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Clinical Risk Manager-Clinics

  • Springfield, MO
  • Posted: March 13, 2024
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Summary

  • Best in Class Work Environment
    • 5x Modern Healthcare Best Places to work
    • America’s Greatest Workplaces 2023 – Newsweek
    • Best Employers for New Grads 2023- Forbes
    • Greatest Workplace for Women 2023 - Newsweek
  • Benefits
    • Robust, fully customizable benefits package including Medical/Vision/Dental and more!
      • No cost eCare visits
      • Employer-provided mental health services for employees and eligible family members
    • Retirement with employer match up to 5%
    • Tuition discounts and reimbursement available for continuing your education
    • CoxHealth Fitness Center and Child Care discounts
  • Job Summary
  • Reports to the Administrative Director of Insurance and Risk Management and conducts and documents investigation of adverse medical events that occur in the CoxHealth clinics and rural hospitals for purposes of evaluating liability exposure to CoxHealth. Conducts medical chart reviews and on-site investigations including interviews of employees and patients in order to respond to claims of medical negligence and miscellaneous complaints of care. On litigated cases, is responsible for coordinating communication and sharing of resources with Claims and Litigation Manager and outside defense counsel. Coordinate efforts with the Office of Patient Safety, Regulatory Affairs and Office of Patient Experience in responding to adverse events, patient grievances, and billing disputes.
  • Job Requirements
  • Education

  • Required: Bachelor’s degree in nursing

  • Experience

  • Required: At least 5 years of clinical experience

    Preferred: Experience in medical risk management and claims management

    Preferred: Patient Safety, Risk Management, or litigation experience

  • Skills

  • Active Listening

    Complex Problem Solving

    Critical Thinking

    Professional Communication

    Conflict Management

  • Licensure/Certification/Registration

  • Required: RN license

    Preferred: CPHRM, ARM, CPCU, CPHQ

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Job Information

Corporate
Legal Department
Full Time - Day Shift - 8:00 AM - 5:00 PM
Professional/Technical - Non-Clinical
Req #: 202404676-79017
Remote Work Type: Hybrid/Rotational

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