Risk Management Specialist - Full-Time - Provo

Revere Health•Provo, UT

1d•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.
Analytical Thinking: Ability to review a situation and identify the "root cause" of a mistake or hazard.
Communication: Exceptional verbal and written skills; ability to speak professionally with both frustrated patients and executive leadership.
Discretion: Absolute commitment to maintaining confidentiality regarding sensitive patient and employee information.
Organization: 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.