Clinical Risk Manager-Days

Nevada System of Higher Education

4d•$39 - $60

About The Position

The Clinical Risk Manager is responsible for the review, investigation and prioritization of reported clinical and organizational events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential/actual professional and general liability claims. Collaborates with Performance Improvement team and Operational Leaders to identify key quality and patient safety trends. Actively engages leaders in evidence-based practice for cause analysis and high reliability strategies to prevent and mitigate patient safety events.

Requirements

Bachelors Degree Health Administration Required Or Bachelors Degree Nursing Required
5+ Years Clinical experience
2 Years Patient safety/risk management experience as a specialty or associated with Clinical Leadership responsibilities
Strong communication skills - written and verbal. Ability to interact with all levels of the organization confidently and professionally.
Ability to partner with a wide range of team members, physicians and clinicians.
Conflict resolution and mediation skills.
Be flexible and adaptable to changing situations and priorities.
Ability to develop and present educational programs.
Strong investigative and analytical skills.
Multi-tasking capacity.

Nice To Haves

Experience with Epic and RL Solutions preferred
Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Preferred

Responsibilities

Patient Safety/Risk Management Review electronically reported events for inpatient units and procedural areas
Identify and assess potential risks and liabilities of reported events
Work with interdisciplinary teams to identify and implement risk mitigation strategies, leaders in associated departments/units to assure swift resolution, identification of key learning elements/strategies and assuring timely action/communication is planned and initiated
Assure involved department(s) event follow-up is timely and appropriate
Provide patient safety/risk management support for assigned areas including noted trends and education
Collaborate with identify key quality and patient safety issues that require broader system review and intervention
Partner with organizational leaders and frontline staff to improve safety culture and processes
Educate all levels on the importance of early notification of patient safety events
Analyze experiential data and report trends to leadership
Serve as an advisor to physicians and Administration on issues related to disclosure, documentation, and management of untoward outcomes
Coordinate communication of preventable untoward outcomes to key corporate individuals as per protocol
Manage in collaboration with physician leadership as part of the peer review process
Collaborating with clinical and administrative teams to conduct risk assessments.
Promoting patient safety and error prevention through evidence-based practices.
Claims Investigate occurrences to identify Potential Compensable Events (PCEs) and work with Claims Management team to discuss and determine liability and causation
Work with the Claims Management team to process Notices of Claim (NOCs) for submission to Third Party Administrator (TPA) in a timely manner
Attend monthly Risk/Claims Management meetings to discuss assigned PCEs and NOCs. Meetings are held at Endeavor Health hospital sites on a rotating basis
Identify potential insurance claims, including tracking, reporting, and coordinating resolution with the Legal and Insurance attorneys/team.
Develop and implement risk mitigation strategies and programs to reduce the hospital's exposure to liability and financial risks.
Liaising with insurance providers and legal counsel as needed.
Other Address and assist the Compliance team with the mitigation of mitigating compliance issues as necessary.
Analyzing data related to risk management, incidents, and claims to identify trends and areas for improvement.
Using data to inform risk reduction strategies.
Providing training and education to clinical, non-clinical, and administrative staff on risk management, patient safety, and legal considerations.
Fostering a culture of risk awareness and safety.
Developing and maintaining effective Work with and provide consultation to emergency preparedness leaders and responding plans to ensure the hospital's readiness for unforeseen events.
Takes call 24/7 on a rotating basis.
Travel to Endeavor Health hospitals on an as needed basis.