Insurance Risk Manager Jobs in Center Moriches, NY

Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes - to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!

The Risk Manager conducts comprehensive investigations, tracking, trending, and reporting of safety events and incident reports. This role is responsible for analyzing and drafting documentation for root cause analyses, coordinating corrective action strategies, and collaborating with defense counsel on litigation matters. Additionally, the Risk Manager reviews medical records, participates in regulatory surveys, formulates risk reduction strategies, addresses patient complaints involving potential litigation, and supports privacy and compliance initiatives across Good Sam University Hospital (GSH) and Catholic Health (CHS) committees.

• Implement, analyze, and maintain targeted risk reduction initiatives and strategic clinical safety metrics.

• Actively interact on medical malpractice litigation issues, providing requested information, documents, and records to defense counsel.

• Assist in the mitigation and resolution of complex patient complaints, safety concerns, and potential litigation exposure.

• Communicate and coordinate closely with healthcare professionals, defense counsel, and relevant stakeholders regarding the receipt, investigation, and resolution of incidents and potential patient claims.

• Conduct complete investigations of general liability incidents involving GSH, affiliated entities, and employee workplace injuries.

• Formulate, revise, and implement organizational policies to maintain absolute compliance with current clinical standards, risk containment practices, and HIPAA/privacy guidelines.

• Review and summarize medical charts and records related to safety events to determine clinical timelines and underlying factors.

• Participate in regulatory agency surveys (DOH, Joint Commission, etc.), analyzing deficiency findings to develop and coordinate corrective measures.

• Prepare detailed documentation for liability insurance carriers concerning active claims and high-exposure potential claims.

• Provide ongoing risk-related education, policy guidance, and proactive support to hospital staff.

• Coordinate and actively participate in various designated GSH and CHS clinical risk and safety committees.

• Adhere strictly to all organizational policies, procedures, and ethical benchmarks.

• Required: Bachelor's Degree in Nursing (BSN)

• Preferred: Master's Degree

• Preferred: Active Registered Nurse (RN) license / BSN credential

• Preferred: ASHRM (American Society for Health Care Risk Management) certification

• Minimum of five (5) years of dedicated experience within patient safety, clinical risk management, and regulatory agency compliance.

• Exceptional attention to detail and analytical acumen.

• Proficiency in Microsoft Excel and PowerPoint for data tracking and presentation.

• Strong organizational, interpersonal, and communication skills.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate's qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.