RN Clinical Risk Specialist Senior

Corewell Health Corporate; Taylor (MI); Hybrid; USD 95,000 - 140,000; Full time

Benefits offered by this job

On-demand pay

Discounts directory

Identity theft protection

Retirement plan with match

Job summary

Corewell Health is seeking an RN Clinical Risk Specialist Senior in a hybrid role at Taylor Hospital. You will lead risk reduction initiatives, ensure compliance with care standards, and collaborate with Patient Relations and Patient Experience teams to improve safety and quality of care.

You will investigate incidents, manage liability claims, and develop strategies to minimize risk and enhance patient outcomes. Strong nursing leadership and risk management experience are essential.

Qualifications

• Bachelor's Degree or equivalent in Nursing or related field.
• LIC-Registered Nurse (RN) - State of Michigan.
• 5 years of relevant experience in acute care clinical nursing.
• CPRHM certification (AHA-CC) within 2 years after hire.

Responsibilities

• 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.
• Reviews and provides recommendations regarding the development of hospital, departmental, and unit specific policies and processes related to liability and risk.
• Notifies the claims manager and risk administration; ensures the liability insurance carrier is aware of all actual and potential claims.
• Provides proactive analysis of patient safety and medical error processes and ensures follow-up and risk treatment.
• Participates in root cause and sentinel event analysis and investigation; reports adverse events to appropriate parties.

Skills

RN license MI

acute care nursing

CPHRM certification

Bachelor's degree

Education

Bachelor's degree in Nursing

Master's degree (preferred)

Job description

This is a hybrid position that requires 2 or more days per week onsite.

Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the future of healthcare quality and safety.

In this rewarding position, you will be at the forefront of minimizing clinical risk, ensuring compliance with healthcare standards, and enhancing patient care outcomes. Your expertise will drive proactive risk reduction strategies, collaborative initiatives with Patient Relations and Patient Experience teams, and innovative approaches to improve safety and quality.

If you are a dedicated RN with a passion for clinical excellence and a commitment to making a difference, this is your opportunity to lead impactful change!

Job Summary

Develops, 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
• LIC-Registered Nurse (RN) - State of Michigan
• 5 years of relevant experience in acute care clinical nursing
• CRT-Professional Health Risk Mgt, Certified (CPHRM) - AHA-CC American Hospital Association Certification Center within 2 years after hire

Preferred:

• Master's Degree in health care related field such as nursing, or a business related field, from an approved institution
• Experience in the 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.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

Eligibility for benefits is determined by employment type and status

Location & Schedule

Primary Location SITE - Taylor Hospital - 10000 Telegraph Rd - Taylor

Department Name QSE Clinical Risk Management - Corporate

Employment Type Full time

Shift Day (United States of America)

Weekly Scheduled Hours 40

Hours of Work 8 a.m. - 5 p.m.

Days Worked Monday to Friday

Weekend Frequency On-call weekends

Equal Opportunity

Corewell 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, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

Our Commitment

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.