Clinical Risk Manager

4 Locationsmid

OtherClinical

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Overview

Hourly Pay Range:$43.38 - $67.24 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Technical Tools

OtherClinical

$43.38 - $67.24 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

~1 min read

→Bachelors Degree Health Administration Required Or
→Bachelors Degree Nursing Required
→5+ Years Clinical experience And
→2 Years Patient safety/risk management experience as a specialty or associated with Clinical Leadership responsibilities And
→Experience with Epic and RL Solutions preferred
→Strong communication skills - written and verbal.
→Ability to interact with all levels of the organization confidently and professionally.
→Ability to partner with a wide range of team members, physicians and clinicians.
→Conflict resolution and mediation skills.
→Be flexible and adaptable to changing situations and priorities.
→Ability to develop and present educational programs.
→Strong investigative and analytical skills. Multi-tasking capacity.
→Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Preferred

Review electronically reported events for inpatient units and procedural areas
Identify and assess potential risks and liabilities of reported events
Work with interdisciplinary teams to identify and implement risk mitigation strategies, leaders in associated departments/units to assure swift resolution, identification of key learning elements/strategies and assuring timely action/communication is planned and initiated
Assure involved department(s) event follow-up is timely and appropriate
Provide patient safety/risk management support for assigned areas including noted trends and education
Collaborate with identify key quality and patient safety issues that require broader system review and intervention
Partner with organizational leaders and frontline staff to improve safety culture and processes
Educate all levels on the importance of early notification of patient safety events
Analyze experiential data and report trends to leadership
Serve as an advisor to physicians and Administration on issues related to disclosure, documentation, and management of untoward outcomes
Coordinate communication of preventable untoward outcomes to key corporate individuals as per protocol
Manage in collaboration with physician leadership as part of the peer review process
Collaborating with clinical and administrative teams to conduct risk assessments.
Promoting patient safety and error prevention through evidence-based practices.

Investigate occurrences to identify Potential Compensable Events (PCEs) and work with Claims Management team to discuss and determine liability and causation
Work with the Claims Management team to process Notices of Claim (NOCs) for submission to Third Party Administrator (TPA) in a timely manner
Attend monthly Risk/Claims Management meetings to discuss assigned PCEs and NOCs. Meetings are held at Endeavor Health hospital sites on a rotating basis
Identify potential insurance claims, including tracking, reporting, and coordinating resolution with the Legal and Insurance attorneys/team
Develop and implement risk mitigation strategies and programs to reduce the hospital's exposure to liability and financial risks.
Liaising with insurance providers and legal counsel as needed

Address and assist the Compliance team with the mitigation of mitigating compliance issues as necessary.
Analyzing data related to risk management, incidents, and claims to identify trends and areas for improvement.
Using data to inform risk reduction strategies.
Providing training and education to clinical, non-clinical, and administrative staff on risk management, patient safety, and legal considerations
Fostering a culture of risk awareness and safety
Developing and maintaining effective Work with and provide consultation to emergency preparedness leaders and responding plans to ensure the hospital's readiness for unforeseen events
Takes call 24/7 on a rotating basis.
Travel to Endeavor Health hospitals on an as needed basis