Risk Management Specialist Ii

Risk Management Specialist II JOB SUMMARY

The Risk Management Specialist II is an advanced individual contributor who provides professional, analytical, and technical support for CCHC’s clinical and operational risk, patient safety, compliance, workplace safety, and emergency preparedness activities. Under the general supervision of the Director of Emergency Operations and Risk Management, the Specialist II independently manages work within delegated authority; conducts complex investigations and risk assessments; analyzes data and identifies trends, contributing factors, and opportunities for improvement;

develops reports and recommendations; and supports regulatory readiness and continuous improvement initiatives. The position may lead defined projects or work streams and provides training and peer support to Risk Management staff while appropriately escalating high‑risk, sensitive, or legally significant matters.

• Assess incidents, complaints, patient safety, workplace safety, emergencies, and operational concerns; gather and evaluate relevant information; determine appropriate next steps within delegated authority; and escalation high‑risk, sensitive, unusual, or legally significant matters.
• Monitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow‑up through resolution, and escalated high‑risk, sensitive, unusual, or legally significant matters requiring higher‑level review or management action.
• Independently conduct complex incident, complaint, patient safety, workplace safety, and operational investigations using appropriate fact‑finding and causal‑analysis methods, including root cause analysis when appropriate; identify contributing factors, process or control gaps, recurring issues, and potential risks; develop factual findings and recommendations; and escalation matters requiring higher‑level review.
• Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact‑finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow‑up; and appropriately escalated high‑risk, sensitive, or legally significant matters to Risk Management leadership.
• Conduct assigned risk assessments by validating data, applying approved criteria, analyzing findings, identifying risk and control gaps, developing recommendations, and tracking action plans and outcomes.
• Organize, validate, and analyze quantitative and qualitative risk management data to identify systemic trends, outliers, recurring themes, performance gaps, and emerging risks; interpret findings and develop actionable recommendations for monitoring, corrective action, or improvement.
• Develop reports, dashboards, charts, executive summaries, presentations, and committee or governing‑board materials that clearly communicate findings, risk significance, trends, and recommended follow‑up.
• Coordinate and monitor corrective and preventive actions arising from incidents, investigations, risk assessments, audits, regulatory findings, and exercises; collaborate with Quality Improvement and other departments to develop appropriate interventions, apply improvement methods, evaluate effectiveness, and address recurring issues or unresolved risk.
• Monitor and research assigned regulatory, compliance, and policy requirements; assess potential operational impact; maintain readiness…