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- Best in Class Work Environment 5x Modern Healthcare Best Places to work America's Greatest Workplaces 2023 – Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women Newsweek
- Benefits Robust, fully customizable benefits package including Medical/Vision/Dental and more No cost eCare visits Employer-provided mental health services for employees and eligible family members Retirement with employer match up to 5% Tuition discounts and reimbursement available for continuing your education CoxHealth Fitness Center and Child Care discounts
- Job Summary
- Reports to the Administrative Director of Insurance and Risk Management and conducts and documents investigation of adverse medical events that occur in the CoxHealth clinics and rural hospitals for purposes of evaluating liability exposure to CoxHealth. Conducts medical chart reviews and on-site investigations including interviews of employees and patients in order to respond to claims of medical negligence and miscellaneous complaints of care. On litigated cases, is responsible for coordinating communication and sharing of resources with Claims and Litigation Manager and outside defense counsel. Coordinate efforts with the Office of Patient Safety, Regulatory Affairs and Office of Patient Experience in responding to adverse events, patient grievances, and billing disputes.
- Job Requirements
- Education
- Required: Bachelor's degree in nursing
- Experience
- Required: At least 5 years of clinical experience Preferred: Experience in medical risk management and claims management Preferred: Patient Safety, Risk Management, or litigation experience
- Skills
- Active Listening Complex Problem Solving Critical Thinking Professional Communication Conflict Management
- Licensure/Certification/Registration
- Required: RN license Preferred: CPHRM, ARM, CPCU, CPHQ
Clinical Risk Manager-Clinics - Springfield, United States - CoxHealth
Description
Summary