Clinical Risk Manager

Endeavor Health•Arlington Heights, IL

5d•$43 - $67•Onsite

About The Position

The Clinical Risk Manager reviews, investigates, and prioritizes reported clinical and organizational events to help decrease the frequency and severity of patient safety events. The role works closely with Claims Management to identify potential or actual professional and general liability claims, and collaborates with Performance Improvement teams and operational leaders to identify quality and patient safety trends. The Clinical Risk Manager engages leaders in evidence-based cause analysis and high-reliability strategies to prevent and mitigate patient safety events. The position supports assigned inpatient and procedural areas, partners with interdisciplinary teams and organizational leaders, advises physicians and Administration on disclosure, documentation, and management of untoward outcomes, and contributes to peer review. It also investigates potential compensable events and notices of claim, coordinates with claims, legal, and insurance teams, analyzes risk and claims data, and provides training and education. The role contributes to compliance mitigation and emergency preparedness, takes part in a 24/7 rotating on-call schedule, and travels to Endeavor Health hospitals as needed. This is a full-time position based in Arlington Heights, Illinois, with a Monday–Friday schedule of 8:00 a.m.–5:00 p.m. and 40 hours per week. The hourly pay range is $43.38–$67.24, with the rate determined in part by expertise and years of experience.

Requirements

Bachelor’s degree in Health Administration or Nursing required.
At least 5 years of clinical experience.
At least 2 years of patient safety/risk management experience as a specialty or associated with clinical leadership responsibilities.
Strong written and verbal communication skills.
Ability to interact confidently and professionally with all levels of the organization.
Ability to partner with a wide range of team members, physicians, and clinicians.
Conflict resolution and mediation skills.
Flexibility and adaptability to changing situations and priorities.
Ability to develop and present educational programs.
Strong investigative and analytical skills.
Ability to multitask.

Nice To Haves

Experience with Epic and RL Solutions.
Registered Nurse (RN) licensure with the Illinois Department of Financial and Professional Regulation (IDFPR).

Responsibilities

Review electronically reported events for inpatient units and procedural areas.
Identify and assess potential risks and liabilities associated with reported events.
Work with interdisciplinary teams and department or unit leaders to develop and implement risk mitigation strategies, resolve events, identify learning opportunities, and ensure timely action and communication.
Ensure timely and appropriate event follow-up by involved departments.
Provide patient safety and risk management support for assigned areas, including trend identification and education.
Collaborate on quality and patient safety issues that require broader system review or intervention.
Partner with organizational leaders and frontline staff to improve safety culture and processes.
Educate staff at all organizational levels about early notification of patient safety events.
Analyze experiential data and report trends to leadership.
Advise physicians and Administration on disclosure, documentation, and management of untoward outcomes.
Coordinate communication of preventable untoward outcomes to designated corporate individuals according to protocol.
Collaborate with physician leadership in the peer review process.
Conduct risk assessments with clinical and administrative teams.
Promote patient safety and error prevention through evidence-based practices.
Investigate occurrences to identify Potential Compensable Events and work with Claims Management to assess liability and causation.
Work with Claims Management to process Notices of Claim for timely submission to the Third Party Administrator.
Attend monthly Risk/Claims Management meetings at Endeavor Health hospital sites on a rotating basis.
Identify potential insurance claims and track, report, and coordinate their resolution with legal and insurance teams.
Develop and implement strategies and programs to reduce liability and financial risks.
Liaise with insurance providers and legal counsel as needed.
Assist the Compliance team with mitigating compliance issues as necessary.
Analyze risk management, incident, and claims data to identify trends and improvement opportunities, and use data to inform risk reduction strategies.
Provide training and education to clinical, non-clinical, and administrative staff on risk management, patient safety, and legal considerations.
Foster a culture of risk awareness and safety.
Work with and consult emergency preparedness leaders; develop and maintain response plans to support hospital readiness for unforeseen events.
Participate in a rotating 24/7 on-call schedule.
Travel to Endeavor Health hospitals as needed.