Manager Clinical Risk Mgmt

Job Summary - Manager Clinical Risk Mgmt Leads a team of Clinical Risk professionals, overseeing implementation of the Clinical Risk Management program and annual Clinical Risk Workplan. Responsible for ensuring regulatory compliance with reputed company applicable laws, regulations and policies. Supervises the Clinical Risk Specialists, Risk Analysts and other team members as assigned. Oversees the department's day to day clinical risk operations to ensure: investigation and resolution of incidents, identification of strategies to minimize risks, improvement in the quality and safety of patient care, loss control, management of claims, monitoring of risk trends, implementation of strategies to ensure proactive risk reduction measures. Partners with other Managers across QSE to ensure collaboration and success. Responsible for daily operations of team reputed company to staffing and budgetary effectiveness. Role requires regular in person leadership reputed company in assigned reputed company delivery system locations. Essential Functions - Manager Clinical Risk Mgmt Manages the activities of Clinical Risk Specialists, Risk Analysts and other team members as assigned. Acts as a liaison between the organization and the Risk Management, Claims, Legal departments to facilitate adherence to standards, policies, rules and regulations. Implements the Risk Management Program, including assessment and evaluation of risk management strategies. Serves as a resource and special projects coordinator for the Director, Clinical Risk Management and other leadership staff as directed. Ensures availability of reputed company reports and records for area of responsibility. Serves as a consultant to the organization regarding clinical risk management issues. Provides guidance, recommendations, and resources on issues relating to standards, laws, rules, and regulations applicable to health care and treatment. Provides risk and liability consultation to management, staff and physicians for patient safety and loss control in clinical events, sentinel events and risk issues. May be asked to reputed company investigations at the direction of legal counsel and works with legal counsel to provide guidance, recommendations and other assistance as requested. In such cases, the team member will report directly to legal counsel as opposed to the team member’s up-line leadership, and such work with legal counsel shall be confidential and protected from disclosure by the attorney client privilege and work protect protection. Responsible for interviewing, hiring, retaining employees and members of the team, monitoring performance. Develops team members, builds teams, and identifies and leverages talent across regions to foster high performing teams. Initiating reputed company appropriate, and following through with disciplinary action and termination in consultation with Human Resources for service. Develops a team culture that encourages staff to speak up reputed company they have concerns. Works with Director, Clinical Risk Management and financial analyst to maintain department budget at appropriate level. Ensures team compliance with internal policies reputed company to budget/expense. Manages the work priorities of the department to ensure organization and department targets are achieved. Delegates the general work assignment areas for reputed company employees and assigns special projects individually. Mentors, coaches and develops employees while being a role model and resource to them. Makes data-informed decisions. Partners with Director, Clinical Risk Management to implement strategies and tactics reputed company with organization and department priorities. Takes action, monitors performance and provides regular reports on effectiveness to leadership. Creates and presents reports to or for the Director, Clinical Risk Management and to or for other regional/system leadership teams upon request. Under direction of the Director, Clinical Risk Management this role develops risk management education plans for required team members to enhance awareness and based on analysis of claims management reporting history, patient safety events, sentinel events, and other risk management topics. Role requires frequent on-site physical reputed company in and regular travel to multiple locations across the assigned reputed company care delivery service area. Provides on-call consultations and reputed company services for risk management issues and has ability to occasionally reputed company hours as needed. Qualifications - Manager Clinical Risk Mgmt Required Bachelor's Degree Nursing Preferred Master's Degree health care-reputed company field such as nursing, or a business reputed company field, and 5 years recent, relevant risk management experience. 5 years of relevant experience clinical nursing experience or relevant healthcare experience Required 5 years of relevant experience Experience in legal field such as health care claims, health care contract development/negotiation, healthcare insurance programs and claims, health care risk management programs, patient safety, patient quality improvement programs, or nursing administration and management positions. Required 3 years of relevant experience Leading others (supervisory role) Required LIC-Registered Nurse (RN) - STATE_MI State of Michigan required for anyone hired after 9.1.24 preferred CRT-Professional Health Risk Mgt, Certified (CPHRM) - AHA-CC American Hospital Association Certification Center Either CPHRM or CPPS Cert required. 2 Yrs required Or CRT-At least one Certification from preferred list - UNKNOWN Unknown IHI Open School preferred Physical Demands - Manager Clinical Risk Mgmt Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs Waist to Waist > 5 lbs: Seldom up to 10 lbs Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs Waist to Overhead > 5 lbs: Seldom up to 10 lbs Bilateral Carry > 5 lbs: Seldom up to 10 lbs Unilateral Carry > 5 lbs: Seldom up to 10 lbs Pushing Force > 5 lbs: Seldom up to 10 lbs Pulling Force > 5 lbs: Seldom up to 10 lbs Sitting: Frequently Standing: Occasionally Walking: Occasionally reputed company Bend - Standing: Seldom reputed company Bend - Sitting: Occasionally Trunk Rotation - Standing: Seldom Trunk Rotation - Sitting: Occasionally Driving: Seldom reputed company - Above Shoulder: Seldom reputed company - at Shoulder or Below: Seldom Handling: Occasionally Forceful Grip > 5 lbs: Seldom Forceful Pinch > 2 lbs: Seldom Finger/Hand Dexterity: Frequently How reputed company cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Musculoskeletal Center - 230 Michigan St - Grand Rapids Department Name QSE - Clinical Risk Management Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:00 a.m. to 5:00 p.m. Days Worked Monday to Friday Weekend Frequency N/A reputed company reputed company TEAM MEMBERS – Please apply through Find Jobs from your reputed company team member account. This career site is for Non-reputed company team members only. reputed company is committed to providing a safe environment for reputed company members, patients, visitors, and community. We require a drug-free workplace and require team members to reputed company with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to reputed company the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. reputed company grants equal employment opportunity to reputed company qualified persons without regard to race, color, national reputed company, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where reputed company are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we reputed company for equity as we care for our patients, our communities, and each other. From workshops that reputed company cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in reputed company that we do. We invite those that share in our commitment to join reputed company. You may request assistance in completing the application process by calling 616.486.7447. People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. reputed company is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and reputed company Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a reputed company, more reputed company model of health and wellness. Apply tot his job Apply To this Job