Clinical Risk Manager
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Durham • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files.
- Negotiate resolution with the authority from the Director.
- Provide basic and complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.
- Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation.
- Investigate, evaluate and document pre-litigation occurrences and claims.
- Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends.
- Provide quality assurance and peer review referrals as appropriate.
- Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed.
- Prepare reports and analyses setting forth progress, adverse trends, and appropriate recommendations or conclusions.
- Represent the Department of Clinical Risk Management on various DUHS and entity committees as required.
Requirements
- Work requires a Bachelor's degree in business administration, public policy, hospital administration, or a related field.
- A Bachelor's degree in a clinical field (e.g. nursing, physician's associate) may be substituted if supplemented by additional courses or training in business or a related field (at least one year).
- Work requires a minimum of four years of experience in one or more of the following fields: patient care, public policy, health care administration, business administration, legal support, or insurance/claims investigation and settlement.
- Graduate education beyond the bachelor's degree in hospital administration, business administration, public policy, or a related field may be substituted for the required experience on a 1:1 basis.
- An Associate in Risk Management or Certified Professional in Healthcare Risk Management is desirable.
Benefits
- Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
- Duke aspires to create a community built on collaboration, innovation, creativity, and belonging.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
risk managementinvestigational activitiesevaluation activitiesnegotiationquality assurancepeer reviewreport preparationdata analysisclaim investigationrisk mitigation
Soft skills
communicationcoordinationconsultationproblem-solvingleadershiporganizational skillsemergency responsetrend analysisliaison activitieseducation
Certifications
Associate in Risk ManagementCertified Professional in Healthcare Risk Management