Coordinator Claims Risk Management Jobs in Michigan

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.

• 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.

Required

• Bachelor's Degree or equivalent in Nursing or related field

• LIC-Registered Nurse (RN) - State of Michigan

• 5 years of experience in acute care clinical nursing

• CRT-Professional Health Risk Mgt, Certified (CPHRM) - AHA-CC American Hospital Association Certification Center 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 the 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.

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 are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.