Clinical Risk Manager

nshs; Evanston (IL); On-site; USD 88,000 - 137,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Job summary

Endeavor Health in Evanston, IL is seeking a Clinical Risk Manager to lead review, investigation and prioritization of reported clinical events with the aim of reducing patient safety incidents. The role works closely with Claims Management and Performance Improvement teams to implement evidence-based risk mitigation and learning across departments.

Qualified candidates will have RN or Health Administration degrees, 5+ years of clinical experience, and 2+ years in patient safety/risk management

Qualifications

• Experience in clinical risk management and patient safety.
• Strong communication and analytical abilities.
• RN or health administration background with leadership exposure.

Responsibilities

• Review and investigate events to identify risks and liabilities.
• Partner with leaders to implement risk mitigation and educate staff.
• Coordinate with claims management and legal teams on cases.
• Analyze data to identify trends and support safety initiatives.

Skills

Communication skills

Interpersonal collaboration

Analytical thinking

Conflict resolution

Education

Bachelor's Degree Health Administration

RN (Nursing)

Job description

Hourly Pay Range:

$42.54 - $65.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

• Position: Clinical Risk Manager
• Location: Evanston, IL
• Full Time:40 hours/week
• Hours: Monday-Friday,8:00a-5:00p with on call rotation every 6 weeks
• Required Travel: To Endeavor locations: Skokie-Glenview-Highland Park

A Brief Overview:

The Clinical Risk Manager is responsible for the review, investigation and prioritization of reported clinical and organizational events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential/actual professional and general liability claims. Collaborates with Performance Improvement team and Operational Leaders to identify key quality and patient safety trends. Actively engages leaders in evidence-based practice for cause analysis and high reliability strategies to prevent and mitigate patient safety events.

What you will do:

Patient Safety/Risk Management

• 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.

Patient Safety/Risk Management

• 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

Other

• 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

What you will need:

• 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

Benefits for full and part time positions):

• Premium pay for eligible employees