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Job description
RN - Clinical Risk Manager - Full Time - Days
nDepartment: LEGAL AND COMPLIANCE
nJob Summary
nThe RN - Clinical Risk Manager (“CRM”) is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care. This position will administer MVHS’s risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, delivering targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers.
nCore Job Responsibilities
nnnCoordinates MVHS’s clinical risk management program to meet the system’s needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards.
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nnFollows a comprehensive enterprise risk management approach in risk identification, analysis, evaluation, mitigation and monitoring.
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nnReviews and analyzes occurrence reports related to risk management, quality of care, regulatory issues, and insurance concerns.
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nnParticipates in Root Cause Analysis investigations and coordinates with departments and clinical chairpersons for peer reviews.
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nnPrepares incident summary reports and provides all necessary documentation for investigations and resolutions. Submits reports to appropriate regulatory authorities as required.
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nnMonitors the risk management information system database for patient harm events or unanticipated outcomes and investigates accordingly.
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nnParticipates in the peer review process and ensures safety solutions are implemented.
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nnCollaborates with on-site investigators and participates in risk management assessments.
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nnServes as a resource person and presents risk management issues for discussion and evaluation.
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nnIdentifies organizational risks through trend analysis. Prepares and presents reports to be presented to leadership regarding findings. Advises on the risk of current or future activities conducted throughout the system.
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nnCollaborates with other areas including Quality/Performance Improvement to establish quality and safety goals; participates on quality of care and patient safety committees.
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nnReviews and/or drafts administrative policy and procedures that fall within the risk management domain.
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nnProvide guidance and advice regarding clinical risk management issues, policies, procedures and practices across MVHS system.
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nnDelivers educational programs to raise staff awareness of risk exposure and professional liability.
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nnResponds to inquiries regarding reports and professional liability matters in collaboration with legal department.
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nnKeeps current with regulatory requirements related to risk management.
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nnManages insurance claims in coordination with other members of the legal/compliance department
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nnMaintains strong relationships with brokers, underwriters, and third party consultants as required.
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nnWorks collaboratively with Compliance department to implement a comprehensive internal audit plan focused on high risk areas.
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nnCollaborate with leadership and cross functional teams to embed risk awareness into strategic planning.
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nnServes as a member on various system risk/patient safety/quality committees to offer input and provide consultation on risk identification and reduction strategies.
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nnPartners with legal counsel to provide clinical knowledge an assistance throughout the litigation process to achieve resolution of incidents, claims and litigation matters.
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nnIs available to field inquiries from our staff outside of normal business hours.
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nnPerforms related duties as directed.
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n nEducation/Experience Requirements
nREQUIRED:
nnnBachelor's degree in a related field.
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nnAt least 5 years of experience that may include a combination of risk management, clinical, quality and/or legal work.
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nnLeadership, critical thinking and analytical skills.
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nnOutstanding written, verbal, presentation and interpersonal communication skills.
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n nPREFERRED:
nnnMaster's degree in a related area.
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nnParalegal, claim management or equivalent legal/risk experience.
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n nLicensure/Certification Requirements
nREQUIRED:
nnCurrent NYS RN or allied health professional licensure.
n nPREFERRED:
nnCPHRM certification.
n nDisclaimer
nQualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
nSuccessful candidates might be required to undergo a background verification with an external vendor.
nJob Details
nReq Id 96387
nDepartment LEGAL AND COMPLIANCE
nShift Days
nShift Hours Worked 8.50
nFTE 1
nWork Schedule SALARIED GENERAL
nEmployee Status A1 - Full-Time
nUnion Non-Union
nPay Range $74k - $118k/Annually
n#GP01
Worksite address
new hartford, NY, 13413, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.