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Senior Risk Manager

Unknown Company · Downers Grove, IL, United States

Insurance & RiskSenior LevelQuick applyfull-timeabout 17 hours ago

About The Role

At Duly Health and Care , you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits

  • Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
  • Access to a mental health benefit at no cost.
  • Employer provided life and disability insurance.
  • $5,250 Tuition Reimbursement per year.
  • Immediate 401(k) match.
  • 40 hours paid volunteer time off.
  • A culture committed to community engagement and social impact.
  • Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

The primary purpose of this position will be to work with clinicians and leadership throughout the organization across the enterprise to conduct pro-active risk assessments, review and investigate occurrence reports, review and process medical dismissals, complete root cause analysis, patient safety improvement plans, identify and review adverse and sentinel events, identify patient safety concerns, potential liability concerns, and system breakdowns. The Senior Risk Manager/Patient Safety Specialist will work to support the VP of Risk Management and be the point person for all Risk Managers/Patient Safety Specialist and front-line staff. The Senior Risk Manager/Patient Safety Specialist is also responsible for assisting with patient and payor grievances and assisting to support the patient advocacy team. The Senior Risk Manager/Patient Safety Specialist will work to prevent harm by changing and managing all clinical policies, programs, processes to prevent future harm or error. Must have great communication skills and be able to have difficult conversations. Must have great writing skills and basic familiarity with Microsoft Word, Excel, and PowerPoint. Must be organized and have great follow-up

MAJOR RESPONSIBILITIES Provides consultation to organizational leadership at an enterprise level, providers, and staff

  • Event reporting system management
  • Manage the system set up
  • Provide system education
  • Support system users
  • Review and investigate organizational reports
  • Review and investigate occurrence reports
  • Review and investigate concerns brought to Risk Management by leadership and staff
  • Identify trends and create action plan to minimize/eliminate the trend on a quarterly basis
  • Conduct investigations related to:
  • Near miss occurrences
  • Patient safety concerns
  • Potential liability concerns
  • Harm events
  • Sentinel events
  • Conduct proactive patient safety/risk assessments
  • Visits clinical sites to identify areas for improvement
  • Implements action plans based on these findings and completes follow-up
  • Review, Manage and Process all clinical dismissals
  • Provide education to organizational leadership, providers, and staff
  • Potential Compensatory Events (PCE)
  • Identify, investigate and mitigate PCE’s
  • Write up PCE’s within 30 days of notification
  • Conduct Root Cause Analysis
  • Investigate and conduct root cause analysis under the Patient Safety Organization guidelines
  • Complete Patient Safety Improvement Plan
  • Manage and assist with patient complaints
  • Investigate and respond to patient complaints
  • Assist the patient experience department with patient complaints
  • Other duties as assigned

License / Registration / Certification: Clinical experience required- Registered Nurse preferred or hospital experience

Level of Education: Bachelor’s degree or higher with clinical focus

Years of Experience: Minimum of 3-5 years of clinical experience required. Risk Management/Patient Safety experience preferred

The compensation for this role includes a base pay range of $ 85K-128K with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

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