Clinical Manager Risk Management/quality

Endeavor Health

Cook County, IllinoisFull-timeMid LevelOn-site

Job Description

Hourly Pay Range: $42.54 - $65.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Clinical Risk Manager Location: Swedish Hospital, Chicago Full Time: 40 hours Hours: Monday-Friday, Monday-Friday, 8:00a-5:00p Travel: To other Endeavor locations as needed The Clinical Risk Manager is responsible for the review, investigation and prioritization of reported clinical and organizational events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential/actual professional and general liability claims. Collaborates with Performance Improvement team and Operational Leaders to identify key quality and patient safety trends. Actively engages leaders in evidence-based practice for cause analysis and high reliability strategies to prevent and mitigate patient safety events. What you will do: Patient Safety/Risk Management Review electronically reported events for inpatient units and procedural areas Identify and assess potential risks and liabilities of reported events Work with interdisciplinary teams to identify and implement risk mitigation strategies, leaders in associated departments/units to assure swift resolution, identification of key learning elements/strategies and assuring timely action/communication is planned and initiated Provide patient safety/risk management support for assigned areas including noted trends and education Collaborate with identify key quality and patient safety issues that require broader system review and intervention Analyze experiential data and report trends to leadership Serve as an advisor to physicians and Administration on issues related to disclosure, documentation, and management of untoward outcomes Manage in collaboration with physician leadership as part of the peer review process Collaborating with clinical and administrative teams to conduct risk assessments. Claims Investigate occurrences to identify Potential Compensable Events (PCEs) and work with Claims Management team to discuss and determine liability and causation Work with the Claims Management team to process Notices of Claim (NOCs) for submission to Third Party Administrator (TPA) in a timely manner Attend monthly Risk/Claims Management meetings to discuss assigned PCEs and NOCs. Meetings are held at Endeavor Health hospital sites on a rotating basis Identify potential insurance claims, including tracking, reporting, and coordinating resolution with the Legal and Insurance attorneys/team. Develop and implement risk mitigation strategies and programs to reduce the hospital's exposure to liability and financial risks. Liaising with insurance providers and legal counsel as needed. Address and assist the Compliance team with the mitigation of mitigating compliance issues as necessary. Analyzing data related to risk management, incidents, and claims to identify trends and areas for improvement. Using data to inform risk reduction strategies. Providing training and education to clinical, non-clinical, and administrative staff on risk management, patient safety, and legal considerations. Fostering a culture of risk awareness and safety. Developing and maintaining effective Work with and provide consultation to emergency preparedness leaders and responding plans to ensure the hospital's readiness for unforeseen events. ravel to Endeavor Health hospitals on an as needed basis. Bachelors Degree Health Administration Required Or ~ Bachelors Degree Nursing Required ~2 Years Patient safety/risk management experience as a specialty or associated with Clinical Leadership responsibilities And ~ Experience with Epic and RL Solutions preferred ~ Be flexible and adaptable to changing situations and priorities. ~ Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Preferred Benefits (for full and part time positions): Various Medical, Dental, and Vision options Tuition Reimbursement Health Savings Account Options Retirement Options with Company Match Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website () to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Diversity, equity and inclusion is at the core of who we are; We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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