Director Of Risk Management

Spring Hill , Florida, Director Of Risk Management Required: Active Florida Licensed Risk Manager (LRM) certification in good standing. The Director of Risk Management is responsible for leading and overseeing the organization's comprehensive risk management and patient safety programs. Reporting directly to the Chief Medical Officer (CMO), this position develops, implements, and monitors systems designed to identify, evaluate, mitigate, and prevent clinical, operational, regulatory, and patient safety risks throughout the organization. The Director of Risk Management serves as a strategic partner to physicians, advanced practice providers, clinical leadership, compliance, quality, and operations teams to foster a culture of safety, accountability, transparency, and continuous improvement. This role ensures compliance with all federal, state, accreditation, and organizational standards while proactively reducing organizational exposure to risk and improving patient outcomes. Essential Duties & Responsibilities Risk Management Leadership

Direct and oversee all organizational risk management activities across ambulatory, clinical, and administrative operations. Administer and maintain the organization's event reporting and risk management systems, including RL Solutions or equivalent platforms. Develop, implement, and evaluate enterprise risk management strategies and initiatives. Lead investigations of adverse events, near misses, patient grievances, and potential liability claims. Conduct root cause analyses (RCA), failure mode and effects analyses (FMEA), and other risk assessment methodologies. Monitor risk trends and develop action plans to mitigate identified vulnerabilities. Maintain the organizational Risk Management Plan and conduct annual evaluations and updates. Prepare and present risk management reports, dashboards, and recommendations to executive leadership and governing bodies.

Patient Safety & Clinical Risk Reduction

Lead organizational patient safety initiatives designed to improve quality outcomes and reduce preventable harm. Collaborate with providers and leadership to identify high-risk processes and implement evidence-based improvements. Monitor and analyze incident reporting data to identify trends, opportunities, and corrective actions. Support departments in developing and monitoring corrective action plans following adverse events. Promote a culture of safety through proactive risk identification and open event reporting. Facilitate safety rounds and provide consultation regarding patient safety concerns.

Claims Management & Litigation Support

Coordinate investigations related to potential malpractice claims, Notices of Intent (NOI), and adverse incidents. Collaborate with legal counsel, insurance carriers, and external consultants regarding risk-related matters. Ensure preservation and review of relevant documentation for potential claims and litigation. Assist in responding to subpoenas, legal requests, and regulatory inquiries. Monitor claims activity and recommend strategies to reduce future liability exposure.

Regulatory Compliance & Accreditation

Ensure compliance with Florida risk management statutes, CMS requirements, AHCA regulations, HIPAA requirements, and other applicable standards. Maintain required risk management records and reporting processes. Coordinate and oversee reportable adverse incident reporting as required by law. Collaborate with Compliance, Quality, and Medical Leadership regarding regulatory investigations and corrective action plans. Participate in accreditation readiness activities and organizational surveys. Review policies and procedures to ensure alignment with regulatory and patient safety requirements.

Quality & Performance Improvement

Partner with Quality Management and Clinical Leadership to improve quality metrics and patient outcomes. Analyze data related to patient safety events, grievances, complaints, and clinical outcomes. Develop meaningful performance indicators and risk scorecards. Lead performance improvement initiatives aimed at reducing safety events and enhancing clinical quality. Present risk and quality findings to leadership committees and executive teams.

Education & Training

Develop and provide risk management education programs for physicians, advanced practice providers, nurses, and staff. Ensure organization-wide training on risk prevention, documentation standards, patient safety, and incident reporting. Support onboarding programs related to risk management and patient safety expectations. Promote awareness of regulatory requirements and evolving industry best practices.

Emergency Preparedness

Collaborate with organizational leadership regarding emergency preparedness planning and exercises. Participate in emergency management activities and business continuity planning. Assist in evaluating operational risks associated with emergency preparedness and disaster response initiatives.

Leadership & Collaboration

Serve as a trusted resource to providers and leadership regarding risk management matters. Chair or participate in patient safety, risk management, and quality committees. Foster collaboration among Medical Staff, Operations, Compliance, Human Resources, Quality, and Clinical Departments. Support executive leadership in strategic initiatives related to clinical excellence and organizational risk reduction. Perform other duties as assigned by the Chief Medical Officer.

Experience

Minimum of 5-7 years of progressive healthcare risk management experience. Minimum of 3 years of leadership or management experience in healthcare risk management, quality, patient safety, or compliance. Experience conducting adverse event investigations and root cause analyses. Experience working with malpractice claims, Notices of Intent, and regulatory reporting. Experience with RL Solutions or similar event reporting software preferred. Ambulatory care, multi-specialty medical group, or physician practice experience strongly preferred.

Knowledge, Skills & Abilities

Extensive knowledge of healthcare risk management principles and patient safety practices. Knowledge of Florida risk management regulations and applicable healthcare laws. Strong investigative, analytical, and problem-solving skills. Ability to interpret regulations and apply them operationally. Excellent written, verbal, and presentation skills. Strong organizational and project management abilities. Ability to manage highly confidential information with discretion. Strong interpersonal and relationship-building skills. Proficiency in Microsoft Office applications, electronic medical records (EMR), and risk management platforms.

Work Environment & Requirements

On-site position with occasional travel to Access Health Care locations. Ability to perform office-based work using computers and electronic systems for extended periods. Ability to participate in investigations, site visits, audits, and clinical rounding activities. Occasional lifting of up to 25 lbs. Must maintain required licensure and certifications throughout employment. Position Overview (On-Site – No Remote)

Reports To: Chief Medical Officer (CMO) Education & Certifications Active Florida Licensed Risk Manager

Bachelor's degree in Nursing, Healthcare Administration, Risk Management, Public Health, or related healthcare field required. Master's degree preferred. Active Florida Licensed Risk Manager (LRM) certification required. Professional certification in healthcare risk management (CPHRM) preferred. Clinical licensure (RN, APRN, PA, MD/DO, or other healthcare licensure) preferred.

Depends on experience.