Job Information

AdventHealth RN Clinical Risk Management and Claims Coordinator in Sebring, Florida

Description

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)

  • Nursing Clinical Ladder Program

  • Team Based Nursing Model

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s 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, Part-Time, PRN

Shift : Hours

Location: 40100 US-27, Davenport, FL 33837

The community you’ll be caring for: AdventHealth Heart of Florida

  • AdventHealth Heart of Florida is a licensed 193-bed acute care hospital, coupled with outpatient services including imaging, rehab, lab and wound care, that has been serving the community for over 50 years.

  • As a part of the AdventHealth network patients will have greater access to a wide range of innovative therapies, new research, leading-edge technology and an extensive team of medical specialists.

  • High-quality care that has been recognized by the Joint Commission, the American Heart Association and the American Diabetes Association.

  • Located in Davenport, FL., which is close to major destinations, like Busch Gardens, Legoland, and Walt Disney World, without being located in the central hub of tourism.

The role you’ll contribute:

The Clinical Risk Management Coordinator (CRMC) is responsible for 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. This position engages in activities which contribute to a safer environment for patients, employees, and visitors. These activities promote customer service, minimize liability risk for the Hospital and proactively identify areas for improvement. The CRMC will systematically investigate 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 395.0197. The CRMC will identify areas of risk and facilitate risk mitigation/safety strategies including the Root Cause Analysis and Response. The focus of this position is on review, investigation and response of incidents that include general/premises liability, medical liability, regulatory investigations and other potentially compensable events including lost or damaged belongings incidents, providing timely communication and submission of required documents to support legal defense response. The CRMC also acts as the internal system administrator for the voluntary event reporting system.

The value you’ll bring to the team:

  • Responsible for the management of the internal event report system for assigned area, in compliance with Florida Statute 395.0197 including identification and reporting of adverse events.

  • Reviews reported events to assure data completeness and accuracy and initiates event follow up with appropriate Directors and Managers within 3 days of event report.

  • Identifies, investigates, and reports on Sentinel Events/Never Events and facilitates Root Cause Analyses according to the RCA2 HFACS method.

  • Investigates premises liability and medical malpractice claims working with the Director of Risk Management and the corporate Claims Manager to achieve the appropriate outcome.

  • Identifies potentially compensable events (PCE) and converts events over to the claims systems according to established guidelines in a timely manner.

Qualifications

The expertise and experiences you’ll need to succeed:

  • Minimum qualifications :

  • Florida Registered Nurse License or other commensurate clinical licensure/certification.

  • Associate degree in business or healthcare related field

  • 3-5 years clinical experience in healthcare related field

  • Preferred qualifications:

  • Bachelors’ Degree in healthcare related field.

  • 2 years’ experience in Health Care Risk Management which includes claims management/litigation prevention

  • Experience in process improvement/patient safety

  • Certification in Healthcare Risk Management (CPHRM) or Associate in Risk Management Designation (ARM)or Certified Professional Patient Safety (CPPS)

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Risk Management

Organization: AdventHealth Sebring Wauchula Lake Placid

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth Sebring

Req ID: 22018198

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.