8,510 Clinical Risk Manager jobs in the United States

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

• Conducts routine audits of specific operations requiring the development of data, interpretation of intangible or unusual factors, summarization of findings and presentation of recommendations and suggestions.

Minimum Specifications

Education

• Must have a Bachelor's degree in Business or Healthcare related field.
• Must have a minimum of fifteen hours of college level courses which include subjects of accounting, statistics, data analysis/extraction and/or healthcare administration.

Experience

• Must have two years of previous operational & financial audit experience in a healthcare environment; OR,
• Must have two years of progressively responsible experience doing operational and financial audits in an internal audit environment; OR
• Must have two years of progressively responsible experience in a healthcare environment.

Equivalent Education and/or Experience

• May have a Master’s Degree in lieu of two years of experience.

Certification/Registration/Licensure

• Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), or Certified Public Accountant (CPA) preferred.

Skills or Special Abilities

• Must have effective oral and written communication skills.
• Must be a good listener, be flexible, be able to balance multiple projects, and possess good business and negotiation skills.
• Must be able to demonstrate the ability to write a finding in a clear and concise audit report.
• Must have strong analytical and statistical skills and be able to perform analyses to obtain supported results using organizational data.
• Must be proficient with MS Office (Word, Excel, VISIO, PowerPoint) software applications and have an aptitude to learn the organization’s accounting, payroll, and electronic medical record systems.
• Must have strong organizational skills and be able to demonstrate both analytical and statistical skills.
• Must demonstrate effective problem-solving skills.
• Must have the ability to understand audit standards and governmental regulations.
• Must be a self-starter with the ability to work effectively as part of a team, and on an independent basis.

Responsibilities

1. Assists in determining the direction and approach of assigned audits and assists with writing the audit program subsequent to gaining and understanding and performing the risk assessment and based upon the scope established for the audit.
2. Conducts limited scope, less complex, or portions of larger scope audits. Assists in determining the materiality of the issues reviewed and reported; ensuring that assets are safeguarded, internal controls are present, resources are used efficiently, and that all activity and costs are appropriate.
3. Using an automated system, prepares work papers and documents each step, validates all information through whatever sources are available. Using the workpaper application, enters project related milestones, maintains project related data, and maintains an accounting of project time.
4. Participates in meetings with the audited function periodically throughout the audit to discuss audit plans, audit findings, and to assist in developing mutually agreed-upon recommendations Maintains a positive working relationship with all hospital functions to ensure the fulfillment of auditing responsibilities.
5. Prepares a clear, concise audit report detailing the findings and recommendations. Perform follow-up audits of areas previously audited to ascertain that recommendations and time schedules are being followed from the initial audit.
6. Assists with special projects and/or serves on various interdisciplinary committees as assigned. May assist in conducting special studies of specific operations and may provide support to the annual financial audit of Parkland.
7. Communicates clearly and effectively with audit clients, internal audit team and others. Demonstrates effective communication by clearly and succinctly providing detailed audit information and by providing direct and clear responses to address questions.
8. Maintains knowledge, competencies, and application of rules, regulations, policies, laws, and guidelines that impact the area.
9. Demonstrate effective and continuous learning.
10. Demonstrate high degree of self-motivation and initiative.
11. Demonstrate critical thinking and problem solving.
12. Demonstrate openness and flexibility to various work assignments.
13. Maintain collaborative and positive work relationships.
14. Exhibit strong project management skills adhering to budgets and deadlines.

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.

• Develop, implement, and manage clinical risk management programs to reduce patient harm, enhance patient safety, and maintain high standards of care.
• Identify and assess potential risks related to clinical practices, equipment, and processes.
• Collaborate with clinical staff to monitor patient safety concerns, such as adverse events, near misses, and safety incidents.
• Lead root cause analysis (RCA) for clinical incidents and work with the clinical team to design corrective actions.
• Conduct regular audits and inspections to assess compliance with facility policies, clinical protocols, and regulatory standards.
• Provide training and education to staff on risk management policies, patient safety, and best practices.
• Oversee and manages occurrence reporting system including timely responses and regular reporting.
• Oversee and manage evaluation and response to patient grievances.

• Serve as the main point of contact for regulatory audits, ensuring timely preparation and response to audit requests.
• Oversee the coordination and submission of accurate and complete clinical documentation required for audits.
• Oversee the coordination and submission of corrective action plans that are a result of audits.
• Monitor trends in audit findings to proactively address issues and prevent future discrepancies.
• Prepare and submit reports on audit findings to senior management and health plan representatives, as necessary.

• Ensure that clinical practices comply with all local, state, and federal regulations, including healthcare quality standards, patient privacy laws (HIPAA), and accreditation standards.
• Work closely with compliance officers to maintain and improve the facility's overall compliance program.
• Assist with external inspections and audits, including those from regulatory bodies such as CMS, state health departments, or accrediting organizations.

• Collaborate with leadership to develop and implement quality improvement initiatives to reduce clinical risk and improve patient care outcomes.
• Monitor performance data related to clinical risk management, safety, and audit results.
• Contribute to the development and implementation of action plans to address performance gaps identified through audits and incident reporting.

• Oversee the incident reporting system to track clinical incidents, risks, and adverse events.
• Review and analyze incident reports to identify patterns and potential systemic issues, ensuring corrective measures are taken.
• Generate regular reports on clinical risk data and trends to inform senior management decision-making.

• Associate's degree in nursing.
• Minimum of 6 years of experience in clinical risk management, preferably within an outpatient healthcare setting.
• Current California State Board RN License
• Strong understanding of clinical processes, patient safety, healthcare regulations, and quality improvement methodologies.
• Knowledge of healthcare reimbursement and documentation requirements, including familiarity with audits and regulatory compliance (e.g., CMS, HIPAA).
• Experience in managing or overseeing health plan audits, including documentation review and audit response processes
• Excellent communication and interpersonal skills, with the ability to work effectively with multidisciplinary teams.
• Strong analytical and problem-solving skills, with attention to detail.
• Ability to manage multiple projects and priorities in a fast-paced environment.

• Competitive Compensation
• Competitive Time Off
• Low-cost health, dental, vision & life insurance
• Tuition Reimbursement, Employee Assistance program

Job Description

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.

The  Registered Nurse Clinical Risk Manager is responsible for ensuring the safety and quality of patient care within the outpatient facility. This role involves identifying, evaluating, and mitigating clinical risks, developing and implementing risk management strategies, and ensuring compliance with regulatory requirements. In addition to risk management duties, this position also has oversight responsibilities related to health plan audits, ensuring accurate documentation and facilitating the smooth operation of audits within the facility. 

Duties & Responsibilities:

Clinical Risk Management: 

• Develop, implement, and manage clinical risk management programs to reduce patient harm, enhance patient safety, and maintain high standards of care. 
• Identify and assess potential risks related to clinical practices, equipment, and processes. 
• Collaborate with clinical staff to monitor patient safety concerns, such as adverse events, near misses, and safety incidents. 
• Lead root cause analysis (RCA) for clinical incidents and work with the clinical team to design corrective actions. 
• Conduct regular audits and inspections to assess compliance with facility policies, clinical protocols, and regulatory standards. 
• Provide training and education to staff on risk management policies, patient safety, and best practices. 
• Oversee and manages occurrence reporting system including timely responses and regular reporting. 
• Oversee and manage evaluation and response to patient grievances. 

Regulatory Audit Oversight: 

• Serve as the main point of contact for regulatory audits, ensuring timely preparation and response to audit requests. 
• Oversee the coordination and submission of accurate and complete clinical documentation required for audits. 
• Oversee the coordination and submission of corrective action plans that are a result of audits. 
• Monitor trends in audit findings to proactively address issues and prevent future discrepancies. 
• Prepare and submit reports on audit findings to senior management and health plan representatives, as necessary. 

Compliance and Regulatory Oversight: 

• Ensure that clinical practices comply with all local, state, and federal regulations, including healthcare quality standards, patient privacy laws (HIPAA), and accreditation standards. 
• Work closely with compliance officers to maintain and improve the facility’s overall compliance program. 
• Assist with external inspections and audits, including those from regulatory bodies such as CMS, state health departments, or accrediting organizations. 

Quality Improvement: 

• Collaborate with leadership to develop and implement quality improvement initiatives to reduce clinical risk and improve patient care outcomes. 
• Monitor performance data related to clinical risk management, safety, and audit results. 
• Contribute to the development and implementation of action plans to address performance gaps identified through audits and incident reporting. 

Incident Reporting & Data Analysis: 

• Oversee the incident reporting system to track clinical incidents, risks, and adverse events. 
• Review and analyze incident reports to identify patterns and potential systemic issues, ensuring corrective measures are taken. 
• Generate regular reports on clinical risk data and trends to inform senior management decision-making. 

• Associate’s degree in nursing.
• Minimum of 6 years of experience in clinical risk management, preferably within an outpatient healthcare setting. 
• Current California State Board RN License
• Strong understanding of clinical processes, patient safety, healthcare regulations, and quality improvement methodologies.
• Knowledge of healthcare reimbursement and documentation requirements, including familiarity with audits and regulatory compliance (e.g., CMS, HIPAA).
• Experience in managing or overseeing health plan audits, including documentation review and audit response processes
• Excellent communication and interpersonal skills, with the ability to work effectively with multidisciplinary teams. 
• Strong analytical and problem-solving skills, with attention to detail.
• Ability to manage multiple projects and priorities in a fast-paced environment.

• Competitive Compensation
• Competitive Time Off
• Low-cost health, dental, vision & life insurance
• Tuition Reimbursement, Employee Assistance program

TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here.

Pay transparency: If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.

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JoAn64TIav

Youngstown, OH, US

Job Summary:

Quality Assurance Technicians are responsible for identifying and communicating any defects on product. This position involves conducting various sampling and measuring tests in order to ensure the product is meeting customer specifications and is consistent. This position shall communicate with the Production Manager, operators on all lines.

Job Duties:

• Conduct product sampling and testing to ensure cans are within customer specifications and consistent production is being met.

• Perform product sampling and testing such as metal exposure testing, coating adhesion and abrasion resistance, burst and buckle performance and overflow capacity and particulate identification and measurement.

• Inspect barcodes, text and graphics.

• Sample and select product for retain storage.

• File proper paperwork such as start-up sheets.

• Input product and process data.

• Collect pre-delivery samples (PDS).

• Perform finished goods inspection.

• Authority to stop and/or modify work processes due to non-conformance and/or unsafe working conditions.

• Report all potential food safety concerns to the quality assurance manager.

• Perform all other job duties as assigned.

Qualifications and Experience Requirements:

• Previous ISO/GMP and in process testing experience

• Excellent color detection skills and attention to detail

• Measuring skills using calipers, micrometers, gauges, etc.

• Computer skills such as Windows operating system, Microsoft Word, Excel, etc.

• Ability to remain organized and problem solve.

• Must be a team player and possess a "can do" attitude.

• Ability to walk or stand for periods of time.

• Excellent communication skills with the ability to read, write and communicate fluently in English.

Work Environment:

This position performs job duties located on the shop floor. This position walks through the manufacturing floor where machinery produces loud noises. In addition, this position will use quality assurance equipment, telephones/walkie-talkies to perform job duties.

Nearest Major Market: Cleveland

Nearest Secondary Market: Youngstown