Galileo Search Published: July 13, 2017

Description

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.

Location:

New York City

Opportunity:

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

Qualifications:

• Bachelor’s degree in nursing or other advanced clinical education
• Registered Nurse (RN), Physician Assistant(PA), other licensed clinical care provider
• Five or more years of nursing or clinical experience
• Ideally three or more years of performance improvement, quality or healthcare risk management experience
• Clinical chart review and chart abstraction experience
• Familiarity with Electronic Medical Records (EMR)
• Proven analytical and organizational skills
• Excellent oral and written communication skills
• Proficient computer skills to include Excel, Word, and PowerPoint
• Enjoy working both independently and collaboratively
• Professional with a high degree of integrity

Facility:

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.

About Galileo Search:

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. Submit your resume via email for immediate consideration or use our convenient online Galileo Candidate Registry.

Your information will not be shared with any third party without your permission.

We look forward to hearing from you!

Job ID:

Job-024501

Keywords:

Health-care, health care, healthcare, medical, hospital, healthcare system, acute care, risk, risk management, CPHRM, Certified Professional in Healthcare Risk Management, patient safety, safety, enterprise risk management, ERM, quality, loss mitigation, legal compliance, regulatory compliance, corporate compliance, insurance, contracts, loss prevention, patient confidentiality, HIPAA, investigation, grievance, CPHQ, Certified Professional in Healthcare Quality, policy & procedure development, disciplinary action, occurrences, liability claims, investigation, performance improvement, Six Sigma, CPPS, Certified Professional in Patient Safety, incident reporting, patient claims, litigation, adverse events, claims management, clinical risk, New York City, New York, NY
.
 
Galileo Search Published: July 13, 2017

Description

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.

Location:

New York City

Opportunity:

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

Qualifications:

• Bachelor’s degree in nursing or other advanced clinical education
• Registered Nurse (RN), Physician Assistant(PA), other licensed clinical care provider
• Five or more years of nursing or clinical experience
• Ideally three or more years of performance improvement, quality or healthcare risk management experience
• Clinical chart review and chart abstraction experience
• Familiarity with Electronic Medical Records (EMR)
• Proven analytical and organizational skills
• Excellent oral and written communication skills
• Proficient computer skills to include Excel, Word, and PowerPoint
• Enjoy working both independently and collaboratively
• Professional with a high degree of integrity

Facility:

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.

About Galileo Search:

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. Submit your resume via email for immediate consideration or use our convenient online Galileo Candidate Registry.

Your information will not be shared with any third party without your permission.

We look forward to hearing from you!

Job ID:

Job-024501

Keywords:

Health-care, health care, healthcare, medical, hospital, healthcare system, acute care, risk, risk management, CPHRM, Certified Professional in Healthcare Risk Management, patient safety, safety, enterprise risk management, ERM, quality, loss mitigation, legal compliance, regulatory compliance, corporate compliance, insurance, contracts, loss prevention, patient confidentiality, HIPAA, investigation, grievance, CPHQ, Certified Professional in Healthcare Quality, policy & procedure development, disciplinary action, occurrences, liability claims, investigation, performance improvement, Six Sigma, CPPS, Certified Professional in Patient Safety, incident reporting, patient claims, litigation, adverse events, claims management, clinical risk, New York City, New York, NY
.