: ____A. Directs inhouse claims investigation. ____B. Preserves all pertinent information (medical record, x-rays, equipment, lab/pathology specimens, relevant reports/ policies and procedures) ____C. Facilitates early reporting ____D. Establishes early control of situation ____E. Assists in obtaining materials for attorneys ____F. Maintains all legal case files and ensures maximum protection and discoverability ___29. Coordinates with and assists attorneys as they interface with the facility and employees. ___30. Advises Business Office of actions consistent with directions from Corporate Office for unpaid accounts involved in litigation Responsibility V: Compliance Program ___31. Conducts/facilitates in-services to educate employees and physicians ___32. Participates in developing/reviewing policies and procedures ___33. Operates to maintain and facilitate systems ensuring hospital and employee adherence to UHS Compliance Program. Responsibility VI: Committee Participation ___34. Performance Improvement ___35. Patient Safety Council ___36. Peer Review ___37. Environment of Care/Safety ___38. Medical Staff Committee ___39. Utilization Review ___40. Credentials ___41. Pharmacy & Therapeutics ___42. Infection Control ___43. Board of Governors ___44. Other Committees/Meetings as necessary Responsibility VI: Employee/Physician Education___45. Facilitates, develops, and provides educational programs to ensure all employees and medical staff are aware of the Risk Management/PI/Compliance concepts and its relation to their specific duties/job role in identifying and reducing liability exposures. ___46. Plans and presents risk management/performance improvement and compliance information to all new employees at hospital orientation. ___47. Plans and presents risk management/performance improvement and compliance information to all employees at annual update. ___48. Plans, presents, facilitates, and/or recommends in-services to all departments as necessary to address risk management/performance improvement and compliance problems ___49. Submits articles to hospital, nursing, medical staff newsletters, as appropriate ___50. Plans and presents in-services/information at Department Managers meetings. Provides Risk Manager presentation specific to management levels at least annually ___51. Shares current literature and articles of relevance with all appropriate departments ___52. Plans, facilitates, presents information and suggests topics on risk management/performance improvement and compliance to Committees or hospital departments as necessary and based upon occurrences or claim patterns Responsibility VIII: Reporting, Report Preparation and Submission ___53. Provides aggregate analysis of risk and performance improvement data and trend analysis of incidents to: ____A. Administration ____B. Corporate Risk Management ____C. Patient Safety Council ____D. MEC ____E. Performance Improvement ____F. Environment of Care/Safety Committee (Safety related only) ____G. Governing Board ____H. Other Committees/Department as necessary and related to the department ___54. Incidents with Potential Claims ____A. Directly reports to Administration those incidents with claims potential. Reports to Corporate RM any serious risk event involving actual or potential injury to patients and visitors; enters PCR's (Level III/IV incidents) into STARS Database within 10 business days of the incident. Responsibility IX: Medical Staff ___55. Advises the Medical Director and Medical Executive Committee as needed ___56. Serves as a resource to the Medical Staff Credentialing Process and the Credentials Committee as needed. Data from physician peer review and risk management activities are utilized in the decision making process of granting privileges to and reappointment of medical and allied health staff. ___57. Develops, coordinates, presents/facilitates educational programs specific to medical staff concerns. ___58. Advises physicians on issues of interest or concern including Informed Consent process, Documentation and communication; Accountability; Response to patient/family complaints; and internal problems solving ___59. Provides methods to communicate patient events to the Facility Risk Manager that may result in a claim Responsibility X: Professional Growth and Development ___60. Consults with Medical Director as necessary ___61. Regularly reviews current literature pertinent to Risk Management and Regulatory Agency Requirements. ___62. Attends appropriate management and risk management seminars ___63. Consults with Corporate Risk Management as necessary Responsibility XI: Guest Relations ___64. Demonstrates tact, diplomacy, and sensitivity in communications ___65. Is clear and accurate in communication ___66. Responds promptly to requests, problems, and questions ___67. Maintains confidentiality as appropriate ___68. Interacts well with co-workers, inter and intra departments. Note: The essential job functions of this position are not limited to the duties listed above KNOWLEDGE, SKILLS, AND ABILITIES THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.
PHYSICAL, MENTAL, AND SPECIAL DEMANDS THIS SECTION DESCRIBES HOW AN EMPLOYEE IN THIS POSITION CURRENTLY PERFORMS THE FUNCTIONS OF THIS POSITION. MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE BY CASE BASIS.
MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES: THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.
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