Risk Management Specialist - Full-Time - Provo

Revere Health • Provo, UT

3d • Onsite

About The Position

The Risk Management Specialist supports the organization’s safety, compliance, and liability reduction efforts across our ambulatory clinic network. This role serves as a primary coordinator for triaging patient concerns, supporting employee health and safety protocols, and conducting proactive risk assessments. The ideal candidate possesses a strong clinical or healthcare administrative background and the critical thinking skills necessary to identify and mitigate potential hazards before they escalate.

Requirements

• Current LPN license, Certified Medical Assistant (CMA/RMA), or a Bachelor’s degree in Healthcare Administration, Risk Management, or a related field.
• Minimum of 3–5 years in a clinical environment (ambulatory, outpatient, or urgent care) with exposure to patient safety, quality improvement, or office management.
• Familiarity with HIPAA, OSHA, and general healthcare compliance standards.
• Proficiency in Electronic Health Records (EHR) and data entry; ability to pull and analyze basic incident reports.
• Ability to review a situation and identify the "root cause" of a mistake or hazard.
• Exceptional verbal and written skills; ability to speak professionally with both frustrated patients and executive leadership.
• Absolute commitment to maintaining confidentiality regarding sensitive patient and employee information.
• Ability to manage multiple investigations and audits simultaneously across different clinic locations.

Nice To Haves

• Prior experience in patient advocacy or insurance claims.
• Familiarity with Root Cause Analysis (RCA) or Failure Mode and Effects Analysis (FMEA) methodologies.

Responsibilities

• Act as the first point of contact for receiving and triaging patient grievances, quality of care concerns, and clinical incident reports.
• Review medical records and interview involved staff to provide objective summaries of reported events.
• Collaborate with Clinic Managers and providers to facilitate early resolution of patient concerns, utilizing "Service Recovery" techniques to maintain patient trust.
• Assist in the preparation of files for the legal or insurance teams if a concern escalates.
• Support the administration of employee health protocols, including coordinating follow-up documentation for needle-stick injuries or bloodborne pathogen exposures.
• Facilitate and track employee compliance with mandatory health requirements, such as TB screenings and immunizations.
• Review and investigate reports of workplace injuries (slips, trips, falls) to identify environmental causes and support HR with workers' compensation documentation.
• Monitor clinic adherence to OSHA standards and the proper use of Personal Protective Equipment (PPE).
• Conduct regular "safety rounds" and environmental risk audits at various clinic sites to identify hazards (e.g., medication storage security, expired supplies, or HIPAA/privacy risks).
• Assist with internal audits of clinical workflows (e.g., patient identification process, high-risk procedure documentation) to ensure policy compliance.
• Track and trend incident data to identify patterns or high-risk departments that may require additional staff training or process changes.
• Assist in "near-miss" reviews to develop preventive strategies and improve overall clinic safety.

Benefits

• Value-based care aims to improve treatment outcomes and keep costs down.
• Internal culture promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level