5,821 Clinical Risk Manager jobs in the United States

**About Us**
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Immediate eligibility for health and welfare benefits
+ 401 (k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level
**Location**
This position will support two hospitals; Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center - College Station. (Travel to both locations is required)
**Job Summary**
The Clinical Risk Manager (CRM) directs and coordinates clinical risk management for the hospital (Greater Austin Region and College Station). The CRM integrates information from adverse events, near misses, RCAs, and clinical risk issues. With this information, the CRM reviews findings and works with Patient Safety and hospital managers. Together, they develop programs to improve a culture that supports patient safety and reduces risk exposure.
**Essential Functions of the Role**
+ Reviews SSOS reports and obtains more detailed information by chart review and interviews as indicated.
+ When adverse events harm patients, the CRM, led by the Corporate Director of Risk Management, investigates to evaluate patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM will help conclude on early intervention.
+ Addresses daily questions and problems about patient care or concerns. Addresses patient complaints or incidents. Works to resolve issues before they become liability claims.
+ Receives information from team members who manage complaints and the Ethics Hotline about patient care processes that may cause harm. The CRM will help team members address or resolve complaints and Ethics Hotline reports.
+ Addresses grievances involving patient care and responds within the CMS-designated time frame. Provides follow-up communication when the complaint is resolved.
+ Is a trusted agent for clinical staff to report concerns about aspects of care that may generate risk to patients.
+ Participates in disclosing adverse events to patients and families. Serves as a consultant and educator to those responsible for disclosure.
+ Reports to BSWH department of Risk Management and facility senior clinical and executive managers: a) the initial existence of serious adverse events, concerns, or risks and the investigation plan; b) the results of the initial investigation; c) the plan for a more detailed investigation (RCA or other); d) the 'lessons learned' from studying the event.
+ Assists the Manager of Insurance in managing claims related to property loss and visitor injury.
+ Clinical Risk Study and Priority setting that is based upon priorities and specific hospital performance.
+ Studies trends of adverse events from SSOS or other electronic data sources. Presents results to the Hospital PS Committee, senior clinical and executive managers, and governance groups when asked.
+ Investigates and prepares for the root cause study of sentinel events. This includes developing a timeline and contacting required participants. Establish attendance, schedule, and participate in the meeting. Write the investigation report. Schedule a follow-up corrective action plan and monitor the plan. Report sentinel events to corporate risk management monthly.
+ Participates in the multidisciplinary adverse event review team that meets regularly to discuss adverse event reports of E or greater.
+ Regularly reports to executive and medical staff managers related to CRM trending data and 'lessons learned'.
+ Develops and presents education programs for personnel. These programs increase awareness of their role in reducing medical errors. This helps prevent patient injury and lowers liability risk.
**Key Success Factors**
+ Bachelor's Degree in a healthcare field and four years of clinical experience. Or, an Associate's Degree in a healthcare field and six years of clinical experience. Or, an RN with less than a Bachelor's Degree and six years of clinical experience.
+ TX RN license if an RN
+ Certified Professional in Healthcare Risk Management (CPHRM) preferred.
**Belonging Statement**
We believe that all people should feel welcomed, valued, and supported.
**QUALIFICATIONS**
+ EDUCATION - Associate's
+ EXPERIENCE - 4 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

**Job Description**
The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS).,
The Clinical Risk Manager conducts investigations and prepares reports as required by external regulatory agencies related to incidents and incident reporting. Works closely and collaboratively with members of the Quality Department to assure regulatory and accreditation compliance. Will serve as a champion for identification, mitigation, management and prevention of risk throughout the organization.
This position supports Mount Sinais objective of enhancing and promoting patient safety and quality of care and minimizing loss to protect the assets of the facility. This individual participates in developing risk reduction strategies, policy and/or organizational changes.
**Qualifications**
+ Bachelor's degree in Nursing or related field; Masters or JD preferred.
+ Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign healthcare experience can be utilized in lieu of licensure.
+ 3 years risk management experience (greater than three years preferred).
+ Experience with Just Culture and Culture of Safety principles preferred.
+ Knowledge of clinical quality, patient safety, patient experience and/or patient satisfaction performance measures and indicators.
**Compensation Statement**
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $120,000.00 - $150,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, AYD - Hospital Risk Management - STL, Mount Sinai St. Luke's
**Responsibilities**
1. Coordinates the risk management program to meet the needs of the Risk Management Department and the institution.
2. Conducts an initial review and develops a case summary, inclusive of focused questions, if the case requires further review providing all required documentation for investigations, activities and resolutions related to the reported incident.
3. Evaluates reviews completed by leadership, provides oversight of data aggregation and reports back to the Director of Risk Management summarizing data.
4. Performs investigation of potentially reportable incident (s) to the New York State Department of Health.
5. Review and analysis of all incident reports to identify risk management, quality of care, regulatory and insurance concerns.
6. Participates in Performance Improvement activities such as Root Cause Analysis or Healthcare Failure Mode and Effect Analysis (HFMEA) when appropriate and required.
7. At the direction of the Director of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews.
8. Maintains risk management information system database.
9. Identifies organizational risk through trend analysis of incidents, incident letters, and reports; assures accuracy of data prior to internal distribution.
10. Interface with the insurers and legal counsel, reporting potential claims as well as cases of concern by preparation of preliminary reviews and reports
11. Collaborates with quality staff to support ongoing regulatory compliance and management of on-site regulatory/accreditation visits and after-action planning/implementation and reporting.
12. Acts as a resource person to staff on risk management issues.
13. Keeps abreast of appropriate regulatory requirements related to risk management.
14. Responds to inquiries regarding various reports and individual professional liability matters.
15. On-call responsibility to provide coverage to field inquiries from all medical center staff (outside normal business hours) on risk management issues and other concerns.
16. Expect to work flexible hours to participate in staff interviews, risk management and patient safety events, debriefs and meetings as needed.
17. Serve as point person and coordinator for planned and unannounced site visits by The Joint Commission, Drug Enforcement Agency, New York City and New York State Departments of Health.
18. Active participation on committees directed toward promoting risk management, patient safety, quality of care and with availability to attend/cover other Committee meetings as may be requested.
19. Assists in developing and presenting educational programs to raise staff, including staff on off-hour shifts, awareness to risk exposure and the impact on professional liability,.
20. Coordinates, supports and assists in developing Patient Safety Fair and Risk Management Week activities.
21. Performs other related duties
**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

**All the benefits and perks you need for you and your family:**
+ Benefits from Day One
+ Paid Days Off from Day One
+ Student Loan Repayment Program
+ Career Development
+ Whole Person Wellbeing Resources
+ Mental Health Resources and Support
+ Pet Insurance*
+ Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**Schedule:** Full-Time Salaried Exempt Role
**Shift** : Days Monday-Friday 8-5 no weekends or holidays (Will be on call 4-5x per year for week long period)
**Location:** **601 EAST ROLLINS STREET, Orlando, 32803**
**The role you'll contribute:**
The Clinical Risk Manager (CRM) is responsible for managing the risk management program for the assigned areas. This position is responsible for working in collaboration with the clinical team to ensure adherence to all federal regulations and hospital policies. The CRM or their designee will systematically investigate all clinical incidents/accidents/events that could lead to patient harm and/or financial loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute . The CRM identifies areas of risk and facilitates risk mitigation/safety strategies including the Root Cause Analysis and Response process as well as regulatory surveys. The CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The CRM is responsible for integrating the risk management program into the quality and safety activities of assigned areas.
**The value you'll bring to the team:**
+ Develop, manage, and administer facility-wide systems for risk identification, investigation, and reduction. Assess operational and clinical risk across the assigned areas based on knowledge of national and state regulatory and accreditation standards and/or licensing requirements. Assess, develop, implement, and maintain educational risk management programs for all personnel, leaders, and Executive Team on identified issues and any other related activities as statutorily required.
+ Maintain working knowledge of CMS, DNV, AHCA, or other state. national and/or federal standards such as required reporting of quality-of-care issues, Sentinel Events, corporate compliance related issues and any other requirements that directly impact the continued operation of the facility/entity. Ensures compliance with patient safety and risk management related standards by DNV and other accrediting and regulatory entities and participates in the clinical quality and safety efforts of the facility.
+ Responsible for the management of the internal event report system for assigned area, in compliance with Florida Statute including identification and reporting of adverse events.
+ Identify, investigate, and report on Sentinel Events and facilitate the Root Cause Analysis & Action process. Participate directly in the facility process for Disclosure of Unanticipated Outcomes.
+ Responsible for integrating the risk management program with the quality and safety activities of the assigned areas.
+ Serves as a resource to hospital administration, other employees, and physicians on Risk Management/legal/ethical issues, including off-hour and holiday coverage as needed
+ Monitors, analyzes, and reports aggregated event report data to the Risk Management Director and hospital leaders, with a focus on risk exposures for trends or patterns.
+ Manages regulatory surveys as they pertain to complaints against AdventHealth as well as Risk Management Program Surveys
+ Investigates and reports to the Risk Management Director and to claims management any occurrence which has the potential to give rise to a claim
+ Manages the formal Patient Grievance process per CMS guidelines for the assigned facility
+ Demonstrates through behavior AdventHealth s Core Values in Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.
Qualifications
**The expertise and experiences you'll need to succeed:**
+ Bachelor's in health care related field Required
+ 3 years of Registered Nurse experience in hospital setting
+ 3 years of risk management or claims field preferred
+ Experience in process improvement/patient safety/clinical risk management/quality activities
+ Recent leadership experience highly preferred
+ Recent ICU or ED RN experience highly preferred
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Risk Management
**Organization:** AdventHealth Orlando
**Schedule:** Full-time
**Shift:** 1 - Day
**Req ID:**
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

**Description**
**Caregiver may be located in Oregon or Washington State. Will require travel to system area clinics in Oregon, Washington and Alaska.**
J **OIN PeaceHealth - Lead with Excellence in Risk Management**
At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.
Why PeaceHealth?
**Integrated Clinical Excellence** -
We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.
**Leadership Commitment to Safety** -
Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.
**Your Growth, our Investment -**
+ Access to professional development opportunities with Seminars and national Conferences
+ Internally hosted training with a focus on CE eligibility
+ Connections to top professional affiliations
+ Access to resource libraries, webinars and experts.
**Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.**
Job Summary
Responsible for investigating and managing lower-severity and risk events, including but not limited to visitor incidents, workplace violence, follow up testing for hazardous exposures, mandatory reporting of potential equipment failures, security-related issues and reported adverse events or near misses. This role supports the organization's risk management and patient safety goals by conducting timely reviews, escalating complex cases, and collaborating with departments to implement risk mitigation strategies and improve safety culture.
Essential Functions
+ Facilitates investigations of non-clinical and lower-severity events, such as visitor falls, employee injuries, workplace violence, and security incidents. May collaborate with Senior Clinical Risk Manager or other Subject Matter experts to investigate Complex and/or High-Risk events. Coaches operational leaders in their roles and responsibilities regarding issues that occurred on their assigned units/departments.
+ Conducts preliminary reviews of risk events and escalates complex or high-risk cases to the Senior Clinical Risk Manager and to local/. Works with the Senior Clinical Risk Manager to escalate to local and system leaders as appropriate.
+ Facilitates or participates in RCAs and other structured event reviews for assigned incidents.
+ Analyzes and leverages data and industry best practice guidelines or databases to identify trends, assess risk, and drive decision-making. Uses information from the incident reporting systems to support proactive risk identification and mitigation planning. Works with others to prioritize risk reduction/prevention activities.
+ Collaborates with operational leaders to develop recommendations for risk reduction. Facilitates performance improvement and loss prevention activities. Regularly provides key stakeholders with progress reports and data related to risk management activities. Evaluates improvement and loss prevention activities for effectiveness based on data analysis for their assigned departments and specific assigned committees/areas of focus.
+ Represents the Risk Management department on committees and task forces for their assigned areas. Monitors the Risk Management or other resources to share emerging strategies for risk reduction.
+ Collaborates with legal counsel on claims and litigation support for their assigned cases.
+ Assists Patient Relations to address grievances responds to the patient in the time frame designated by policy with a focus on those grievances related to patient harm, allegations of violation of their rights, ADA accommodations or regulatory concerns.
+ In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey.
+ Supports the communication & resolution program (disclosure process and early resolution) in assigned areas of responsibility.
+ Facilitates teams related to system-wide approaches for risk mitigation. Regularly provides risk management coaching to operational leaders and provides education and training. Ability to lead Apparent Cause Analysis (ACA) for risk related events/topics.
+ Serves as a liaison and problem solver to provide guidance for enterprise risk prevention for new clinical services, programs and equipment as assigned - Participates and partners with cross functional departments and leaders in the development of system-wide risk management standard work, protocols, and policies.
+ Performs other duties as assigned
Qualifications
Education
+ Bachelor's Degree Required
Experience
+ Minimum of 3 years Required: Risk management, clinical practice, nursing, medical liability insurance, regulatory, quality, patient safety, or compliance experience. and
+ Preferred: - Healthcare industry experience
Credentials
+ Required: within 2 Yrs Certified Professional Healthcare Risk Management
Skills
+ State healthcare rules and statutes, and state licensing requirements Required
+ Proficient with MS Office applications Required
+ Able to navigate difficult environments in stressful situations while possibly interfacing with patients and their families Preferred
+ Ability to summarize complex issues targeted to the audience with consideration of privacy, regulatory and background knowledge of the audience Required
+ Strong Written and verbal communication and collaboration skills in individual and group settings. Ability to summarize complex issues targeted to the audience with consideration of privacy, regulatory and background knowledge of the audience. Works well in a fast-paced environment and with patients/family who are experiencing considerable stress. Required
+ Analytical and problem-solving skills Required Able to work flexible hours Required
+ Participation in on-call coverage Required General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA Preferred
+ Knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals Preferred
Working Conditions
Lifting
+ Consistently operates computer and other office equipment.
+ Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
+ Sedentary work.
Environmental Conditions
+ Predominantly operates in an office environment.
+ Some time spent on site in medical/hospital setting.
Mental/Visual
+ Ability to communicate and exchange accurate information.
+ The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
PeaceHealth is seeking a Clinical Risk Manager for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $45.14 - $67.70. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed toInclusivity, Respect for Diversity and Cultural Humility ( .
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER:

**Description**
J **OIN PeaceHealth - Lead with Excellence in Risk Management**
At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.
_Why PeaceHealth?_
**Integrated Clinical Excellence** -
We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.
**Leadership Commitment to Safety** -
Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.
**Your Growth, our Investment -**
+ Access to professional development opportunities with Seminars and national Conferences
+ Internally hosted training with a focus on CE eligibility
+ Connections to top professional affiliations
+ Access to resource libraries, webinars and experts.
**Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.**
**Job Summary**
The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare system. Provides strategic leadership and oversight in the identification, evaluation, and mitigation of clinical risks for their assigned areas. This role provides expert-level consultation on clinical risk, supports regulatory compliance, and leading enterprise-wide initiatives to enhance patient safety and reduce liability. In addition, this role is responsible for mentoring and supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical teams to drive a proactive risk management culture and ensure compliance with regulatory standards.
**Essential Functions**
+ Leads the identification and investigation of high-severity risk events, including coordination with legal, patient safety, compliance, and executive leadership. Collaborates with legal counsel on complex claims and litigation support.
+ Oversees and guides Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), Apparent Cause Analysis, and other risk assessments. Leads proactive risk assessments for high-risk areas.
+ Serves as a senior advisor to clinical and operational leaders on risk mitigation strategies and patient safety initiatives. Develops and communicates with senior management on appropriate responses to risk events and medical care complaints in accordance with legal requirements.
+ Develops and implements system-wide risk management standard work, protocols, and policies. Leads the development and delivery of advanced risk management education and training. Provides mentorship, training, and support for clinical risk managers.
+ Analyzes system-wide trends in incident reporting, tracks key performance indicators, and develops strategic recommendations for improvement. Regularly provides leadership with progress reports and data (including recommendations) related to risk management. Provides leadership of performance improvement and loss prevention activities.
+ Represents the Risk Management department on committees and task forces focusing on high-risk issues.
+ Investigates alleged EMTALA violations. Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes/systems designed to share and recognize performance improvements and compliance across the organization to mitigate risks to patient and caregiver safety/risks to the organization.
+ Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in risk management for community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisor other caregivers/providers.
+ Serves as system subject matter expert for risk mitigation strategies on high-risk topics such as OB, ED, ICU and Behavioral Health service lines or Informed Consent, Use of Force oversight, Laser Safety, Medical Device Reporting, Adoptions and other topics.
+ Assists Patient Relations to address complex grievances that involve patient care and responds to the patient in the time frame designated by policy.
+ In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey and corrective action plan.
+ Serves as the lead for the communication & resolution program (disclosure process) in assigned areas of responsibility.
+ Monitors and interprets changes in healthcare regulations and proactively adjusts risk strategies to maintain compliance.
+ Serves as the non-discrimination officer for their assigned areas of responsibility.
+ Performs other duties as assigned.
**Qualifications**
**Education**
+ Bachelor's Degree Required: in Nursing or other clinical field and
+ Master's Degree Preferred: in nursing, healthcare administration, public health or related field
**Experience**
+ Minimum of 5 years Required: Healthcare risk management, compliance, quality improvement or patient safety and
+ Minimum of 5 years Required: Combination of directly related clinical experience AND risk management, compliance, quality improvement, or patient safety
**Credentials**
+ Required:
+ Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and
+ Required: within 2 years Certified Professional Healthcare Risk Management
**Skills**
+ Advanced knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals. (Required)
+ General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)
+ State healthcare rules and statutes, and state licensing requirements. (Required)
+ Proficient with MS Office applications. (Required)
+ Excellent communication, interpersonal, collaboration, and presentation skills. (Required)
+ Advanced analytical and problem-solving skills. (Required)
+ Ability to lead and motivate teams, influence others, and drive change. (Required)
+ Able to work flexible hours. (Required)
+ Participation in on-call coverage. (Required)
The salary range for this job opening at PeaceHealth is $49.64 - $74.46. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER:

**Description**
J **OIN PeaceHealth - Lead with Excellence in Risk Management**
At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.
_Why PeaceHealth?_
**Integrated Clinical Excellence** -
We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.
**Leadership Commitment to Safety** -
Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.
**Your Growth, our Investment -**
+ Access to professional development opportunities with Seminars and national Conferences
+ Internally hosted training with a focus on CE eligibility
+ Connections to top professional affiliations
+ Access to resource libraries, webinars and experts.
**Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.**
**Job Summary**
The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare system. Provides strategic leadership and oversight in the identification, evaluation, and mitigation of clinical risks for their assigned areas. This role provides expert-level consultation on clinical risk, supports regulatory compliance, and leading enterprise-wide initiatives to enhance patient safety and reduce liability. In addition, this role is responsible for mentoring and supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical teams to drive a proactive risk management culture and ensure compliance with regulatory standards.
**Essential Functions**
+ Leads the identification and investigation of high-severity risk events, including coordination with legal, patient safety, compliance, and executive leadership. Collaborates with legal counsel on complex claims and litigation support.
+ Oversees and guides Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), Apparent Cause Analysis, and other risk assessments. Leads proactive risk assessments for high-risk areas.
+ Serves as a senior advisor to clinical and operational leaders on risk mitigation strategies and patient safety initiatives. Develops and communicates with senior management on appropriate responses to risk events and medical care complaints in accordance with legal requirements.
+ Develops and implements system-wide risk management standard work, protocols, and policies. Leads the development and delivery of advanced risk management education and training. Provides mentorship, training, and support for clinical risk managers.
+ Analyzes system-wide trends in incident reporting, tracks key performance indicators, and develops strategic recommendations for improvement. Regularly provides leadership with progress reports and data (including recommendations) related to risk management. Provides leadership of performance improvement and loss prevention activities.
+ Represents the Risk Management department on committees and task forces focusing on high-risk issues.
+ Investigates alleged EMTALA violations. Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes/systems designed to share and recognize performance improvements and compliance across the organization to mitigate risks to patient and caregiver safety/risks to the organization.
+ Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in risk management for community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisor other caregivers/providers.
+ Serves as system subject matter expert for risk mitigation strategies on high-risk topics such as OB, ED, ICU and Behavioral Health service lines or Informed Consent, Use of Force oversight, Laser Safety, Medical Device Reporting, Adoptions and other topics.
+ Assists Patient Relations to address complex grievances that involve patient care and responds to the patient in the time frame designated by policy.
+ In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey and corrective action plan.
+ Serves as the lead for the communication & resolution program (disclosure process) in assigned areas of responsibility.
+ Monitors and interprets changes in healthcare regulations and proactively adjusts risk strategies to maintain compliance.
+ Serves as the non-discrimination officer for their assigned areas of responsibility.
+ Performs other duties as assigned.
**Qualifications**
**Education**
+ Bachelor's Degree Required: in Nursing or other clinical field and
+ Master's Degree Preferred: in nursing, healthcare administration, public health or related field
**Experience**
+ Minimum of 5 years Required: Healthcare risk management, compliance, quality improvement or patient safety and
+ Minimum of 5 years Required: Combination of directly related clinical experience AND risk management, compliance, quality improvement, or patient safety
**Credentials**
+ Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and
+ Required: within 2 years Certified Professional Healthcare Risk Management
**Skills**
+ Advanced knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals. (Required)
+ General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)
+ State healthcare rules and statutes, and state licensing requirements. (Required)
+ Proficient with MS Office applications. (Required)
+ Excellent communication, interpersonal, collaboration, and presentation skills. (Required)
+ Advanced analytical and problem-solving skills. (Required)
+ Ability to lead and motivate teams, influence others, and drive change. (Required)
+ Able to work flexible hours. (Required)
+ Participation in on-call coverage. (Required)
The salary range for this job opening at PeaceHealth is $49.64 - $74.46. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
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**Job Description**
Senior Clinical Risk Manager
The Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote patient safety, quality of care, and minimize loss to protect the assets of the facility.
The Senior Risk Manager supports the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and comply with risk management related standards by The Joint Commission, the New York State Department of Health and other accrediting agencies.
This individual, in conjunction with the Senior Director, participates in the orienting, training and mentoring new staff to the Risk Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about the medical center's activities and the daily administration of its risk management program.
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**Essential Duties and Responsibilities**
1. Provides guidance to the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and comply with risk management related standards by The Joint Commission, the New York State Department of Health and other accrediting agencies.
2. Oversight of the day to day operations of the Risk Management and Patient Safety office
3. Participates in new employee orientation to Risk Management, its scope and its protocols.
4. Conducts Root Cause Analysis investigations which include assessing need for focused review by departments, and/or clinical chairpersons for peer reviews.
5. Conducts critical analysis of occurrences to determine NYPORTS, and next steps of requisite follow-up.
6. Reviews and analyzes all incoming occurrence reports for regulatory and insurance concerns.
7. Identifies trends, patterns and findings.
8. Fields issues of concurrent risk management concerns, and/or of a medical, legal and ethical nature.
9. Interfaces with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation of preliminary reports, and determination of priority of investigation given risk management assessment.
10. Collaborates with the Director/Senior Director in developing new Risk Management educational programs as requested or required.
11. Assists department leadership and colleagues with special projects, and reports occurrences, issues, and findings that could lead to risk reduction strategies.
12. Active participation on committees directed toward promoting quality of care and regulatory compliance: Hospital Safety Committee; Nursing Peer Committee; IT Committee; with availability to attend/cover other Committee meetings as well as Mortality and Morbidity conferences at the behest of the Associate Director/Senior Director.
13. Serves as a risk management resource to all clinical and support departments.
14. Participates in policy and procedure development.
15. Investigates complex clinical patient complaints and ethical questions that are referred to the Department.
16. 24/7 On Call rotation for the Department of Risk Management& Patient Safety.
**Education Requirements**
Bachelor's degree in Nursing, or other health related science;
Masters preferred
**Experience Requirements**
3-5 years Risk Management experience preferred
**Licensing and Certification Requirements (if applicable)**
NYS RN, NP or P.A. or allied health professional licensure
CPHRM preferred
**Qualifications**
The Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for this role is $140,000.00 - $160,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
**Responsibilities**
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**About Us**
**Strength through Unity and Inclusion**
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
**About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
**Equal Opportunity Employer**
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

**Description**
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
**Summary** :
The **Clinical Risk Manager** is responsible for administering the risk management program and ensuring effective loss prevention/control and compliance with state, federal guidelines and UNC Health standards. The primary responsibility of this position is to administer UNC Health's risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, conducting targeted risk management education, and providing risk management consultation with the objective of promoting patient safety and loss prevention activity in protection of organizational assets.
**Responsibilities** :
1. Initiates, coordinates and manages all investigational and evaluation activities associated with professional liability occurrences, including conducting interviews, researching and reviewing policies and procedures, reviewing of electronic medical record documentation and other information sources; analyzes potential and actual professional liability and general liability exposures and evaluates the extent and elements of exposure and recommends appropriate actions for risk mitigation.
2. Follows an enterprise risk management framework (ISO 31000) in risk identification, analysis, evaluation, mitigation and monitoring. Routinely identifies risk through risk assessments, observation, trended data, inspections, committee minutes, third party reports, attorney requests for medical records and administrative or associate referrals. Develops innovative approaches intended to reduce the frequency and severity of medical malpractice and patient injury claims.
3. Manages incident reporting database documentation of reported events; monitors incident reporting system for patient harm events and unanticipated outcomes and investigates accordingly.
4. Manages and implements the organization's risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and related accreditation standards. Reviews and/or drafts administrative policy and procedures that fall within the risk management domain. Submits reports to appropriate regulatory authorities as required.
5. Provides clinical risk management consultation to all physician and employees insured by UNC Health's self-insurance programs. Prepares and presents reports to management regarding trends, patterns and findings. Advises on the risk of current or future activities or programs conducted at the hospital. Establishes and coordinates committees and councils where indicated to manage high risk events.
6. Facilitates legal consultation from the UNC Health Care System Office of General Counsel to staff and physicians as indicated. Creates and provides education for employees and physicians in relevant risk management topics.
7. Collaborates with assigned departments, Quality/Performance Improvement and Medication Safety Officer to establish quality and safety goals; participates on hospital quality and patient safety committees.
8. Performs special projects that involve data gathering, preparation of reports, development of recommendations and presentations. Participates in professional organization programs throughout the risk management industry by presentation submissions, committee work, or other roles.
**Other Information**
Other information:
**Education Requirements:**
● Bachelor's degree in a related degree
**Licensure/Certification Requirements:**
● No licensure or certification required.
**Professional Experience Requirements:**
● Five (5) years of combined experience that may include risk management, clinical, quality or legal work experience.
**Knowledge/Skills/and Abilities Requirements:**
**Job Details**
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Risk Management
Work Type: Full Time
Standard Hours Per Week: 40.00
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.