Manager Clinical Risk Mgmt

Corewell Health

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profile Job Location:

Grand Rapids, MI - USA

profile Monthly Salary: Not Disclosed
Posted on: 18 hours ago
Vacancies: 1 Vacancy

Job Summary

Job Summary - Manager Clinical Risk Mgmt

Leads a team of Clinical Risk professionals overseeing implementation of the Clinical Risk Management program and annual Clinical Risk Workplan. Responsible for ensuring regulatory compliance with all applicable laws regulations and policies. Supervises the Clinical Risk Specialists Risk Analysts and other team members as assigned. Oversees the departments day to day clinical risk operations to ensure: investigation and resolution of incidents identification of strategies to minimize risks improvement in the quality and safety of patient care loss control management of claims monitoring of risk trends implementation of strategies to ensure proactive risk reduction measures. Partners with other Managers across QSE to ensure collaboration and success. Responsible for daily operations of team related to staffing and budgetary effectiveness. Role requires regular in person leadership presence in assigned Corewell Health delivery system locations.

Essential Functions - Manager Clinical Risk Mgmt

  • Manages the activities of Clinical Risk Specialists Risk Analysts and other team members as assigned. Acts as a liaison between the organization and the Risk Management Claims Legal departments to facilitate adherence to standards policies rules and regulations. Implements the Risk Management Program including assessment and evaluation of risk management strategies. Serves as a resource and special projects coordinator for the Director Clinical Risk Management and other leadership staff as directed. Ensures availability of all reports and records for area of responsibility.
  • Serves as a consultant to the organization regarding clinical risk management issues. Provides guidance recommendations and resources on issues relating to standards laws rules and regulations applicable to health care and treatment. Provides risk and liability consultation to management staff and physicians for patient safety and loss control in clinical events sentinel events and risk issues. May be asked to perform investigations at the direction of legal counsel and works with legal counsel to provide guidance recommendations and other assistance as such cases the team member will report directly to legal counsel as opposed to the team members up-line leadership and such work with legal counsel shall be confidential and protected from disclosure by the attorney client privilege and work protect protection.
  • Responsible for interviewing hiring retaining employees and members of the team monitoring performance. Develops team members builds teams and identifies and leverages talent across regions to foster high performing teams. Initiating when appropriate and following through with disciplinary action and termination in consultation with Human Resources for service. Develops a team culture that encourages staff to speak up when they have concerns.
  • Works with Director Clinical Risk Management and financial analyst to maintain department budget at appropriate level. Ensures team compliance with internal policies related to budget/expense.
  • Manages the work priorities of the department to ensure organization and department targets are achieved. Delegates the general work assignment areas for all employees and assigns special projects individually. Mentors coaches and develops employees while being a role model and resource to them. Makes data-informed decisions.
  • Partners with Director Clinical Risk Management to implement strategies and tactics aligned with organization and department priorities. Takes action monitors performance and provides regular reports on effectiveness to leadership.
  • Creates and presents reports to or for the Director Clinical Risk Management and to or for other regional/system leadership teams upon request. Under direction of the Director Clinical Risk Management this role develops risk management education plans for required team members to enhance awareness and based on analysis of claims management reporting history patient safety events sentinel events and other risk management topics.
  • Role requires frequent on-site physical presence in and regular travel to multiple locations across the assigned Corewell Health care delivery service area. Provides on-call consultations and intervention services for risk management issues and has ability to occasionally flex hours as needed.

Qualifications - Manager Clinical Risk Mgmt

  • Required Bachelors Degree Nursing
  • Preferred Masters Degree health care-related field such as nursing or a business related field and 5 years recent relevant risk management experience.
  • 5 years of relevant experience clinical nursing experience or relevant healthcare experience Required
  • 5 years of relevant experience Experience in legal field such as health care claims health care contract development/negotiation healthcare insurance programs and claims health care risk management programs patient safety patient quality improvement programs or nursing administration and management positions. Required
  • 3 years of relevant experience Leading others (supervisory role) Required
  • LIC-Registered Nurse (RN) - STATEMI State of Michigan required for anyone hired after 9.1.24 preferred
  • CRT-Professional Health Risk Mgt Certified (CPHRM) - AHA-CC American Hospital Association Certification Center Either CPHRM or CPPS Cert required. 2 Yrs required Or
  • CRT-At least one Certification from preferred list - UNKNOWN Unknown IHI Open School preferred

    Physical Demands - Manager Clinical Risk Mgmt

    • Pallet to Waist (6 from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Driving: Seldom
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently

    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

    Primary Location

    SITE - Musculoskeletal Center - 230 Michigan St - Grand Rapids

    Department Name

    QSE - Clinical Risk Management

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8:00 a.m. to 5:00 p.m.

    Days Worked

    Monday to Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

    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.

    You may request assistance in completing the application process by calling 616.486.7447.


    Required Experience:

    Manager

    Job Summary - Manager Clinical Risk MgmtLeads a team of Clinical Risk professionals overseeing implementation of the Clinical Risk Management program and annual Clinical Risk Workplan. Responsible for ensuring regulatory compliance with all applicable laws regulations and policies. Supervises the Cl...
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    Key Skills

    • Arm
    • Risk Management
    • Financial Services
    • Cybersecurity
    • COSO
    • PCI
    • Root cause Analysis
    • COBIT
    • NIST Standards
    • SOX
    • Information Security
    • RMF

    About Company

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    Corewell Health is committed to granting equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status

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