Clinical Risk Manager
Company: WellStar Health System
Location: Marietta
Posted on: January 12, 2021
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Job Description:
At WellStar, we all share common goals. That's what makes us so
successful - and such an integral part of our communities. We want
the same things, for our organization, for our patients, and for
our colleagues. As the--most integrated healthcare provider--in
Georgia, this means we pride ourselves on investing in the
communities that we serve. We continue to provide innovative care
models, focused on improving quality and access to
healthcare.Responsibilities Functions under the supervision of the
Executive Director of Risk Management to support the broad vision
and mission of WellStar Health System. Acts under the Executive
Director of Risk Management to accomplish the department's mission
to optimize patient and staff safety and reduce the adverse
consequences of accidental loss through protective risk financing,
effective loss prevention and successful claims management. Assists
the Executive Director of RM in the establishment, direction and
management of a structured HPL/GL insurance program for WellStar
insured entities. Collaborates with and supports the Executive
Director and leadership (AVP, EVP, Board) by providing information
and data to facilitate decisions regarding insurance renewal and
risk program financing. Utilizes and supports the CS STARS system
for the reporting, investigation, and filing of adverse events.
Reviews incidents on receipt and conducts appropriate follow-up.
Actively assists in the investigation of risks identified through
incident reporting and development/communication of corrective
action recommendations to senior leadership. With Executive
Director oversight, manages claims/lawsuits and monitors litigation
involving assigned WellStar entities.Job Requirements:Required
Minimum Education: Bachelor's degree required; BSN preferred.
Required Minimum Experience: RN or clinician with at least two
years clinical experience. Additionally, two years medical claims
experience and/or risk management/quality assurance principles in
the healthcare setting. Working knowledge of the medical/legal
process, professional liability insurance, claims administration
and insurance program management in healthcare. Required Minimum
Certification: One of the following strongly preferred: Current GA
licensure a registered nurse, Claims Adjuster, Certified
Professional in Healthcare Risk Management or Certified Legal Nurse
Consultant. Required Minimum Skills: Intermediate computer skills
including Microsoft Word, Excel and PowerPoint. Must be
self-motivating and capable of effectively communicating with
physicians, patients, staff and attorneys. Ability to interface
with all levels of the healthcare system and utilize discretion in
handling confidential information.
Keywords: WellStar Health System, Marietta , Clinical Risk Manager, Executive , Marietta, Georgia
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