Job description

Seeking to hire an experienced Registered Nurse to join our Magnet Hospital's Risk/Regulatory & Compliance Management Team! We greatly value Risk Managers with the detailed orientation and vision to see and appreciate what others may dismiss as “the small stuff.” Keen observational skills and a strong work ethic are what we would like you to bring to this critical role, supporting managerial initiatives to reduce institutional and staff liability with respect to litigation.

• Job Type & Position: Full-Time - Registered Nurse (RN) of Compliance & Risk Management
• Schedule: Monday - Friday / 8:30a - 5:30p
• Location: Greenwich, CT
• Salary: $90,000 - $125,000 + Full Benefits (start day one) Medical, Dental, Vision, 401k, Tuition Reimbursement, PTO, Vacation, Continuing Education, etc.

JOB OVERVIEW:

Magnet Hospital is seeking to expand our Compliance & Risk Management team with a Registered Nurse (RN) – Clinical Risk Management Associate. The Risk Management Associate will assist the Department Manager in all phases of Risk Management including litigation and claims evaluation, medical record review, preparation of summary reports and participation in Root Cause Analysis Teams related to actual or potential sentinel events.

The incumbent will also participate in Quality Improvement Committees. Establish and maintain positive relationships with patients, visitors, physicians, and other employees. Interact professionally, courteously, and appropriately with patients, visitors, physicians, and other employees.

Contribute to and participate in the Performance Improvement and Quality Improvement activities of the assigned department. Contribution and participation include data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of our hospital:

- Safety and Security Policies

- Risk Management: Incident and Occurrence Reporting

- Infection Control Policies and Procedures

- Patient and Customer Service.

QUALIFICATIONS:

• Connecticut Registered Nurse (RN) License is (Required)
• Bachelor’s Degree in Nursing (Required)
• Master’s degree in Nursing, Healthcare Informatics/Analytics (preferred)
• A minimum of 3 to 5 years clinical nursing experience within a hospital, medical center, etc. (Required)
• At least one (1+) year of relevant risk or insurance experience (Preferred)
• Excellent written, oral and communication skills are essential.
• Demonstrated organization skills are essential.
• Experience in the utilization of quality improvement methods related to data management and analysis is required.
• Experience developing and conducting educational programs.
• High level of competency with computer software such MS Word or equivalent is required.

JOB RESPONSIBILITES:

Risk Management Functions:

• Develop and monitor reports of occurrence data and harm events. Produce reports as requested on various department activities.
• Respond to inquiries or reports regarding potential or actual occurrences in the hospital that implicate medical, legal, ethical or loss control issues.
• Analyze and evaluate occurrence reports generated by employees or physicians’ departments and individuals responsible for Medical, Nursing and Utilization review to determine the significance and reportability of events.
• Assist departments in determining appropriate corrective actions involving risk and medical error reduction.
• Undertake investigation and follow up of occurrences involving risk management, quality of care issues or professional or general liability exposure.
• Review and evaluate requests for medical information and/or records to determine appropriate authority of request and to screen potential requests for litigation implications.
• Assist in the review and revision of Departments and Hospital’s Policies as necessary.
• Participate in hospital’s committees as needed at the direction of the Manager, Risk Management or Manager, Regulatory Affairs.
• Assist in the investigation and preparation of case summaries for presentation at Clinical Review and/or Root Cause Analysis meetings.
• Facilitate or participate in Root Cause Analysis team meetings
• Interface with medical records department as necessary to ensure efficient processing of inquiries from regulatory agencies and legal representatives of patients.
• Preview potential compensable events at monthly claims committee. Follow up on corrective action from meetings and assist in claim reporting and verification activities.

Performance Improvement Functions:

• Provide written critical analysis of cases and recommend policy or procedural changes as warranted.
• Follow up for risk reduction strategies and corrective action in response to sentinel events or quality of care issues.
• Interface with other departments to address patient care issues promptly and effectively, harm events or complaints.
• Develop and maintain programs for tracking and trending significant and/or reportable occurrences and professional practice concerns.
• Coordinate or participate in Performance Improvement committees as necessary.

Regulatory Functions:

• Assist the Manager, Regulatory Affairs, as needed with reporting to the Department of Public Health pursuant to legislative and regulatory guidelines.
• Provide assistance to the various departments under the supervision of the Manager, Risk Management, with preparation for regulatory surveys and site visits.
• Within Administrative policy guidelines or at the direction of the Manager, Risk Management, or the Manager, Regulatory Affairs, coordinate or participate in meetings with regulatory agencies.
• Coordinate efforts to provide assistance to regulatory agencies in response to inquiries or requests for information and/or medical records consistent with Department and Hospital policy.
• Assist the Manager as needed with reporting to and interfacing with regulatory agencies on compliance issues.

Educational Functions:

• Provide in-service training at the new employee/physician orientation sessions and other venues regarding risk management issues and department functions.
• Participate in and/or attend educational seminars and conferences at the request of the Manager.
• Assist with staff educational programs involving patient safety, medical injury prevention, documentation, informed consent policy and procedures, occurrence reporting, Joint Commission reporting, reporting involving other regulatory agencies, organ donor policies and procedures, End of Life and Do Not Resuscitate policies and procedures, Health Care Proxy policies and procedures, and other programs as requested or as determined by the Department of Risk Management.

Job Type: Full-time

Pay: $95,000.00 - $125,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Paid sick time
• Paid time off
• Pet insurance
• Tuition reimbursement
• Vision insurance

Physical setting:

• Inpatient
• Magnet hospital

Standard shift:

• Day shift

Weekly schedule:

• 5x8
• Monday to Friday

Ability to commute/relocate:

• Greenwich, CT: Reliably commute or planning to relocate before starting work (Required)

Education:

• Master's (Preferred)

Experience:

• Nursing: 3 years (Preferred)
• Risk Management: 1 year (Preferred)

License/Certification:

• RN (Required)

Work Location: In person

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