RN Clinical Risk Specialist Senior

This is a hybrid position. The onsite requirement is 2 days per week.

Join our team at Corewell Health as an RN Senior Clinical Risk Specialist and play a pivotal role in shaping the future of healthcare quality and safety. In this rewarding position, you will be at the forefront of minimizing clinical risk, ensuring compliance with healthcare standards, and enhancing patient care outcomes. Your expertise will drive proactive risk reduction strategies, collaborative initiatives with Patient Relations and Patient Experience teams, and innovative approaches to improve safety and quality. If you are a dedicated RN with a passion for clinical excellence and a commitment to making a difference, this is your opportunity to lead impactful change!

Job Summary

Develops, administers, and provides recommendations to minimize risk and enhance and improve the organization's compliance with standards, laws, rules, and regulations applicable to the provision of health care, treatment and associated support services. Responsible for clinical risk management including investigation and resolution of incidents and identification of strategies to minimize risks, improve the quality and safety of patient care for designated clinical areas within the organization. Monitors trends in clinical risk and develop and implement strategies to ensure proactive risk reduction measures. Assess the litigation potential of patient related injuries and manage the resolution of pre-notice claims.

Essential Functions

• Reviews and provides recommendations regarding the development of hospital, departmental, and unit specific policies and processes as they relate to liability and risk to the organization.
• Develops and implements the Risk Management Program, including assessment and evaluation of risk management strategies.
• Manages patient incidents and administers professional liability claims in collaboration with management. Participates in evaluations of claims for settlement; negotiates settlement of small claims within administrative authority; advises collection department of appropriate action for unpaid accounts involving claims and litigation. Notifies the claims manager and risk administration; and assures the liability insurance carrier is aware of all actual and potential claims.
• Identifies and investigates risk management issues and serves as liaison with on site regulatory investigations. Acts as a liaison between hospital departments and the Risk Management Department to facilitate adherence to standards, policies, rules and regulations.
• Provides proactive analysis of patient safety and medical error processes and ensures that follow-up and risk treatment is identified and acted upon. Participates in root cause and sentinel event analysis and investigation, and in collaboration with management, ensures reporting of adverse events to appropriate parties.
• Provides educational programs and in-service training to hospital personnel and others to enhance their awareness of risk management issues and their role in reducing liability exposure. Participates in orientation and precepting of risk management and other hospital staff in nursing leadership and other mentoring programs.
• Collects, analyzes, and reports data relative to risk management issues and assists with the implementation of strategies to improve outcomes.
• Serves as a consultant to the organization regarding risk management issues. Provides guidance, recommendations, and resources on issues relating to standards, laws, rules, and regulations applicable to health care and treatment. Acts as a resource to various committees and task forces to provide risk management perspectives on clinical issues related to the provision of health care. Provides on-call consultations and intervention services for risk management issues on site and has ability to occasionally flex hours as needed.

Qualifications

Required

• Bachelor's Degree or equivalent in Nursing or related field
• LIC-Registered Nurse (RN) - State of Michigan
• 5 years of acute care clinical nursing experience
• CRT-Professional Health Risk Mgt, Certified (CPHRM) - AHA-CC American Hospital Association Certification Center Either CPHRM or CPPS Cert required within 2 years after hire

Preferred

• Master's degree in health care related field such as nursing, or a business-related field, from an approved institution
• Experience in a legal field such as with health care claims and health care risk management programs, patient safety, patient quality improvement programs, or nursing administration and management positions

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We a