Healthcare Risk & Compliance Specialist

West-Florida-Medical-Center-Clinic-P; Pensacola (FL); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

West Florida Medical Center Clinic is seeking a Risk Management Specialist to assess and respond to risk factors identified in patient/visitor incidents and clinical events. The role involves investigations, incident tracking, and reporting findings to leadership for corrective action.

The position requires strong communication, confidentiality, and collaboration with departments. Prior healthcare risk management experience and Florida licensure or certification are preferred.

Competenze

• Minimum education is high school diploma or GED.
• Associates degree preferred.
• Maintains Florida license or a certification in healthcare field.
• Previous healthcare risk management experience preferred.
• Five years of experience in customer service and/or patient relations in a healthcare setting.

Mansioni

• Track and file incidents, complaints and grievance information in reporting tracking systems, and utilize data to create Risk Management reports for committees and Board.
• Identify areas for improvement based on review of reports received.
• Respond to patient complaints and grievances received by the Risk Management Department.
• Coordinate Termination of Care activities, including research, letters, inquiries, and documentation.
• Prepare written responses to grievances in compliance with regulatory requirements, including research and consultation with Medical Director/SVP Administration.
• Coordinate with billing to address necessary billing adjustments.
• Ensure living wills and related documents are uploaded timely into EMR.
• Complete provider onboarding for new physicians and mid-level providers.
• Routinely assess Risk Management policies and processes; make recommendations regarding changes/updates.
• Develop and train risk topics and regulatory requirements for staff.
• Provide general Risk Management training to new staff as part of New Employee Orientation.
• Coordinate conferences and meetings with agenda, minutes, and information packets.
• Assist in risk claims administration: report incidents to carriers, coordinate communications with claimants/attorneys/insurers, conduct investigations, maintain claims files.

Conoscenze

Diplomacy

Customer service

Interpersonal skills

Communication skills

Integrity

Team player

Attention to detail

MS Office

Formazione

High school diploma or GED

Associates degree preferred

Florida license or healthcare certification

Strumenti

MS Office Suite

Descrizione del lavoro

West Florida Medical Center Clinic is seeking a Risk Management Specialist to assess and respond to risk factors identified in patient/visitor incidents and clinical events. The role involves investigations, incident tracking, and reporting findings to leadership for corrective action.

The position requires strong communication, confidentiality, and collaboration with departments. Prior healthcare risk management experience and Florida licensure or certification are preferred.