Clinical Risk Specialist


Framingham, MA

Less than 5 years

Posted 154 days ago

  by    Mason Ingling

Seeking Registered Nurse (RN) or Physician Assistant (PA) to join Clinical Risk team and evaluate potential clinical obligations and claim reimbursement from a patient safety and loss prevention perspective.




*** Review and analyze claims data to support Product Safety & Loss Prevention patient safety initiatives.


*** Enter relevant information into patient safety data collection system, following case review manual guidance and business rules.


*** Monitor and update open professional liability cases to accurately reflect all available information at time of review.


*** Re-review cases based on established triggers.


*** Conduct focused reviews to provide institutions and initiatives with information pertaining to actionable themes, common trends, etc.


***Report potential risk trends and patient safety opportunities.


*** Develop and refine data collection activities, including identification of additional data elements for review.


*** Identify risk and improvement opportunities and assemble relevant information in support of clinical initiatives.


Must Have:


***Registered Nurse or Physician Assistant license.


Well established insurer offers competitive compensation package, full medical benefits, 401(k) savings plan, flexible vacation policies, various professional development opportunities, and more!


Please reference #37995134 when responding.Education Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: FraminghamJob State Location: MAJob Country Location: USA

$80K - $120K
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