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Clinical Risk Manager | South Portland, ME
Job in
South Portland, Cumberland County, Maine, 04106, USA
Listed on 2026-01-20
Listing for:
InterMed
Full Time
position Listed on 2026-01-20
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration
Job Description & How to Apply Below
Job Category: Administrative
Requisition Number: CLINI
004534
- Posted :
January 7, 2026 - Full-Time
Showing 1 location
South Portland, ME 04106, USA
DescriptionThis role will support the development of proactive plans to ensure Inter Med’s positioning as a leader in healthcare in alignment with company KPIs and organizational strategic plans. The Clinical Risk Manager champions interdepartmental problem solving to ensure all clinical and medical staff workflows are aligned with patient safety standards and organizational policy.
CORE RESPONSIBILITIES:
Patient Safety and Risk Management- Identify, evaluate, and mitigate risks related to patient safety, clinical care, and regulatory compliance to protect patients and reduce liability within the organizations.
- Investigate complex adverse patient outcomes, quality of care opportunities and patient safety events to assess potential harm, identify root causes, and coordinate appropriate follow-up actions.
- Identify and elevate adverse events, complaints and grievances that may lead to potential claims to the Director of Risk and Quality Assurance in a timely manner.
- Maintain a working knowledge of applicable Federal, State, and local laws and regulations, and organizational policies and procedures to effectively respond to adverse events, complaints and grievances.
- Support the design and implementation of an integrated patient safety and risk management program across diverse ambulatory settings, including surgical, specialty, and primary care services.
- Conduct proactive risk assessments (e.g., FMEA) and retrospective event analyses (e.g., RCA) related to safety incidents, adverse events, and near misses.
- Analyze trends from incident reporting systems to identify safety improvement opportunities.
- Serve as a primary contact for risk events involving patient harm, clinical errors, or potential liability issues across outpatient sites.
- Maintain documentation of incident reviews, follow-ups, and corrective actions.
- Collaborate with malpractice carriers and third-party administrators on claim reporting and risk mitigation.
- Monitor and address environmental, operational, and clinical risks specific to outpatient and procedural care settings.
- Develop, implement, and maintain a standardized system for addressing complaints and grievances.
- Investigate verbal and written complaints and grievances involving quality of medical care and services in a timely manner.
- Research medical records, interview involved parties, document findings, formulate responses, facilitate resolution whenever possible, and generate documentation reflecting appropriate conclusions/resolutions.
- Apply techniques of problem solving, active listening, negotiation, conflict resolution, diplomacy, and diffusion of emotions in investigating and addressing complaints and grievances.
- Negotiate and mitigate expectations to promote satisfaction, ensure quality and safety and minimize the risk of adversarial outcomes.
- Provide planned, as well as just in time, education related to customer service, conflict resolution, and effective tools for establishing interpersonal connections with patients and families.
- Collect and analyze adverse events, complaint and grievance data for trends and opportunities to improve patient safety and patient experience. Prepares, distributes, and presents reports.
- Communicate departmental trends directly to managers and coordinators and participate with them in identifying and implementing process improvements.
- Track and report safety metrics and compliance indicators to leadership and external stakeholders, as needed.
- Provide leadership with timely updates on trends, high-risk issues, and action plans.
- Benchmark organizational performance against industry standards and best practices.
- Collaborate with ambulatory surgical services to ensure adherence to perioperative safety standards and protocols (e.g., surgical time-outs, infection prevention, post‑op follow‑up).
- Investigate and manage patient complaints, grievances, and claims in coordination with leadership and legal…
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