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0-5 years of experience
Member of corporate management team for 20 site, multi-state assisted living and skilled nursing facilities. Overall regulatory compliance, liability prevention, state survey success, quality management.
- Monthly site visits to buildings for risk/safety assessment, compliance inspections.
- Tracked incidents, accidents, performed risk analysis and trending reports, problem resolutions implemented.
- Targeted risk prevention plans implemented to reduce exposure, minimize injuries and assure effective post-incident documentation.
- Advised owners and regional operations directors on risk prevention: building modifications, staffing model improvements, safety, and compliance.
- Quarterly training sessions for managers and staff in risk awareness, safety, emergency protocols, regulatory compliance and customer service.
- Developed comprehensive risk assessment and safety tools and policies, more effective documentation techniques to reduce impact of legal actions.
- Assisted legal counsel in preparation for arbitration/mediation, litigations, and employee legal actions, including workers comp. Reviewed records, researched medical topics, prepared reports, deposition questions and briefs, interviewed family members, identified exposures and strengths.
- Reduced liability insurance premiums.
0-5 years of experience
- Led a team of 16 internal team members to self-administer general liability and workers’ compensation claims; earned one of the highest management scores on an internal employee satisfaction survey
- Reorganized the workers’ compensation program by shifting resources, negotiating new terms with vendors, eliminating manual processes, and focusing on outcome-based assessments to meet best practices standards that resulted in an annual savings of over $175,000 and produced an in-house program at the same costs as a third-party administrator (TPA)
- Oversaw the company’s insurance program, managed a workers’ compensation TPA for three states, reassessed bond program and decreased annual expenses by over $175,000
- Managed the enterprise risk management program and use the results to adopt improved mitigation plans while enhancing a more robust compliance program
- Developed the company’s compliance program by assessing, editing, and auditing company policies and procedures; successfully provided legal and compliance support for two new complex accreditations
- Assessed risk, draft, and negotiate various business agreements, while also developing data security, indemnification, and insurance provisions in the company’s master service agreement
- Managed multiple outside counsel law firms across five states and decreased litigation by 20%
- Decreased litigation costs by establishing outside litigation counsel guidelines and conducting vendor assessments for litigation expenses that resulted in increased efficiencies at lower costs
0-5 years of experience
- Investigated and deployed strategies for company’s risk management.
- Oversaw and managed the R&D activities of risk management.
- Designed and developed data quality control and portfolio optimization as well as insurance pricing software using C#.NET and MS Reporting and Analysis Service.
- Led and managed risk analytical team to execute all risk analyses and generated monthly trending reports.
- Extensive programming for company’s core software component using C# and C++ with parallel computing.
0-5 years of experience
- Conduct facility inspections and quality assessments to ensure client safety and regulatory compliance.
- Develop behavior based safety model, geared to reduce accidents/incidents frequency and cost. (Reduced worker’s compensation claims by over 65%)
- Work directly with insurance broker and insurance underwriters to reduce the cost of insurance premiums while increasing the amounts of insurance coverage. (Reduced insurance premiums by $350K)
- Oversee the safety and claims for all 27 locations within central FL.
- Represent the company in claims-related mediation, depositions, court appearances, and OSHA hearings.
- Revamped existing training program to ensure that new hires and existing employees receive meaningful safety orientation and driving training.
- Investigate HIPPA, AHCA, APD, abuse/neglect, and medication errors to control/reduce organizational exposure and control future losses.
0-5 years of experience
- Coordinates and guides employees in interpretation of state, federal and managed care mandates
- Oversees effective implementation of quality risk management and performance improvement plans
- Oversees education of staff on policies and procedures
- Coordinates Patient Safety Council and Performance Improvement Committees
- Actively participates in any preparation for external surveys
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[Director Of Risk Management]
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
