RN Clinical Risk Specialist Senior

Corewell Health • Taylor, MI

10d • Hybrid

About The Position

The RN Clinical Risk Specialist Senior develops, administers, and recommends approaches to minimize risk and improve the organization’s compliance with standards, laws, rules, and regulations related to health care, treatment, and support services. The role manages clinical risk for designated areas by investigating and resolving incidents, identifying strategies to reduce risk, and improving patient care quality and safety. It monitors clinical risk trends and implements proactive risk-reduction measures, assesses litigation potential for patient-related injuries, and manages pre-notice claim resolution.

The position reviews policies and processes for liability and organizational risk; develops and evaluates the Risk Management Program; and manages patient incidents and professional liability claims in collaboration with management. It supports claim evaluation and settlement, regulatory investigations, patient safety analysis, root cause and sentinel event reviews, and adverse-event reporting. The specialist also provides education, consultation, data analysis, and risk-management guidance to hospital personnel, committees, and organizational departments. On-call consultation and intervention may be required, with occasional flexibility in hours.

This is a full-time hybrid position requiring at least two days per week onsite at Taylor Hospital. The schedule is 40 hours per week, Monday through Friday, 8 a.m. to 5 p.m., with on-call weekends.

Requirements

• Bachelor’s degree or equivalent in nursing or a related field.
• Registered Nurse (RN) license in the State of Michigan.
• Five years of relevant experience in acute-care clinical nursing.
• Certified Professional in Healthcare Risk Management (CPHRM) certification from the American Hospital Association Certification Center within two years after hire.

Nice To Haves

• Master’s degree in a health-care-related field, such as nursing, or in a business-related field, from an approved institution.
• Experience in the legal field, including health-care claims and health-care risk-management programs, patient safety, patient quality-improvement programs, or nursing administration and management.

Responsibilities

• Review and recommend hospital, departmental, and unit policies and processes related to liability and organizational risk.
• Develop and implement the Risk Management Program, including assessment and evaluation of risk-management strategies.
• Manage patient incidents and professional liability claims in collaboration with management.
• Participate in claim settlement evaluations, negotiate small claims within administrative authority, and advise the collection department on unpaid accounts involving claims and litigation.
• Notify the claims manager and risk administration, and ensure the liability insurance carrier is aware of actual and potential claims.
• Identify and investigate risk-management issues and serve as liaison during onsite regulatory investigations.
• Liaise between hospital departments and the Risk Management Department to support adherence to standards, policies, rules, and regulations.
• Analyze patient-safety and medical-error processes proactively and ensure follow-up and risk treatment are identified and acted upon.
• Participate in root-cause and sentinel-event analysis and investigation, and collaborate with management to ensure adverse events are reported to appropriate parties.
• Provide educational programs and in-service training to hospital personnel and others on risk-management issues and liability reduction.
• Participate in orientation and precepting for risk-management and other hospital staff, including nursing leadership and mentoring programs.
• Collect, analyze, and report risk-management data and assist with implementing strategies to improve outcomes.
• Consult with the organization on risk-management issues and provide guidance, recommendations, and resources concerning applicable health-care standards, laws, rules, and regulations.
• Serve as a resource to committees and task forces, providing risk-management perspectives on clinical issues related to health-care delivery.
• Provide on-call risk-management consultation and intervention onsite, and occasionally flex hours as needed.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on restaurants, phone plans, spas, and other offerings.
• Optional identity theft protection.
• Optional home and auto insurance.
• Traditional and Roth retirement options with service contribution and matching savings.

What This Job Offers

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