Clinical Risk Management Specialist

Job Summary:

Plans, organizes, and administers risk management activities under the direction of the Director of Risk Management. This includes, but not limited to, procurement of insurance coverage and risk financing, analyzing and managing claims made against the health system, interfacing with legal counsel, managing and analyzing risk management data, conducting risk assessments on clinical practice and care design processes, providing risk management educational programs, and participates in the risk management program with the goal of minimizing the adverse effects on patients, and/or losses to the organization and enhancing quality of care. Utilizes knowledge of clinical settings, scope of practice limitations, best practices and the legal system to provide clinical consultative services on risk prevention and mitigation strategies.

Job Responsibilities:

•  Assists with the design and implementation of policies and procedures related to loss prevention, patient safety, risk mitigation, patient rights and/or hospital responsibilities incorporating clinical best practice or other professional guidelines as applicable to the appropriate care setting.

• Assists leadership with legal counsel and/or firms to include conducting interviews, arranging for depositions, answering interrogatories, and document preparation.

• Works with leadership to coordinate the Safe Medical Devices Act program including securing equipment, reporting, investigations and record retention, and reporting to applicable department and/or regulatory body.

• Assists with duties for ICRA committee.

• Works with leadership on Patient Safety Evaluation System to ensure logs, policies, entry, and reporting into PSO meet the requirements of the Patient Safety Act of 2005.

• Assists leadership and patient relations specialists with patient and visitor complaints received to ensure they are recorded and responded to in a timely manner.

• Participates in various safety committees on behalf of Director of Risk Management.

• With the Director of Risk Management, oversees the system wide incident reporting system to ensure communication of events to appropriate departments and/or committees.

• Performs a clinical investigation of complaints and claims against the organization, and makes recommendations to the Director of Risk Management based on the review.

Skills and Attributes:

• Requires critical thinking skills and decisive judgment.

• Works under general supervision.

• Must be able to work in a stressful environment and take appropriate action.

• Applies more advanced skills and knowledge in the area of specialization.

Position Requirements:

Work Experience

• A minimum of 5 years' relevant experience required

Education

• Bachelor's degree or higher in Nursing required upon hire

Additional Education Information

• None

Licensure/Certification/Registration

• RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire

Organizational Responsibilities:

• Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests.  Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.

Additional Job Information:

• This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. 

• The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.

Standard ADA Settings:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: (Office Environment)

Standing: Occasionally

Walking: Occasionally

Sitting: Frequently

Lifting 0-25 lbs.: Rarely

Lifting 25-75 lbs.: Rarely

Lifting over 75 lbs.: Rarely

Carrying 0-25 lbs.: Rarely

Carrying 25-75 lbs.: Rarely

Carrying over 75 lbs.: Rarely

Pushing/Pulling 0-25 lbs.: Frequently

Pushing/Pulling 25-75 lbs.: Rarely

Pushing/Pulling over 75 lbs.: Rarely

Climbing: Rarely

Bending/Stooping: Rarely

Kneeling: Rarely

Crouching/Crawling: Rarely

Reaching: Occasionally

Talking: Frequently

Hearing: Frequently

Repetitive Foot/Leg Movements: Rarely

Repetitive Hand/Arm Movements: Frequently

Keyboard Data Entry: Frequently

Running: Rarely

Vision: Depth Perception: Frequently

Vision: Distinguish Color: Frequently

Vision: Seeing Far: Frequently

Vision: Seeing Near: Frequently

Hazardous Drug Risk Exposure: No risk

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.