Clinical Risk Specialist

Confidential Company  •  Framingham, MA

Less than 5 years experience  • 

$80K - $120K
Posted on 05/18/18 by Mason Ingling
Confidential Company
Framingham, MA
Less than 5 years experience
$80K - $120K
Posted on 05/18/18 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.

 

Activities:

 

*** 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

Not the right job?
Join Ladders to find it.
With a free Ladders account, you can find the best jobs for you and be found by over 20,0000 recruiters.