The RN - Risk Analyst supports the operational functions of the Risk Management department and to improve the organization’s risk posture. This role involves close collaboration with department leaders to enhance visitor, staff, and patient safety. This role encompasses risk mitigation activities such as conducting risk assessments, collaborating with Quality and Patient Safety teams, and participating in business continuity planning. Additionally, the Specialist will assist in the development and review of hospital policies, reports, and consent forms for compliance, and will conduct risk management training and educational programs. The position also involves supporting claims management processes and data management, overseeing the dissemination of confidential claims information, and participating in all aspects of the claims process. The Specialist will maintain confidentiality, represent Risk Management on various hospital committees, and foster positive relationships with insurance carriers and general counsel. Staying abreast of healthcare risk management issues and completing projects as assigned by the Department Director are also key responsibilities.

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

• Identification and Investigation of Risk-Related Events
  • Assist in managing and investigating incidents and adverse events, including but not limited to:
    • Ensure consistent classification of incident types.
    • Initiate investigations to obtain necessary documentation.
    • Identify potentially compensable events and initiate process to notify appropriate insurers.
    • Place and document account holds in the electronic reporting system and maintain a hold list.
    • Review itemized billing with the Director of Risk Management and other leaders to identify charges resulting from medical errors that may require adjustment or additional review.
    • Assign significance to incidents.
    • Collaborate with hospital department managers and/or directors to ensure appropriate follow-up is completed and appropriate documentation.
    • Refer cases to Managers, internal Quality Improvement teams, Peer Review Committees for appropriate follow-up to reduce the risk of recurrence.
  • Participates in activities designed to reduce risk exposure and improve quality and safety of patient care (ex. Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA) and other similar improvement teams).
    • Tracks action items identified in RCA’s, ensuring completion of corrective actions.
  • Risk Mitigation Activities
    • Conduct risk assessments for departments and practices, identifying areas for improvement and developing corrective action plans.
    • Collaborate with Quality and Patient Safety teams to identify underlying causes and develop corrective action plans.
    • Collaborate with the manager/director and other departments for the identification of high-risk areas providing recommendations and solutions to eliminate or mitigate exposure to liability and enhance compliance with regulatory and accrediting agency requirements.
    • Serves as a resource in problem identification, educational needs, and problem resolution, which have or may have an adverse effect on patient care, including the education of coworkers on hospital risk management and liability issues
    • Participate in organizational business continuity planning (BCP). Lead initiatives associated with BCP, as appropriate.
    • Develop and maintain risk management intranet sites and utilize technology resources.
  • Policy and Documentation Management
    • Assist in the development and review of:
      • Hospital policies related to risk management and patient safety
      • Reports and documentation related to risk events and mitigation efforts for various committees
      • consent forms for compliance with legal, ethical, and hospital standards
    • Risk Management Training and Educational Programs
      • Assist in onboarding new providers to review risk management procedures and their insurance coverage.
      • Conduct training sessions on risk management and high reliability principles and practices.
    • Claims Management Processes and Data Management
      • Oversees dissemination of confidential claims information and data to authorized individuals and institutions for purposes of credentialing, reappointment, and other purposes (ex. Clarifying coverage and providing claims information for employed providers)
      • Participates in all aspects of claims process which includes but is not limited to: response to interrogatories, requests for production, insuring documentation, and data management
      • Reviews periodic risk management claim reports
    • Completes project(s) as assigned by Department Director
    • Keeps abreast of healthcare risk management issues, assisting with implementation of new or revised guidelines and practices
    • Maintains the confidentiality and integrity of all information encountered during work activities.
    • Represent Risk Management on various hospital committee(s) as directed.
    • Maintain positive working relationship with the hospital’s professional and general liability insurance carrier and general counsel.
    • Performs special assignments as required.

This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.

• Minimum Education: Associate’s degree in nursing (ASN) with three years of clinical nursing experience and knowledge of the clinical care of patients
• Preferred Experience: Bachelor’s degree in nursing (BSN); One (1) year or more in risk management, or patient safety. Familiarity with Root Cause Analysis, incident reporting, business continuity planning, high reliability, and risk management strategies.

Licensure:

• Active clinical license in Indiana (RN)
• Preferred Certifications: Certified Professional in Patient Safety (CPPS) or Certified Professional in Health Care Risk Management (CPHRM)

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022

Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

EEO Statement: Reid Health is an Equal Opportunity Employer

No Search Firms:

Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

Application FAQs