What are the responsibilities and job description for the Clinical Risk Manager (RN) - Risk Management position at ECU Health?
ECU Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Clinical Risk Manager is responsible for the systems risk management activities, which include a working knowledge of the self-insurance and captive insurance programs, executing the risk management program on a daily basis, analyzing events for risks and liabilities, and providing ongoing assessment of risks to minimize loss to the organization. Utilize skills to complete complex investigations and identify regulatory and other loss exposures.
As a Clinical Risk Manager, You Will
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Clinical Risk Manager is responsible for the systems risk management activities, which include a working knowledge of the self-insurance and captive insurance programs, executing the risk management program on a daily basis, analyzing events for risks and liabilities, and providing ongoing assessment of risks to minimize loss to the organization. Utilize skills to complete complex investigations and identify regulatory and other loss exposures.
As a Clinical Risk Manager, You Will
- Support the delivery of 24-hour on-call risk services to the health system.
- Serve as a resource to both team members and providers for clinical risk related matters.
- Conduct investigations of complaints and potentially compensable events to include chart reviews, interviews, peer review, billing analysis and document findings and utilize clinical expertise to evaluate potential exposure.
- Collaborate with Quality, operational leaders and medical staff to implement strategies to reduce clinical and operational events.
- Coordinate the development and delivery of education focused on risk reduction of exposures for providers and clinical staff.
- Maintain processes and structures to analyze, investigate and monitor regulatory and other matters including SMDA, EMTALA, restraint death reporting, controlled substance diversion, etc.
- Conduct data driven analysis to ensure clinical practices align with local, state, regulatory and standard of care and demonstrates thorough understanding of the healthcare environment and delivery of safe patient care,
- Work independently on special projects to reduce loss exposures.
- Provide guidance and be a mentor to Risk Managers and other Risk Management team members.
- RN licensure required with 5 years clinical experience.
- Masters degree preferred.
- 40 hours per week
- Remote: Monday - Friday (8 am - 5 pm)
- Great Benefits
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
