Insurance Risk Manager Jobs in Long Beach, NY (NOW HIRING)

The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS).,
The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification, mitigation, management and prevention of risk throughout the organization.
This position supports Mount Sinais objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies, policy and/or organizational changes.
Responsibilities
1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution.
2. Conducts an initial review and develops a case summary, inclusive of focused questions, if the case requires further review providing all required documentation for investigations, activities and resolutions related to the reported incident.
3. Evaluates reviews completed by leadership, provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.
4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health.
5. Review and analysis of all incident reports to identify risk management, quality of care, regulatory and insurance concerns.
6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required.
7. At the direction of the Director of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews.
8. Maintains risk management information system database.
9. Identifies organizational risk through trend analysis of incidents, incident letters, and reports; assures accuracy of data prior to internal distribution.
10. Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports
11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting.
12. Acts as a resource person to staff on risk management issues.
13. Keeps abreast of appropriate regulatory requirements related to risk management.
14. Responds to inquiries regarding various reports and individual professional liability matters.
15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns.
16. Expect to work flexible hours to participate in staff interviews, risk management and patient safety events, debriefs and meetings as needed.
17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York State Departments of Health.
18. Active participation on committees directed toward promoting risk management, patient safety, quality of care and with availability to attend/cover other Committee meetings as may be requested.
19. Assists in developing and presenting educational programs to raise staff, including staff on off-hour shifts, awareness to risk exposure and the impact on professional liability,.
20. Coordinates, supports and assists in developing Patient Safety Fair and Risk Management Week activities.
21. Performs other related duties
Qualifications

• Bachelor's degree in Nursing or related field; Masters or JD preferred.
• Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare experience can be utilized in lieu of licensure.
• 3 years risk management experience (greater than three years preferred).
• Experience with Just Culture and Culture of Safety principles preferred.
• Knowledge of clinical quality, patient safety, patient experience and/or patient satisfaction performance measures and indicators.

Compensation Statement
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $120,000.00 - $150,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, AYD - Hospital Risk Management - STL, Mount Sinai St. Luke's
About Us
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.