Celebrating 10 years! 2007-2017

Risk Management

Entering the final round of interviews for a regional health mrtor05/19/17
I did this work for a year or two. It's part audit, part con phillydoucherocket05/19/17
Got the offer today. $25k bump, great health insurance, good mrtor07/18/17
Not chiming in on whether to go for it or not, but if you do jd4hire07/18/17
Honestly, it was an absolute fluke. I've learned that health mrtor07/19/17
Thanks for the insights. Let us know what you ultimately de jd4hire07/19/17
Just put in my notice. Best/worst feeling ever. mrtor08/14/17
I think you made the right choice. Don't look back. You mi ipesq08/14/17
I think this is definitely a step in a different direction ( jeffm08/14/17
mrtor (May 19, 2017 - 9:53 am)

Entering the final round of interviews for a regional healthcare risk manager position. Does anyone have any experience in or knowledge about this field?

For background, I am currently a second year ID associate focusing on workers' compensation, personal injury, and some property damage claims. This risk management position sounds like a mix of office and field work, with the risk managers responsible for conducting risk assessments at various facilities, developing risk management plans, and investigating and managing risk incidents. It is essentially a medical-legal position. Each region has two risk managers. The other risk manager has nursing experience, but no legal experience. It sounds like my legal background (despite no medical background) would help counterbalance the region and if specialized issues in either field arise we could assist each other.

I feel like I kind of feel into this and there will be a big learning curve. However, the chance to get out of ID is appealing and healthcare seems to be a safe field.

FWIW, its a growing medical group with 10+ hospitals and 75+ practice and specialty offices. I would imagine good healthcare insurance and other benefits. Good job security?

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phillydoucherocket (May 19, 2017 - 1:30 pm)

I did this work for a year or two. It's part audit, part consulting (here's how you fix the issues we found) and part business (can we find a compliant alternative to perform the service).


There's a lot of soft skills you'll need. It doesn't need to be adversarial if you do it right.

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mrtor (Jul 18, 2017 - 4:03 pm)

Got the offer today. $25k bump, great health insurance, good PTO, pretty decent retirement... it's an economically stronger offer all around.

It would get me out a low paying, dead end ID position (rat race, billing, forced boards/events, etc etc). However, I'm still hesitant to leave practice for some reason. Part of me thinks that I could maybe find a decent government attorney position and avoid leaving the field. I also know it will be very difficult to ever come back if this opportunity wouldn't work out. I have an upcoming interview for an attorney position with my state's DCFS -- at the same time, however, there are few (nearby) government or in-house opportunities beyond that.

I should also note that, being in a smaller secondary market, there are no other local healthcare risk management opportunities if this one doesn't work out. I would need to travel out of the region/state to continue in this field, which would be difficult with my fiance. That said, virtually every employee I have met seems to be a lifer. The healthcare org appears to offer a good work environment and good growth opportunities.

Sorry for the stream of consciousness. But what do you guys think?

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jd4hire (Jul 18, 2017 - 5:17 pm)

Not chiming in on whether to go for it or not, but if you do and ever have input on panel counsel, I'd love to chat! I'm dead serious too. I'd certainly set up a gmail account to exchange info and talk.

I too have often thought about leaving litigation and moving towards risk management. That's actually my long term plan. Need to put in some time at my current firm, but billing in 6 minute increments is not how I envision the next 35 years of my life.

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mrtor (Jul 19, 2017 - 10:18 am)

Honestly, it was an absolute fluke. I've learned that healthcare risk management positions can be tough to fill since few people have the medical AND liability experience. In the past, many healthcare organizations have trained nurses in liability and claims management. However, it's just easy to introduce attorneys to the clinical aspects of the job. With the segregation of risk management from quality and patient safety, they are starting to realize that now.

Some experience is important, but don't wait to long. I don't have even half of the requisite experience in the listing and they still made me the offer. The ad is essentially a wish list. They get some of what they want and have to compromise on other aspects. Too much experience can also give the impression that you are set in your ways, which is especially harmful if you are trying to leave for a new field.

Not sure what kind of input I would have on panel counsel, but I'd be more than willing to follow up with you if I take it.

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jd4hire (Jul 19, 2017 - 10:47 am)

Thanks for the insights. Let us know what you ultimately decide. Best of luck either way. The economics of it would make it hard to pass, but I hear you on leaving litigation. I haven't confronted the situation, but I feel that it would be tough to lay down thy sword and move on.

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mrtor (Aug 14, 2017 - 4:57 pm)

Just put in my notice. Best/worst feeling ever.

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ipesq (Aug 14, 2017 - 5:18 pm)

I think you made the right choice. Don't look back. You might not be able to "practice law" again but you will now have your legal skills to rely on in the future as a soft selling point for other non-legal jd-preferred type jobs.

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jeffm (Aug 14, 2017 - 6:02 pm)

I think this is definitely a step in a different direction (going from litigation to regulatory). There will always be a need for regulatory; don't consider it unsafe. It's definitely different and will come with challenges which are very different than the combative nature of litigation. There's nothing at all wrong with that, and in reality there are many litigators who dream to get out of litigation and into something more serene.

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