Posted: 09-Jul-25
Location: Temple, Texas
Categories:
Internal Number: 25010993
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Eligibility on day 1 for all benefits
- Dollar-for-dollar 401(k) match, up to 5%
- Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
- Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
Job Summary
Manages detailed assessments of high-risk claims with a medical/legal plan to prevent claim elevation. Reviews and evaluates potentially compensable events (PCEs) early for Baylor Scott & White Health (BSWH). Collaborates with leadership, clinicians, medical providers, and team members on risk management initiatives to minimize the organization's risk exposure.
Schedule
- Will work onsite in Temple 2 days per week and have the option to work from home 3 days per week.
- We have a Dallas based office that you can work from if preferred.
Essential Functions of the Role
- Reviews incident reports to assess potentially compensable events (PCEs) for further investigation.
- Shares investigation findings and complaints about potential liability with Risk Management legal counsel when appropriate.
- Interacts with clinicians, medical providers, leadership, and staff for timely reviews, feedback, recommendations, and resolution of professional liability claims. Coordinates follow-up and collaborates with multiple reviewers to ensure a timely response.
- Oversees reviews with Patient Relations staff for timely case reviews. This ensures meeting regulatory guidelines. Reviews patient complaints that may lead to legal action. Discusses and offers solutions to resolve grievances with patients or families. Supports proper investigation and resolution.
- Enters and supports all required data elements, study and outcomes in the Risk Management database per deadlines and reporting purposes.
- Ensure medical records, patient billing records, and incident reports are obtained and managed. Medical examiner's reports are included if available. All documents are maintained and secured for documentation. Special billing arrangements are made as needed.
- Prepares comprehensive written case summaries for meetings, depositions, and outside litigation assistance. Provides professional and concise verbal presentations of PCE cases at scheduled Risk Management Department meetings, System meetings, and other requested meetings. Compiles reports and data study requests to support BSWH Risk Management.
- Acts as a liaison between attorneys, clinical staff and medical providers in matters involving outside meetings, depositions and narratives.
Key Success Factors
- Exceptional understanding and experience with healthcare professional liability, safety, risk, and quality concepts. Experience using quality improvement methods and tools is preferred.
- Ability to collect and examine data utilizing statistical methods to recognize trends and drive change.
- Excellent verbal and written presentation skills.
- Possesses strong interpersonal, leadership, and team-building skills. Can interact well with all organization levels, including administration, professional staff, and front-line staff.
- Advanced skill set in the use of computers and related software including Microsoft Office Suite and other applications.
- Maintains current knowledge of state and regulatory standards for compliance. Assists the department in maintaining compliance with all applicable standards.
Belonging Statement
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
QUALIFICATIONS
- EDUCATION - Associate's or 2 years of work experience above the minimum qualification
- EXPERIENCE - 5 Years of Experience