Clinical Risk Specialist

  •  

Framingham, MA

Less than 5 years

Posted 215 days ago

  by    Mason Ingling

This job is no longer available.

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

$80K - $120K