Clinical Risk Management Specialist | RN or PA | New York City
Ready to join a prestigious reciprocal risk retention insurance group in a high-profile position?
Ready to make your move from a clinical to a corporate office work environment?
Competitive Compensation | World-Class Benefits | Professional Development & Career Growth Opportunity
Our client offers employees a unique, performance based culture where each employee is rewarded commensurate with their individual performance, the performance of their team, and the success of the company overall. They promote a culture of professional collaboration, teamwork, camaraderie, and promotion from within.
The selected candidate will perform medical malpractice case reviews from a patient safety and loss prevention perspective, utilizing the organization’s proprietary case review methodology. This involves reviews and abstracts of clinical information from a variety of sources, including insurance company claims database with corresponding legal and medical documents for patient safety taxonomy application. Identifies potential patient safety concerns and opportunities for improvement. This position will report to a highly supportive Vice President.
Position Responsibilities Include:
Review and analyze claims data to support patient safety initiatives; enter relevant information into patient safety data collection system following case review manual guidance and business rules
Collaborate with patient safety and loss prevention team to develop and refine data collection activities, including the identification of additional data elements for review
Conduct focused reviews to provide institutions and initiatives with information pertaining to actionable themes, common trends, etc.
Report potential risk trends and patient safety opportunities identified from new claims analysis
Provide ongoing monitoring and updating of open professional liability cases to accurately reflect all available information at the time of review
Meet with assigned institutional Director on an ongoing basis to inform them of potential institutional risks. Share information identified through new and ongoing case reviews
Work with Associate Director and Data Manager to identify risk and improvement opportunities and assemble relevant information in support of clinical initiative
Review new cases on a monthly basis
Re-review cases based on established triggers
Support business operations improvement efforts through defined data quality control mechanisms
Additional duties and special projects as assigned
The organization provides medical professional and general liability insurance coverage as well as risk management services to its affiliated pedigree medical centers, their employees and physicians. Their commitment to excellence has established them as a highly regarded medical malpractice insurer that is quickly becoming a market leader.
Are you ready for an exceptional career search experience? Take the first step...
Forward your resume for confidential review or call to discuss this or other available career opportunities.
Galileo Search, LLC partners with hospitals and healthcare organizations across the United States to identify, recruit and retain the most accomplished professionals and executives in the industry. Our clients include community and critical access hospitals, health systems, academic medical centers and Fortune 500 corporations.
Career-savvy healthcare professionals utilize our services to ide...ntify opportunities that best fit their individual skills and abilities. We work alongside our candidates to help them to navigate the interview process, to facilitate a mutual understanding of job expectations, to negotiate competitive compensation, and to anticipate cost of living factors.