RN Risk Management Analyst Featured Job

Valleywise Health•Phoenix, AZ

About The Position

Under the general direction of the Risk Management Operations Manager, the RN 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; creating, managing, and analyzing risk management data; conducting risk management education programs; and complying with standards set by accrediting bodies and regulatory agencies. The role aims to enhance patient safety, promote quality care, minimize loss, and protect the organization's 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.
  • Ability to handle difficult situations and 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 handle multiple complex tasks with flexibility and strong time-management skills.
  • Ability to work as a team player and team builder, and to represent the department with a professional appearance and demeanor.
  • Demonstrated knowledge of patient safety standards, tools, and patient safety enhancement techniques.
  • Strong 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.

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.
  • A BLS card obtained through an approved American Heart Association training center; required within three months.
  • Demonstrated knowledge of clinical quality improvement theory, practice, and tools.

Responsibilities

  • Demonstrate general knowledge of the health system's insurance programs.
  • Manage claims against the facility or individuals and interface with defense counsel.
  • Administer the risk management program on a day-to-day basis.
  • Create, manage, and analyze risk management data, including compiling and maintaining complex data and producing timely reports and updates.
  • Conduct risk management educational programs.
  • Comply with risk management standards established by accrediting bodies and regulatory agencies.
  • Conduct proactive risk reduction activities to enhance patient safety, promote quality care, and minimize loss.
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