Healthcare Risk Management Specialist
Medical Center Clinic
RemoteFull timeMid levelPosted today
Apply with JobAssistClick "Apply with JobAssist" – we tailor your resume and application to this role and submit it for your approval.
Yes. This role at Medical Center Clinic was screened before publishing – we confirmed the employer before listing it.
The employer didn't disclose a salary range for this listing. JobAssist shows pay whenever it's available.
This position can be done from anywhere, with no in-office requirement.
Yes – every application is tailored from your profile and this job's requirements, and you can review and edit before it's sent.
Medical Center Clinic
Description:
The Risk Management Specialist is responsible for assessing, responding to, and educating staff about risk factors determined through review of patient/visitor incidents, clinical events, and medical records. The Risk Management Specialist may conduct investigations, track and trend incidents, and report findings to management for further investigation and corrective action.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Track and file incidents, complaints and grievance information in reporting tracking systems, and utilizes the data to create Risk Management reports for presentation to the Professional Practices Committee, ASC Medical Executive Committee, and the Board of Directors.
Identify areas for improvement based on review of reports received
Respond to patient complaints and grievances received by the Risk Management Department.
Coordinate Termination of Care request activities, to include any necessary research and consultation with the Medical Director, creation and mailing letters, responding to patient inquiries, responding to patient appeals, and maintaining documentation.
Prepare written responses to grievances in compliance with regulatory requirements, to include any necessary research and consultation with the Medical Director and/or SVP Administration in creation and mailing of letters and maintaining documentation.
Coordinate with billing office to address any necessary billing adjustments.
Ensure living wills and other related documents are uploaded timely into EMR system.
Complete provider onboarding for new physicians and med-level providers:
Conduct NPDB and AMA search and provide copies to necessary parties
Obtain malpractice face sheets from insurance carrier and provide to Provider Enrollment
Obtain copies of medical license, DEA, board certifications, and verify accuracy of information provided on application
Obtain malpractice tail certification from physician for previous practice
Maintain documentation of completed orientation with Risk Management team.
Routinely assess Risk Management policies and processes; make recommendations regarding changes/updates.
Develop and train risk topics, internal process changes, and regulatory requirements for staff.
Provide general Risk Management training to new staff as part of New Employee Orientation.
Coordinate conferences and meetings. Prepare agenda, take minutes, prepare and archive minutes, and prepare information packets.
Assist in risk claims administration, including:
reporting incidents to insurance carriers
coordination of communication with claimants, attorneys, insurance companies and others
immediate intervention and documented investigation of all claims
maintenance of claims files
Assist with recording, collecting, documenting, maintaining, and providing to MCC attorney any requested information and documents necessary to prepare testimony in pending professional or general liability litigation against MCC personnel.
Respond as a member of the Manned Response Team (MRT).
Performs other related duties as assigned.
CORPORATE CULTURE RESPONSIBILITIES
Requirements:
EDUCATION/EXPERIENCE REQUIREMENTS
KNOWLEDGE, SKILLS AND ABILITIES
PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS
EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS
WORK ENVIRONMENT
Headquarters
Pensacola, FL 32514
Open jobs
6
Website
medicalcenterclinic.com