Insurance Risk Management Consultant Jobs in Indiana

Location:  Methodist Hospital

Position: Clinical Risk Manager - Consultant 

Shift:  Monday - Friday, day shift with the expectation of on-call rotation approx. 3 times per year

IU Health is Indiana's largest and most comprehensive healthcare system, and the #1 ranked healthcare provider in the state. We are seeking a dedicated professional to provide clinical risk leadership, expertise, and service to facilitate the management of the overall operation, tactics, and strategy of clinical risk management and patient safety processes. 

Position Overview:

The Clinical Risk Manager - Consultant provides clinical risk leadership, expertise, and service to support the organization's risk management and patient safety initiatives. They oversee and coordinate the review of reported risk events, patient adverse events, and sentinel events. The role involves managing ongoing analysis, development, and implementation of methods and systems to improve safety, efficiency, and effectiveness of clinical risk management functions. The Risk Manager analyzes incident report data, identifies organizational process improvement needs, and facilitates interdisciplinary efforts to enhance patient safety. They participate in insurance-related risk activities, including claims mitigation, and assume leadership in response to serious patient events. 

Key Responsibilities: 

Oversee and coordinate the review of risk events, adverse events, and sentinel events. 

Analyze incident report data to identify trends and areas for improvement. 

Develop and implement strategies, methods, and systems to improve safety and risk mitigation. 

Facilitate interdisciplinary efforts to identify and implement patient safety improvements. 

Participate in insurance-related risk management activities, including claims mitigation. 

Provide leadership and guidance in responding to serious patient safety events. 

Ensure compliance with Joint Commission standards, State Board of Health requirements, and relevant federal and state laws. 

Support ongoing education and training initiatives related to patient safety and risk management. 

Qualifications & Requirements: 

Education & Certification: 

  - Bachelor's Degree in a health-related field required; Nursing preferred. 

  - Master's Degree is preferred. 

Licensure & Certifications: 

  - Certification in healthcare risk management (CPHRM) required within 4 years of hire. 

Experience & Skills: 

  - 7-10 years of relevant clinical experience. 

  - Minimum of 5 years of clinical experience; quality or safety experience is a plus; leadership experience preferred. 

  - Knowledge of state and federal laws related to healthcare. 

  - Demonstrated mastery of Joint Commission standards and State Board of Health requirements related to patient safety and sentinel events. 

Why Join IU Health?

Competitive benefits package including health, dental, and vision insurance 

Retirement savings plan with employer match 

Tuition reimbursement and professional development opportunities 

Employee assistance programs and wellness initiatives 

Supportive work environment committed to safety and excellence 

To learn more about our benefits, visit: [careers.iuhealth.org/pages/benefits-designed-for-you](https://careers.iuhealth.org/pages/benefits-designed-for-you)

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we're home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine - one of the nation's largest medical schools - gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training - advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation's healthiest states.