Demo

Clinical Risk Manager

North Shore Inc
Evanston, IL Full Time
POSTED ON 2/23/2025
AVAILABLE BEFORE 5/20/2025

Clinical Risk Manager

The Clinical Risk Manager is responsible for the review, investigation and prioritization of reported clinical and organizational events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential / actual professional and general liability claims. Collaborates with Performance Improvement team and Operational Leaders to identify key quality and patient safety trends. Actively engages leaders in evidence-based practice for cause analysis and high reliability strategies to prevent and mitigate patient safety events.

Position Highlights :

  • Position : Clinical Risk Manager
  • Hourly Pay Range : $38.67 - $59.94. The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
  • Location : Evanston Hospital
  • Full Time / Part Time : Full Time
  • Hours : Monday-Friday, during normal business hours
  • Required Travel : travel to other Endeavor Health locations may be required

What you will do :

  • Review electronically reported events for inpatient units and procedural areas
  • Identify and assess potential risks and liabilities of reported events
  • Work with interdisciplinary teams to identify and implement risk mitigation strategies, leaders in associated departments / units to assure swift resolution, identification of key learning elements / strategies and assuring timely action / communication is planned and initiated
  • Assure involved department(s) event follow-up is timely and appropriate
  • Provide patient safety / risk management support for assigned areas including noted trends and education
  • Collaborate with identify key quality and patient safety issues that require broader system review and intervention
  • Partner with organizational leaders and frontline staff to improve safety culture and processes
  • Educate all levels on the importance of early notification of patient safety events
  • Analyze experiential data and report trends to leadership
  • Serve as an advisor to physicians and Administration on issues related to disclosure, documentation, and management of untoward outcomes
  • Coordinate communication of preventable untoward outcomes to key corporate individuals as per protocol
  • Manage in collaboration with physician leadership as part of the peer review process
  • Collaborating with clinical and administrative teams to conduct risk assessments.
  • Promoting patient safety and error prevention through evidence-based practices
  • Investigate occurrences to identify Potential Compensable Events (PCEs) and work with Claims Management team to discuss and determine liability and causation
  • Work with the Claims Management team to process Notices of Claim (NOCs) for submission to Third Party Administrator (TPA) in a timely manner
  • Attend monthly Risk / Claims Management meetings to discuss assigned PCEs and NOCs. Meetings are held at Endeavor Health hospital sites on a rotating basis
  • Identify potential insurance claims, including tracking, reporting, and coordinating resolution with the Legal and Insurance attorneys / team.
  • Develop and implement risk mitigation strategies and programs to reduce the hospital's exposure to liability and financial risks.
  • What you will need :

  • Education : Bachelor's degree in Health Administration, Nursing, or related healthcare field, required
  • Certification : Current Illinois RN license. Certified Professional in HealthCare Risk Management (CPHRM) once eligible (BS plus 5 years HC exp AND 3000 hours or 50% of FT Risk job duties within last 3 years) or Certified Patient Safety Professional (CPPS) or must obtain within 6 months of eligibility if not previously certified.
  • Experience : 5 years of clinical experience and 2 years of patient safety / risk management experience as a specialty or associated with Clinical Leadership responsibilities. Experience with Epic and RL solutions preferred
  • Unique or Preferred Skills :
  • Strong communication skills - written and verbal.

  • Ability to interact with all levels of the organization confidently and professionally.
  • Ability to partner with a wide range of team members, physicians and clinicians.
  • Conflict resolution and mediation skills.
  • Be flexible and adaptable to changing situations and priorities.
  • Ability to develop and present educational programs.
  • Strong investigative and analytical skills.
  • Multi-tasking capacity
  • Benefits (For full time or part time positions) :

  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities
  • Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

    When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

    Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

    Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

    Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

    EOE : Race / Color / Sex / Sexual Orientation / Gender Identity / Religion / National Origin / Disability / Vets, VEVRRA Federal Contractor.

    Salary : $39 - $60

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