Sr. Clinical Risk Manager, Flexible Virtual

Spectrum Health   Zeeland, MI   Full-time
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Job Description

Job SummaryDevelops, administers, and provides recommendations to minimize risk and enhance and improve the organization's compliance with standards, laws, rules, and regulations applicable to the provision of health care, treatment and associated support services. Responsible for clinical risk management including investigation and resolution of incidents and identification of strategies to minimize risks, improve the quality and safety of patient care for designated clinical areas within the organization. Monitors trends in clinical risk and develop and implement strategies to ensure proactive risk reduction measures. Assess the litigation potential of patient related injuries and manage the resolution of pre-notice claims.

Essential Functions

  • Reviews and provides recommendations regarding the development of hospital, departmental, and unit specific policies and processes as they relate to liability and risk to the organization.
  • Develops and implements the Risk Management Program, including assessment and evaluation of risk management strategies.
  • Manages patient incidents and administers professional liability claims in collaboration with management. Participates in evaluations of claims for settlement; negotiates settlement of small claims within administrative authority; advises collection department of appropriate action for unpaid accounts involving claims and litigation. Notifies the claims manager and risk administration; and assures the liability insurance carrier is aware of all actual and potential claims.
  • Identifies and investigates risk management issues and serves as liaison with on site regulatory investigations. Acts as a liaison between hospital departments and the Risk Management Department to facilitate adherence to standards, policies, rules and regulations.
  • Provides proactive analysis of patient safety and medical error processes and ensures that follow-up and risk treatment is identified and acted upon. Participates in root cause and sentinel event analysis and investigation, and in collaboration with management, ensures reporting of adverse events to appropriate parties.
  • Provides educational programs and in-service training to hospital personnel and others to enhance their awareness of risk management issues and their role in reducing liability exposure. Participates in orientation and precepting of risk management and other hospital staff in nursing leadership and other mentoring programs.
  • Collects, analyzes, and reports data relative to risk management issues and assists with the implementation of strategies to improve outcomes.
  • Serves as a consultant to the organization regarding risk management issues. Provides guidance, recommendations, and resources on issues relating to standards, laws, rules, and regulations applicable to health care and treatment. Acts as a resource to various committees and task forces to provide risk management perspectives on clinical issues related to the provision of health care. Provides on-call consultations and intervention services for risk management issues on site and has ability to occasionally flex hours as needed.

Qualifications
  • Required Bachelor's Degree or equivalent in Nursing or related field
  • Preferred Master's Degree in health care related field such as nursing, or a business related field, from an approved institution
  • 5 years acute care clinical nursing, Required
  • 5 years experience in legal field such as with health care claims and health care risk management programs, patient safety, patient quality improvement programs, or nursing administration and management positions, Required
  • Experience with health care risk management programs Preferred

    Primary Location

    SITE - SH Zeeland Community Hospital - 8333 Felch - Zeeland

    Department Name

    Organizational Risk Management

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8:00 A.M. - 4:30 P.M.

    Days Worked

    Monday - Friday

    Weekend Frequency

    On-call weekends

    Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

    Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

    Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

    category. See more here.

    This job is no longer available.

    Spectrum Health

    Zeeland, MI