Healthcare Risk Management Specialist

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.

• 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:

• 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:

• 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.

• Follow established corporate and department-specific policies and procedures.
• Attend all corporate and department-specific required training.
• Uphold MCC's Purpose, Values, and Vision.
• Abide by MCC's Corporate Culture Responsibilities.
• Perform other duties as may be assigned cheerfully and willingly.

• Minimum education requirement is high school diploma or GED.
• Associates degree preferred.
• Maintains Florida license or a certification in healthcare field.
• Previous Healthcare Risk Management experience preferred.

• Ability to work with the public, co-workers and other employees with diplomacy, tact, and confidentiality.
• Display…