RN Clinical Risk Manager
Company: UnitedHealth Group
Location: Carmel
Posted on: June 22, 2022
Job Description:
Opportunities with American Health Network, OptumCare partner.
When you join American Health Network (AHN), you become part of a
team that strives to identify and retain the top healthcare
professionals in the markets it serves. At American Health Network,
we want to be the best health care organization we can be. Our
mission is to improve the health of our patients. We're a
physician-led organization, operating over 70 medical offices in
Indiana and Ohio, with over 300 providers and 1200 employees. We're
also an OptumCare partner, part of the UnitedHealth Group family of
businesses, and backed by the resources of a global health care
organization working to help people live healthier lives and help
make the health system work better for everyone. That's an
important differentiator as more people need our help simplifying
the complexities of the American health care system. At the same
time, the culture of AHN supports work-life flexibility for
providers and places a high value on their physical, emotional,
financial and other aspects of well-being. Find out what it means
to be part of an exceptional company that values its providers, its
role in health care, and making a difference one patient at a time.
Take a look at American Health Network and explore a new path to
your life's best work.(sm)The RN Clinical Risk Manager is
responsible for leading efforts related to clinical policy writing
and document management as well as incident report review,
investigation, remediation support, and cross organizational
process improvements including that associated with Peer Review.
-If you are located in the CENTRAL INDIANA region, you will have
the flexibility to telecommute* as you take on some tough
challenges. - -The position requires up to 15% travel.Primary
Responsibilities:To perform this job successfully, an individual
must be able to perform each essential duty satisfactorily.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- Provides subject matter expertise and guidance related to
policy inclusion details and risk mitigation strategies -
- Ensures clinical policies are aligned and remain current with
current evidence-based research, Optum/National policies and
guidelines, and the overarching organizational strategy
- Ensures complete and accurate documentation of incident
investigation, remediation efforts
- Collaborates effectively with all department experts when
drafting policy, investigating incidents, supporting remediation
and/or process improvement activities
- Leads root cause analysis events related to specific
incidents
- Assist in developing and delivering risk-related training,
education, and targeted support to clinicians as applicable
- Conducts data aggregation and analyses to assess performance
improvement opportunities and measure improvements
- Identifies collaborative support opportunities surrounding
practice health and safety, occupational health and safety,
clinical compliance, risk mitigation, performance excellence, and
continuous process improvement
- The position serves as a primary point of contact for all
clinical department policies, risk management, and peer review
processes.
- Supports other functions of clinical operations and performs
other related duties as assigned.
- The position requires up to 15% travel.You'll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in.Required Qualification:To perform this job
successfully, an individual must have the following education
and/or experience
- Current, unrestricted RN License in the state of Indiana
- Minimum of three years of experience in Healthcare Risk
Management
- Knowledge of Healthcare Policy writing and associated document
management, Root Cause Analysis, Failure Mode Analysis Tools, and
other risk management and quality improvement techniques
- Able to demonstrate basic levels of statistical analysis
including data correlations to determine drivers of risk.
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodationPreferred
Qualifications:
- Master's degree in Nursing
- Certified Professional in Healthcare Risk Management
(CPHRM)
- History of successful results in developing and/or managing a
risk management program for a large healthcare organizationTo
protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.Careers with Optum.
Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do your life's best
work.(sm)*All Telecommuters will be required to adhere to
UnitedHealth Group's Telecommuter PolicyDiversity creates a
healthier atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. -UnitedHealth Group is a
drug-free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Carmel , RN Clinical Risk Manager, Healthcare , Carmel, Indiana
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