[Remote] Director, Clinical Risk Management- Remote

Note: The job is a remote job and is open to candidates in USA. Lifepoint Health is a leader in community-based care, committed to making communities healthier. The Director, Clinical Risk Management will improve the quality and safety of healthcare services by identifying and mitigating risks, collaborating with various stakeholders, and ensuring compliance with regulatory requirements.

Responsibilities

• Collaborate with behavioral health hospital, practice managers, health support center (HSC) representatives, insurers, attorneys and others to serve as a resource and subject matter expert (SME) for all items related to clinical risk management.
• Consult and collaborate with hospital leaders, risk managers and HSC stakeholders on a broad scope of clinical risk management issues.
• Establish and propose clinical risk management goals and initiatives for risk reduction and any policies and procedures to accompany.
• Review professional and general liability events / claims to identify opportunities to manage risk, prevent loss and refer compliance, legal or other related concerns to subject matter experts.
• Conduct investigations, collaborate with any Medical Staff members, Administrators, Directors, and Staff to measure, assess and improve processes and outcomes to effect improvement.
• Serve as a resource and SME to ensure compliance with regulatory requirements including but not limited to The Joint Commission (TJC), Department of Health (DOH), and The Centers for Medicare & Medicaid Services (CMS).
• Educate leaders and stakeholders within the hospitals and HSC in the essentials of risk management, emerging trends, and identified opportunities and strategies to prevent loss.
• Participate in HSC committees, workgroups and councils to develop resources for LifePoint affiliates that incorporate sound risk management guidance.May serve on work groups and committees.
• Perform benchmarking and analyze risk management claims data to identify trends, opportunities and understanding of comparative information to communicate with appropriate stakeholders throughout the Company.
• Support and ensure the implementation of Clinical and Risk programs, practices and policies and procedures across the Company.
• Regular and reliable attendance.
• Perform other duties as assigned

Skills

• Current state RN license
• Minimum of 7 years of experience
• 3 years' experience in Risk Management/Quality Focus preferred
• Ability to collaborate with various stakeholders including behavioral health hospital, practice managers, health support center representatives, insurers, attorneys
• Ability to establish and propose clinical risk management goals and initiatives
• Experience in reviewing professional and general liability events/claims
• Ability to conduct investigations and collaborate with Medical Staff members, Administrators, Directors, and Staff
• Knowledge of compliance with regulatory requirements including The Joint Commission, Department of Health, and The Centers for Medicare & Medicaid Services
• Ability to educate leaders and stakeholders in risk management essentials
• Experience in performing benchmarking and analyzing risk management claims data
• Ability to support and ensure implementation of Clinical and Risk programs, practices and policies
• Regular and reliable attendance

Education Requirements

• Bachelor's Degree from an accredited Nursing or related healthcare field

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

Company Overview

• Lifepoint Health is a leading healthcare provider that serves patients, clinicians, communities and partner organizations across the healthcare continuum. It was founded in 1999, and is headquartered in Brentwood, Tennessee, USA, with a workforce of 1001-5000 employees. Its website is http://www.lifepointhealth.net.

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