Senior Clinical Risk Management

Denver Health•Denver, CO

1d•$103,100 - $169,000

About The Position

The Senior Clinical Risk Manager supports Denver Health’s system-wide risk management program by identifying, investigating, and mitigating clinical and operational risks across care settings. The role leads investigations and reporting of significant health events, works with clinical and operational leaders to reduce harm, and ensures compliance with regulatory and insurance requirements. It develops risk-reduction strategies, policies, and educational programs, analyzes trends, and provides guidance on potentially compensable events and patient safety concerns. The role also works with senior leadership, participates in organizational committees, supports regulatory reporting, and provides rotating, recurring 24/7 on-call support for urgent risk, safety, and legal concerns. The position independently investigates significant occurrences for state-reportable and Joint Commission sentinel-event criteria, directs Root Cause Analysis processes, and collaborates on patient-safety initiatives. Under quality management privilege and at the direction of in-house counsel, it investigates potentially compensable events, evaluates standards of care and liability exposure, supports claim reporting and responses, and works with claimants, attorneys, experts, providers, insurers, and other stakeholders. It also contributes to system-wide risk-prevention committees, workplace-violence investigations, risk assessments, education, and the development and implementation of policies and procedures. The position requires a bachelor’s degree, 4–6 years of professional clinical experience, and 4–6 years of relevant healthcare risk management experience. A qualifying Colorado professional license is required, and the employee must obtain the Certified Professional in Healthcare Risk Management (CPHRM) credential within the first year of employment. The position is regular, with a salary range of $103,100–$169,000 per year. It includes rotating, recurring 24/7 on-call coverage, including after-hours and weekends.

Requirements

Bachelor’s degree.
4–6 years of professional clinical experience.
4–6 years of relevant healthcare risk management experience.
One of the following licenses: Registered Nurse, Licensed Pharmacist, Physical Therapist, Occupational Therapist, Respiratory Therapist, Physician, Nurse Practitioner, or Physician Assistant, as issued by the Colorado Department of Regulatory Agencies.
Obtain the Certified Professional in Healthcare Risk Management (CPHRM) credential within the first year of employment.
Knowledge of federal and state laws and regulations concerning healthcare risk management.
Ability to independently investigate legal and risk matters with empathy, sensitivity, objectivity, and effectiveness, and report findings and analysis to stakeholders, including senior leadership.
Ability to develop effective working relationships and positive interpersonal relationships with employees, physicians, patients, visitors, management, and organizational stakeholders.
Ability to educate and train others on risk management principles.
Good judgment, strong analytical and critical-thinking skills, and the ability to assess and evaluate risk and maintain effective risk-control processes.
Ability to work independently and as part of a team in a fast-paced environment with minimal to no supervision.
Complex problem-solving and decision-making skills.
Excellent written and verbal communication, facilitation, and presentation skills.
Strong organizational, prioritization, and project-management capabilities.
Support for Denver Health’s mission and values and ability to maintain confidentiality of patient information.

Responsibilities

Provide rotating, recurring 24/7 on-call support across Denver Health entities, including after-hours and weekends, for clinical, operational, and legal concerns.
Advise high-risk care units on time-sensitive matters involving patient disclosures, informed consent, custody and decision-making, patient care, patient safety, crisis management, risk mitigation, and liability exposure; collaborate with in-house attorneys and escalate matters when appropriate.
Independently investigate significant occurrences to determine whether they meet CDPHE state-reportable event or Joint Commission sentinel-event or near-miss criteria.
Direct sentinel-event Root Cause Analysis processes, including timely investigations, staff interviews, and meetings with clinical staff and senior leadership; submit required reports and action items and collaborate on risk-reduction initiatives.
Conduct early investigations of potentially compensable events under quality management privilege and at the direction of in-house legal counsel; evaluate standards of care and liability exposure, facilitate insurance-carrier reporting, review care, prepare timelines and case documentation, and produce communications and reports.
Work with the Deputy General Counsel and Claims Manager on CGIA notices of claim, patient concerns, and summons and complaints; confer with claimants, attorneys, experts, providers, insurers, and other stakeholders; participate in early resolution, mediations, settlements, or trial; and ensure reporting compliance.
Lead or partner on system-wide committees and initiatives to strengthen risk prevention and patient safety, including patient-grievance review, controlled-substance and drug-diversion work, and representation on designated committees.
Investigate workplace-violence issues, assess related reporting obligations, and respond to confidential ethical and legal issues reported through Risk Management or Compliance.
Conduct risk assessments, analyze high-harm events and claims trends, and propose strategies to reduce risk and economic impact and improve patient outcomes.
Design and deliver system-wide education and presentations on clinical risk management, documentation, patient disclosures, compliance, legal interactions, risk mitigation, and patient safety.
Develop, draft, edit, and review policies and procedures, and participate in their implementation and related education.

Benefits

Paid time off starting at 28 days per year, including vacation, personal/sick time, and seven holidays.
Fully paid parental leave for up to six weeks.
Retirement plans with employer contributions up to 9.5%.
Medical, dental, and vision plans.
Employer-paid disability and life insurance.
Well-being programs, including an on-site employee fitness center and RESTORE Center.
Free RTD EcoPass for public transportation.
Childcare discount programs and discounts and perks on brands and travel.
Tuition reimbursement and assistance.
Education, coaching, and professional development opportunities through the Workforce Development Center.
Professional clinical advancement program and shared governance.
Public Service Loan Forgiveness eligibility, free student-loan coaching, and assistance navigating the program.
Eligibility for National Health Service Corps and Colorado Health Service Corps programs.