Risk Management Analyst

Valleywise Health System • Phoenix, AZ

12h

About The Position

Under the general direction of the Risk Management Operations Manager, the Risk Management Analyst is responsible for the health system’s risk management activities. These activities include demonstrating general knowledge of the health system’s insurance programs; managing claims against the facility or individuals; interfacing with defense counsel; administering the risk management program day to day; and creating, managing, and analyzing risk management data. The role also conducts risk management educational programs and ensures compliance with risk management standards established by accrediting bodies and regulatory agencies. Its objectives are to enhance patient safety, promote quality care, minimize loss, and protect organizational assets.

Requirements

• Bachelor’s degree in Nursing or a related field.
• Five years of clinical nursing or risk/claims management-related experience demonstrating the required knowledge, skills, and abilities.
• Current, valid Arizona RN license, temporary Arizona RN license, or valid compact RN licensure for the current state of practice, in good standing with the issuing Board of Nursing.
• BLS certification.
• Knowledge of the health system’s insurance programs.
• Ability to handle difficult situations involving angry or grieving patients, families, physicians, and employees.
• Ability to perform duties independently and accurately, compile and maintain complex data, and produce timely reports and updates.
• Ability to manage multiple complex tasks with flexibility and exceptional time-management skills.
• Ability to represent the department with a professional appearance and demeanor.
• Demonstrated knowledge of patient safety standards, tools, and patient safety enhancement techniques.
• Outstanding interpersonal communication skills and ability to communicate effectively verbally and in writing.
• Excellent listening and problem-solving skills.
• Ability to read, write, and speak effectively in English.
• Ability to work independently and contribute as a team player and team builder.

Nice To Haves

• Recent acute care experience.
• Experience with audits, chart reviews, clinical management, risk management investigations, safety, customer service, and report writing.
• Knowledge of current principles of risk management, patient safety, and/or customer service.
• BLS card obtained through an approved American Heart Association (AHA) training center; required within three months.
• Demonstrated knowledge of clinical quality improvement theory, practice, and tools.

Responsibilities

• Manage claims against the facility or individuals.
• Interface with defense counsel.
• Administer the risk management program on a day-to-day basis.
• Create, manage, and analyze risk management data.
• Conduct risk management educational programs.
• Comply with risk management standards established by accrediting bodies and regulatory agencies.
• Support patient safety, quality care, loss minimization, and protection of organizational assets.
• Conduct a proactive risk reduction process.

What This Job Offers

• Job Type: Full-time