Clinical Risk Manager

Greetings

I hope this email finds you well. My name is Pradeep Singh from SDK Software Inc/ Siri InfoSolutions Inc. I came across your profile in our internal database/job boards and based on your experience I believe you could be an excellent fit for the following position with one of our clients. If you are interested and looking for a new job please reply with your updated resume. Id be glad to schedule a quick call to discuss further.

Title: Clinical Risk Manager

Location: Denver CO (Onsite possible hybrid)

Duration: 2 months contract (possible of extension)

Shift: Day 5x8-Hour (08:00 - 17:00)

Job Summary

Under minimal supervision the RN Clinical Risk Manager is responsible for the clinical review and analysis of significant occurrences as related to risk management quality and patient safety. This Risk Manager will be an integral part of the organizations Controlled Substance Diversion program.

Essential Functions:

• Review notice of claims summons and complaints and perform a detailed claim investigation. Facilitate a thorough quality review of claims with either internal and/or external reviewers and present these findings to the Risk Management Committee for Defense recommendations. (10%)
• Confer and work directly with claimants attorneys physicians employees and consultants involved in the claim. (10%)
• Act as a resource and liaison for individuals named in a notice of claim or summons and complaint. (5%)
• In collaboration with the Risk Management Director determine whether the occurrence meets the elements for a state reportable event to Colorado Department of Public Health and Environment (CDPHE). (5%)
• Facilitate a thorough investigation of the occurrence via interviews chart audits video and supporting documentation and timely submit final findings to CDPHE along with proposed action items if applicable. (10%)
• In conjunction with the Director determine if significant occurrences meet the Joint Commission criteria for a sentinel event or near collaboration with the Patient Safety and Quality RN thoroughly investigate the occurrence via interviews chart audits video and supporting documentation. Prepare and present the Root Cause Analysis (RCA) and proposed risk reduction strategies to the appropriate audience. May be called upon to participate in a disclosure meeting with the affected individual(s). (10%)
• Assist with monthly Controlled Substance usage reviews and audits: (5%)
• Review the monthly RxAuditor report and identify high users throughout the organization. Prepare monthly audit reports for managers or designated person to complete. (5%)
• Prepare monthly reports of audit results and findings trend data. (10%)
• Assist with investigations and collaborate with leadership when suspected controlled substance diversion has occurred. Attend Diversion ad hoc meeting(s) and assist in reporting to law enforcement. (5%)
• Participate in Controlled Substance Diversion committee to include report preparation for meeting and assist where needed. (5%)
• Develop and expand current Controlled Substance Diversion program in collaboration with pharmacy. (5%)
• Act as a backup for the subpoena process and the Self-insured Workers Compensation program. (5%)
• Assist with CDPHE Joint Commission and CMS surveys. (5%)
• Collaborate with Law Enforcement and Security when it appears a crime has been committed. (5%)

Education:

• Bachelors Degree Bachelors of Science in Nursing Required and
• Completion of an Accredited Nursing Education Program that satisfies the licensing requirements of the Colorado State Board of Nursing for registered nurses required. Required

Work Experience:

• 1-3 years Three to five years of professional nursing experience in an acute care setting

Required Licenses:

• RN-Registered Nurse - DORA - Department of Regulatory Agencies Required

Knowledge Skills and Abilities:

• Direct independent investigations of risk management matters report results to stakeholders and assist in development of any necessary corrective action plan.
• Maintain a current working knowledge of federal and state laws and regulations concerning health care risk management.
• Demonstrate good judgment strong analytical skills and excellent interpersonal and writing skills. Candidate must be highly self-motivated with the ability to function independently and as part of a team in a fast-paced environment with minimal supervision and direction.

Vaccinations process:

1. Need immunization records for MMR and varicella Mumps Measles & Rubella and Varicella) should be positive if you have negative results in any of these then you have to take 2 MMR vaccinations with a gap of 28 days since you cannot take 2MMR vaccinations at a time.
2. For TB test you have other available options- TSPOT or QF TB Gold or 2 step PPDs for 2 step PPDs you need visit clinic twice and to get these results it may take more than 1 week and should provide latest documents 2019 valid within 3 months )
3. Annual Physical.
4. COVID Vaccinated

Thank you

US Citizen/Green Card candidates are encouraged to Apply

Regards

Pradeep Singh

Senior Recruiter Healthcare & IT

SDK Software Inc (Siri InfoSolutions Group)

(D)

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