Clinical Risk Specialist Senior

Job Summary

Develops administers and provides recommendations to minimize risk and enhance and improve the organizations 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.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.

• 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 pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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