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.
***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