Clinical & Operational Risk Manager

Company: Wellstar Health System, Inc.
Location: Marietta
Posted on: September 10, 2023

Job Description:

ResponsibilitiesCore Responsibilites and Essential Functions

• 1. Clinical and Operational Risk Managementa. Assists in the development and implementation of risk control plans to enhance patient safety, minimize risk exposures, and reduce losses.b. Coordinates the clinical and operational risk management program.c. Develops learning plan to educate Wellstar leaders on proactive risk management.d. Reviews and analyzes all event reporting reports for risk management and quality of care concerns.e. Conducts investigations into risk management matters.f. Prepares various incident reports g. Maintains database of risk management matters and investigations.h. Assists with peer review process and completion of safety solutions, in partnership with other departments and team members.i. Identifies organizational risk trends through analysis of incident, incident letters, and reports. j. Provides on-site support for regulatory investigations, reviews, and surveys. k. Develops learning plan to educate Wellstar leaders on proactive risk management.l. Review's Wellstar policies and team member training materials to ensure consistency with Wellstar's risk prevention strategies. m. Stays informed about trends, best practices, and regulatory requirements related to clinical and operational risk management matters.n. Provides rotating 24x7 on-call responsibility to field inquiries and support needs from Wellstar leaders on risk management and other concerns.o. Conducts regular rounding with facility/medical group leadership.Required for All Jobs
  • Performs other duties as assigned
  • Complies with all WellStar Health System policies, standards of work, and code of conduct. -QualificationsRequired Minimum Education
    • Bachelor's Degree Required and
    • BSN PreferredRequired Minimum Experience
      • Minimum 2 years RN or clinician with at least two years clinical experience Required and
      • Minimum 2 years medical claims experience and/or risk management/quality assurance principles in the healthcare setting Required and
      • Working knowledge of the medical/legal process, professional liability insurance, claims administration and insurance program management in healthcare. RequiredRequired 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.
        • Must have an insatiable desire to make things better.Required Minimum License(s) and Certification(s)
          • Reg Nurse (Single State) 1.00 Preferred 1.00
          • RN - Multi-state Compact 1.00 Preferred 1.00
          • Cert Prof Healthcare Risk Mgt Preferred
          • Legal Nurse Consultant Cert PreferredAdditional Licenses and Certifications

Keywords: Wellstar Health System, Inc., Marietta , Clinical & Operational Risk Manager, Executive , Marietta, Georgia