RN Clinical Risk Specialist Senior

Corewell Health • Taylor, MI

12d • Hybrid

About The Position

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

The position collaborates with hospital departments, management, Patient Relations, Patient Experience, and other stakeholders to address risk and patient safety issues. It analyzes safety and medical error processes, participates in root cause and sentinel event investigations, supports claims and regulatory matters, and provides education and consultation on risk management. This is a hybrid position requiring at least two onsite days per week, based at Taylor Hospital. The stated schedule is 8 a.m. to 5 p.m., Monday through Friday, with 40 scheduled hours weekly and 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) credential 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 a business-related field, from an approved institution.
• Experience in the legal field, such as health care claims and health care risk management programs, patient safety, patient quality improvement programs, or nursing administration and management positions.

Responsibilities

• Review and recommend changes to hospital, departmental, and unit-specific policies and processes concerning organizational liability and risk.
• Develop and implement the Risk Management Program, including assessing and evaluating 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, 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 informed of actual and potential claims.
• Identify and investigate risk management issues and serve as liaison during on-site regulatory investigations.
• Coordinate between hospital departments and the Risk Management Department to support adherence to applicable 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 and reducing liability exposure.
• 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 care issues.
• Provide on-call risk management consultation and intervention services onsite, and occasionally flex hours as needed.

Benefits

• Comprehensive benefits package to support 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