RN - Clinical Risk Manager - Full Time - Days

Core Job Responsibilities

• Captures MVHS’s clinical risk management program to align with system needs, mission, and strategic goals while adhering to regulations, laws, and accreditation standards.
• Utilizes a comprehensive enterprise risk management approach for risk identification, analysis, evaluation, mitigation, and monitoring.
• Reviews and analyzes occurrence reports related to risk management, quality of care, regulatory issues, and insurance concerns.
• Participates in Root Cause Analysis investigations and coordinates with departments and clinical chairpersons for peer reviews.
• Prepares incident summary reports and provides necessary documentation for investigations and resolutions. Submits reports to relevant regulatory authorities as required.
• Maintains the risk management information system database for patient harm events or unanticipated outcomes and investigates accordingly.
• Collaborates with on-site investigators and participates in risk management assessments.
• Serves as a resource person and presents risk management issues for discussion and evaluation.
• Identifies organizational risks through trend analysis and prepares reports to leadership regarding findings. Advises on the risk of current or future activities.
• Collaborates with Quality/Performance Improvement to establish quality and safety goals; participates on quality of care and patient safety committees.
• Reviews and/or drafts administrative policy and procedures that fall within the risk management domain.
• Provides guidance and advice regarding clinical risk management issues, policies, procedures, and practices across MVHS system.
• Delivers educational programs to raise staff awareness of risk exposure and professional liability.
• Responds to inquiries regarding reports and professional liability matters in collaboration with the legal department.
• Keeps current with regulatory requirements related to risk management.
• Manages insurance claims in coordination with other members of the legal/compliance department.
• Maintains strong relationships with brokers, underwriters, and third-party consultants as required.
• Works collaboratively with the Compliance department to implement a comprehensive internal audit plan focused on high-risk areas.
• Collaborates with leadership and cross-functional teams to embed risk awareness into strategic planning.
• Serves as a member on various system risk/patient safety/quality committees to offer input and provide consultation on risk identification and reduction strategies.
• Pairs with legal counsel to provide clinical knowledge and assistance throughout the litigation process to achieve resolution of incidents, claims, and litigation matters.
• Is available to field inquiries from staff outside of normal business hours.

Education/Experience Requirements

• Bachelor's degree in a related field.
• At least 5 years of experience that may include a combination of risk management, clinical, quality, and/or legal work.
• Leadership, critical thinking, and analytical skills.
• Outstanding written, verbal, presentation, and interpersonal communication skills.

PREFERRED

• Master's degree in a related area.
• Paralegal, claim management, or equivalent legal/risk experience.

Licenses/Certifications Required

• Current NYS RN or allied health professional licensure.

Licenses/Certifications Preferred

• CPHRM certification.