Registered Nurse Senior, Clinical Risk Management

Job description

We are recruiting for a motivated Registered Nurse Senior, Clinical Risk Management to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department: Risk Management Job Summary: Under minimal supervision, the Senior RN Clinical Risk Manager is responsible for the clinical review and analysis of significant occurrences as related to risk management, quality, and patient safety. Provides clinical oversight and in the absence of the Director, provides management and leadership to the Risk Management Department. Essential Functions: (40%) (20%) (10%) (10%) (10%) (5%) (5%) Education : - Claims Management - Review notices of claim, summons and complaints. - Perform a detailed claim investigation. - Facilitate thorough quality review of claims with either outside reviewers or internal reviewers. - Present findings to the Risk Management Committee for disposition of claim recommendations. - In conjunction with the Director and General Counsel, recommends a course of acti...