What are the responsibilities and job description for the RN Clinical Risk Coordinator & Claims position at Lensa?
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All the benefits and perks you need for you and your family:
Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our Promise To You
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days M-F 8am-4:30pm
The community you'll be caring for: AdventHealth Riverview
AdventHealth is expanding our medical expertise, innovation, and state-of-the-art technology to southern Hillsborough County through a brand-new hospital in Riverview, which is scheduled to open in 2024.
The new AdventHealth Riverview hospital will include 82 beds at time of opening with space to expand to 202 beds in the future.
This $250 million project in Riverview also includes a 100,000 square foot, four-story Medical Office Building that will provide community members convenient access to expert care.
AdventHealth Riverview will offer a wide range of health care services which includes emergency, cardiovascular, digestive, urology, orthopedic and womens care.
The Role You'll Contribute
The Clinical Risk Management Coordinator (CRMC) is responsible for the risk management program for the assigned areas. This position is responsible for working in collaboration with the clinical team to ensure adherence to all federal regulations and hospital policies. This position engages in activities which contribute to a safer environment for patients, employees, and visitors. These activities promote customer service, minimize liability risk for the Hospital and proactively identify areas for improvement. The CRMC will systematically investigate clinical incidents/accidents/events that could lead to patient harm and/or financial loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute 395.0197. The CRMC will identify areas of risk and facilitate risk mitigation/safety strategies including the Root Cause Analysis and Response. The focus of this position is on review, investigation and response of incidents that include general/premises liability, medical liability, regulatory investigations and other potentially compensable events including lost or damaged belongings incidents, providing timely communication and submission of required documents to support legal defense response. The CRMC also acts as the internal system administrator for the voluntary event reporting system.
The Value You'll Bring To The Team
Performs other duties as assigned.
Assists in regulatory surveys and legal investigations, including patient complaint surveys and compliance with CMS reporting requirements.
Manages the internal event report system, ensuring compliance with relevant statutes and timely reporting of adverse events.
Reviews reported events for data completeness and accuracy, initiating follow-up with appropriate Directors and Managers within three days.
Identifies, investigates, and reports on Sentinel Events/Never Events, facilitating Root Cause Analyses.
Qualifications
The expertise and experiences you'll need to succeed:
Associate degree in business or healthcare related field
3 years clinical experience in healthcare related field
Registered Nurse (RN)
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Risk Management
Organization: AdventHealth Riverview
Schedule: Full-time
Shift: 1 - Day
Req ID: 25036360
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
If you have questions about this posting, please contact support@lensa.com
All the benefits and perks you need for you and your family:
Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support
Our Promise To You
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift : Days M-F 8am-4:30pm
The community you'll be caring for: AdventHealth Riverview
AdventHealth is expanding our medical expertise, innovation, and state-of-the-art technology to southern Hillsborough County through a brand-new hospital in Riverview, which is scheduled to open in 2024.
The new AdventHealth Riverview hospital will include 82 beds at time of opening with space to expand to 202 beds in the future.
This $250 million project in Riverview also includes a 100,000 square foot, four-story Medical Office Building that will provide community members convenient access to expert care.
AdventHealth Riverview will offer a wide range of health care services which includes emergency, cardiovascular, digestive, urology, orthopedic and womens care.
The Role You'll Contribute
The Clinical Risk Management Coordinator (CRMC) is responsible for the risk management program for the assigned areas. This position is responsible for working in collaboration with the clinical team to ensure adherence to all federal regulations and hospital policies. This position engages in activities which contribute to a safer environment for patients, employees, and visitors. These activities promote customer service, minimize liability risk for the Hospital and proactively identify areas for improvement. The CRMC will systematically investigate clinical incidents/accidents/events that could lead to patient harm and/or financial loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute 395.0197. The CRMC will identify areas of risk and facilitate risk mitigation/safety strategies including the Root Cause Analysis and Response. The focus of this position is on review, investigation and response of incidents that include general/premises liability, medical liability, regulatory investigations and other potentially compensable events including lost or damaged belongings incidents, providing timely communication and submission of required documents to support legal defense response. The CRMC also acts as the internal system administrator for the voluntary event reporting system.
The Value You'll Bring To The Team
Performs other duties as assigned.
Assists in regulatory surveys and legal investigations, including patient complaint surveys and compliance with CMS reporting requirements.
Manages the internal event report system, ensuring compliance with relevant statutes and timely reporting of adverse events.
Reviews reported events for data completeness and accuracy, initiating follow-up with appropriate Directors and Managers within three days.
Identifies, investigates, and reports on Sentinel Events/Never Events, facilitating Root Cause Analyses.
Qualifications
The expertise and experiences you'll need to succeed:
Associate degree in business or healthcare related field
3 years clinical experience in healthcare related field
Registered Nurse (RN)
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Risk Management
Organization: AdventHealth Riverview
Schedule: Full-time
Shift: 1 - Day
Req ID: 25036360
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
If you have questions about this posting, please contact support@lensa.com